NEW JERSEY CVS PHARMACY LLC
NPI: 1528491115
· EAST BRUNSWICK, NJ 08816
· 332B00000X
$317.47
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
50 |
$16.94 |
| 2021 |
687 |
$300.53 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
335 |
331 |
$141.95 |
| 0001A |
|
389 |
364 |
$135.52 |
| 0004A |
|
13 |
13 |
$40.00 |