WEST VIRGINIA CVS PHARMACY LLC
NPI: 1235232992
· HUNTINGTON, WV 25703
· 332B00000X
$21.66
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
26 |
$0.00 |
| 2021 |
12 |
$21.66 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
12 |
12 |
$21.66 |
| 90670 |
|
13 |
13 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
13 |
13 |
$0.00 |