VIRGINIA CVS PHARMACY, L.L.C.
NPI: 1922621960
· ARLINGTON, VA 22206
· 332B00000X
$113.09
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
143 |
$113.09 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
70 |
68 |
$84.70 |
| 0002A |
|
73 |
71 |
$28.39 |