WISCONSIN CVS PHARMACY LLC
NPI: 1639464886
· NEENAH, WI 54956
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$277.89 |
| 2021 |
22 |
$448.35 |
| 2022 |
124 |
$838.58 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90688 |
|
33 |
30 |
$661.25 |
| 90756 |
|
14 |
14 |
$455.22 |
| 90686 |
|
22 |
22 |
$448.35 |
| 91307 |
|
30 |
13 |
$0.00 |
| 91300 |
|
60 |
19 |
$0.00 |