WISCONSIN CVS PHARMACY LLC
NPI: 1780891747
· FITCHBURG, WI 53719
· Community/Retail Pharmacy
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
32 |
$361.50 |
| 2019 |
27 |
$617.25 |
| 2020 |
16 |
$478.52 |
| 2021 |
26 |
$463.35 |
| 2022 |
194 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
85 |
65 |
$1K |
| 90662 |
|
16 |
16 |
$478.52 |
| 91307 |
|
24 |
12 |
$0.00 |
| 91300 |
|
170 |
56 |
$0.00 |