KANSAS CVS PHARMACY LLC
NPI: 1710909452
· MANHATTAN, KS 66503
· 3336C0003X
$28.30
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
41 |
$0.00 |
| 2021 |
170 |
$28.30 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
112 |
111 |
$28.30 |
| 0002A |
|
99 |
99 |
$0.00 |