NEW JERSEY CVS PHARMACY LLC
NPI: 1689758278
· WAYNE, NJ 07470
· Durable Medical Equipment & Medical Supplies
$249.55
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$16.94 |
| 2021 |
166 |
$232.61 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
102 |
100 |
$198.73 |
| 0001A |
|
88 |
88 |
$50.82 |