NEW JERSEY CVS PHARMACY LLC
NPI: 1427402205
· FORT LEE, NJ 07024
· 332B00000X
$85.17
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
27 |
$0.00 |
| 2021 |
184 |
$85.17 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
96 |
94 |
$85.17 |
| 0001A |
|
115 |
114 |
$0.00 |