LOUISIANA CVS PHARMACY, L.L.C.
NPI: 1972607802
· OPELOUSAS, LA 70570
· 332B00000X
$347.79
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
54 |
$34.94 |
| 2019 |
52 |
$13.30 |
| 2020 |
131 |
$153.11 |
| 2021 |
1,725 |
$146.44 |
| 2023 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
109 |
108 |
$347.79 |
| 90662 |
|
49 |
49 |
$0.00 |
| G0008 |
Admin influenza virus vac |
129 |
129 |
$0.00 |
| 0011A |
|
879 |
831 |
$0.00 |
| 0012A |
|
769 |
733 |
$0.00 |
| 0064A |
|
40 |
40 |
$0.00 |