WISCONSIN CVS PHARMACY LLC
NPI: 1225398738
· BROOKFIELD, WI 53005
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$303.44 |
| 2019 |
13 |
$310.20 |
| 2020 |
50 |
$1K |
| 2021 |
52 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
65 |
65 |
$2K |
| 90674 |
|
45 |
31 |
$841.53 |
| 90662 |
|
17 |
17 |
$444.34 |
| 90688 |
|
16 |
16 |
$304.62 |