OREGON CVS PHARMACY LLC
NPI: 1366464083
· BEAVERTON, OR 97005
· Community/Retail Pharmacy
$98.15
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
87 |
$0.00 |
| 2020 |
90 |
$0.00 |
| 2021 |
704 |
$98.15 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
436 |
287 |
$69.76 |
| 0002A |
|
358 |
251 |
$28.39 |
| G0008 |
Administration of influenza virus vaccine |
45 |
36 |
$0.00 |
| 90662 |
|
42 |
34 |
$0.00 |