WEST VIRGINIA CVS PHARMACY LLC
NPI: 1285737643
· FAIRMONT, WV 26554
· 332B00000X
$895.52
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$544.17 |
| 2019 |
27 |
$284.55 |
| 2020 |
194 |
$66.80 |
| 2021 |
28 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
133 |
131 |
$487.60 |
| A4253 |
Blood glucose/reagent strips |
53 |
50 |
$407.92 |
| 90674 |
|
14 |
14 |
$0.00 |
| 0011A |
|
12 |
12 |
$0.00 |
| 90694 |
|
18 |
18 |
$0.00 |
| 90662 |
|
46 |
44 |
$0.00 |