OREGON CVS PHARMACY LLC
NPI: 1801818521
· KEIZER, OR 97303
· 332B00000X
$2.68
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
32 |
$2.68 |
| 2019 |
17 |
$0.00 |
| 2020 |
49 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
35 |
24 |
$2.14 |
| G0008 |
Admin influenza virus vac |
63 |
46 |
$0.54 |