CONNECTICUT CVS PHARMACY LLC
NPI: 1790029577
· HARTFORD, CT 06106
· 332B00000X
$271K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,243 |
$97K |
| 2019 |
2,106 |
$94K |
| 2020 |
1,744 |
$74K |
| 2021 |
209 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
4,199 |
3,937 |
$246K |
| A4259 |
Lancets per box |
1,836 |
1,754 |
$19K |
| E0607 |
Blood glucose monitor home |
267 |
265 |
$6K |