NEW JERSEY CVS PHARMACY LLC
NPI: 1861575185
· WESTWOOD, NJ 07675
· 3336C0003X
$124.54
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
33 |
$0.00 |
| 2021 |
203 |
$124.54 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
134 |
131 |
$67.76 |
| 0002A |
|
102 |
101 |
$56.78 |