KANSAS CVS PHARMACY, L.L.C.
NPI: 1730410002
· ATCHISON, KS 66002
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
169 |
$606.64 |
| 2019 |
79 |
$16.45 |
| 2020 |
18 |
$37.87 |
| 2021 |
50 |
$962.59 |
| 2022 |
84 |
$0.00 |
| 2023 |
62 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
90 |
90 |
$962.59 |
| A4253 |
Blood glucose/reagent strips |
112 |
99 |
$660.96 |
| 91320 |
|
31 |
30 |
$0.00 |
| 0124A |
|
44 |
44 |
$0.00 |
| 90662 |
|
55 |
55 |
$0.00 |
| 90670 |
|
15 |
15 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
16 |
16 |
$0.00 |
| 90480 |
|
31 |
30 |
$0.00 |
| G0008 |
Admin influenza virus vac |
68 |
68 |
$0.00 |