WAL-MART STORES EAST, LP
NPI: 1043393770
· MORRISTOWN, TN 37813
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
747 |
$5K |
| 2019 |
1,385 |
$8K |
| 2020 |
585 |
$3K |
| 2021 |
845 |
$1K |
| 2022 |
1,221 |
$919.50 |
| 2023 |
1,788 |
$2K |
| 2024 |
1,664 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
3,058 |
2,473 |
$13K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
697 |
590 |
$8K |
| V2784 |
Lens polycarb or equal |
1,432 |
1,112 |
$709.00 |
| V2750 |
Anti-reflective coating |
1,285 |
1,107 |
$495.00 |
| V2100 |
Lens spher single plano 4.00 |
24 |
24 |
$310.66 |
| V2744 |
Tint photochromatic lens/es |
889 |
810 |
$260.00 |
| V2781 |
Progressive lens per lens |
820 |
668 |
$29.00 |
| V2702 |
Deluxe lens feature |
16 |
14 |
$0.00 |
| V2762 |
Polarization, any lens |
14 |
14 |
$0.00 |