CONNECTICUT CVS PHARMACY LLC
NPI: 1790889699
· NORWICH, CT 06360
· 3336C0003X
$141K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,068 |
$40K |
| 2019 |
1,166 |
$44K |
| 2020 |
1,141 |
$44K |
| 2021 |
401 |
$12K |
| 2022 |
87 |
$875.19 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
2,776 |
2,628 |
$132K |
| A4259 |
Lancets per box |
1,072 |
1,023 |
$9K |
| E0607 |
Blood glucose monitor home |
15 |
13 |
$311.11 |