NORTH CAROLINA CVS PHARMACY LLC
NPI: 1518989177
· NEW BERN, NC 28562
· 332B00000X
$163.90
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
387 |
$163.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
98 |
86 |
$135.52 |
| 0012A |
|
80 |
80 |
$28.38 |
| 91301 |
|
209 |
190 |
$0.00 |