LOUISIANA CVS PHARMACY, L.L.C.
NPI: 1790889632
· WEST MONROE, LA 71291
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
101 |
$0.00 |
| 2020 |
35 |
$0.00 |
| 2021 |
20 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
31 |
30 |
$0.00 |
| 90670 |
|
37 |
24 |
$0.00 |
| G0008 |
Admin influenza virus vac |
55 |
54 |
$0.00 |
| 90674 |
|
15 |
15 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
18 |
13 |
$0.00 |