NEW JERSEY CVS PHARMACY LLC
NPI: 1801988530
· SECAUCUS, NJ 07094
· 3336C0003X
$147.44
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
15 |
$0.00 |
| 2021 |
367 |
$147.44 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
168 |
168 |
$113.56 |
| 0001A |
|
214 |
210 |
$33.88 |