TOTAL CARE PHARMACY LLC
NPI: 1306219464
· FRIDLEY, MN 55432
· 3336L0003X
$119.44
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
36 |
$0.00 |
| 2019 |
71 |
$0.00 |
| 2020 |
59 |
$0.00 |
| 2021 |
265 |
$41.60 |
| 2022 |
167 |
$77.84 |
| 2023 |
120 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
140 |
139 |
$65.69 |
| G0008 |
Admin influenza virus vac |
271 |
270 |
$53.75 |
| 0124A |
|
38 |
37 |
$0.00 |
| 0064A |
|
179 |
179 |
$0.00 |
| 90694 |
|
90 |
90 |
$0.00 |