WAL-MART STORES EAST, LP
NPI: 1023191624
· CROSSVILLE, TN 38555
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
50 |
$415.00 |
| 2019 |
274 |
$3K |
| 2020 |
288 |
$3K |
| 2021 |
425 |
$3K |
| 2022 |
529 |
$3K |
| 2023 |
682 |
$4K |
| 2024 |
295 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,692 |
1,591 |
$13K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
353 |
344 |
$6K |
| V2100 |
Lens spher single plano 4.00 |
35 |
34 |
$667.40 |
| V2784 |
Lens polycarb or equal |
202 |
189 |
$298.00 |
| V2750 |
Anti-reflective coating |
174 |
168 |
$130.00 |
| V2744 |
Tint photochromatic lens/es |
72 |
69 |
$45.00 |
| V2781 |
Progressive lens per lens |
15 |
14 |
$0.00 |