KANSAS CVS PHARMACY LLC
NPI: 1376963165
· SALINA, KS 67401
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
34 |
$0.00 |
| 2020 |
74 |
$0.00 |
| 2021 |
816 |
$0.00 |
| 2022 |
44 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
70 |
70 |
$0.00 |
| 0001A |
|
466 |
455 |
$0.00 |
| 90694 |
|
27 |
27 |
$0.00 |
| 90662 |
|
37 |
37 |
$0.00 |
| 0002A |
|
368 |
368 |
$0.00 |