WISCONSIN CVS PHARMACY LLC
NPI: 1972769453
· APPLETON, WI 54915
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
43 |
$431.37 |
| 2019 |
21 |
$506.37 |
| 2021 |
31 |
$798.00 |
| 2022 |
69 |
$399.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90674 |
|
64 |
43 |
$937.74 |
| 90686 |
|
31 |
31 |
$798.00 |
| 90688 |
|
15 |
15 |
$399.80 |
| 91301 |
|
54 |
20 |
$0.00 |