LOUISIANA CVS PHARMACY, L.L.C.
NPI: 1528162468
· MANDEVILLE, LA 70471
· 3336C0003X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
64 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G0008 |
Admin influenza virus vac |
16 |
16 |
$0.00 |
| 90480 |
|
16 |
16 |
$0.00 |
| 90653 |
|
16 |
16 |
$0.00 |
| 91320 |
|
16 |
16 |
$0.00 |