MONTANA CVS PHARMACY LLC
NPI: 1508800970
· BUTTE, MT 59701
· 3336C0003X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
276 |
$4K |
| 2019 |
417 |
$7K |
| 2020 |
499 |
$9K |
| 2021 |
387 |
$5K |
| 2022 |
282 |
$5K |
| 2023 |
142 |
$2K |
| 2024 |
13 |
$191.36 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
1,831 |
1,585 |
$25K |
| A4215 |
Sterile needle |
160 |
146 |
$7K |
| A4259 |
Lancets per box |
12 |
12 |
$15.62 |
| G0008 |
Admin influenza virus vac |
13 |
13 |
$0.00 |