CROSS LTC PHARMACY, LLC
NPI: 1619306214
· CHUBBUCK, ID 83202
· 3336L0003X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
346 |
$18K |
| 2019 |
48 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4150 |
Ef complet w/intact nutrient |
249 |
211 |
$22K |
| 90686 |
|
72 |
66 |
$0.00 |
| G0008 |
Admin influenza virus vac |
73 |
67 |
$0.00 |