NEW JERSEY CVS PHARMACY LLC
NPI: 1760574362
· PEQUANNOCK, NJ 07440
· 3336C0003X
$124.54
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
20 |
$0.00 |
| 2021 |
273 |
$124.54 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
182 |
175 |
$67.76 |
| 0002A |
|
111 |
110 |
$56.78 |