KANSAS CVS PHARMACY LLC
NPI: 1902847809
· SHAWNEE, KS 66203
· 3336C0003X
$44.75
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
61 |
$0.00 |
| 2021 |
497 |
$44.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
252 |
251 |
$30.60 |
| 0001A |
|
306 |
303 |
$14.15 |