NEW JERSEY CVS PHARMACY LLC
NPI: 1548343882
· WAYNE, NJ 07470
· 3336C0003X
$90.66
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
14 |
$0.00 |
| 2021 |
242 |
$90.66 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
123 |
121 |
$56.78 |
| 0001A |
|
133 |
124 |
$33.88 |