NEW JERSEY CVS PHARMACY LLC
NPI: 1760565394
· SOUTH PLAINFIELD, NJ 07080
· 3336C0003X
$80.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$0.00 |
| 2021 |
58 |
$80.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
21 |
21 |
$40.00 |
| 0004A |
|
20 |
20 |
$40.00 |
| G0008 |
Admin influenza virus vac |
13 |
13 |
$0.00 |
| 0001A |
|
17 |
17 |
$0.00 |