CONNECTICUT CVS PHARMACY, L.L.C.
NPI: 1558465450
· HARTFORD, CT 06114
· 3336C0003X
$173K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,440 |
$57K |
| 2019 |
1,416 |
$59K |
| 2020 |
1,279 |
$51K |
| 2021 |
204 |
$5K |
| 2022 |
57 |
$379.45 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
3,042 |
2,880 |
$160K |
| A4259 |
Lancets per box |
1,316 |
1,272 |
$12K |
| E0607 |
Blood glucose monitor home |
38 |
38 |
$818.59 |