NEW JERSEY CVS PHARMACY LLC
NPI: 1467535708
· BLOOMFIELD, NJ 07003
· 3336C0003X
$28.39
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
31 |
$28.39 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
13 |
13 |
$28.39 |
| 0011A |
|
18 |
18 |
$0.00 |