NEW JERSEY CVS PHARMACY LLC
NPI: 1851686786
· CHERRY HILL, NJ 08034
· 332B00000X
$45.33
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
78 |
$45.33 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
43 |
42 |
$28.39 |
| 0001A |
|
35 |
33 |
$16.94 |