HOUCHENS EXPRESS PHARMACY LLC
NPI: 1962562199
· JASPER, IN 47546
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
93 |
$0.00 |
| 2019 |
100 |
$0.00 |
| 2020 |
67 |
$0.00 |
| 2021 |
67 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
173 |
170 |
$0.00 |
| 90694 |
|
62 |
60 |
$0.00 |
| 90674 |
|
31 |
31 |
$0.00 |
| 90662 |
|
61 |
61 |
$0.00 |