NEW JERSEY CVS PHARMACY LLC
NPI: 1871696609
· LIVINGSTON, NJ 07039
· 3336C0003X
$175.36
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
273 |
$175.36 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
191 |
162 |
$118.58 |
| 0002A |
|
82 |
81 |
$56.78 |