WISCONSIN CVS PHARMACY LLC
NPI: 1396014908
· MENOMONEE FALLS, WI 53051
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$165.75 |
| 2020 |
14 |
$239.26 |
| 2021 |
133 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
54 |
53 |
$951.07 |
| 90662 |
|
14 |
14 |
$239.26 |
| 0011A |
|
14 |
14 |
$169.40 |
| 90686 |
|
12 |
12 |
$165.75 |
| 0002A |
|
51 |
50 |
$0.34 |
| 0001A |
|
14 |
14 |
$0.10 |