WAL-MART STORES EAST LP
NPI: 1053661447
· RANDALLSTOWN, MD 21133
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
285 |
$8K |
| 2022 |
1,039 |
$26K |
| 2023 |
1,347 |
$36K |
| 2024 |
599 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,686 |
1,649 |
$61K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
854 |
826 |
$14K |
| 92004 |
|
219 |
213 |
$7K |
| V2100 |
Lens spher single plano 4.00 |
292 |
287 |
$5K |
| 92014 |
|
47 |
44 |
$2K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
12 |
12 |
$159.25 |
| V2025 |
Eyeglasses delux frames |
12 |
12 |
$110.00 |
| V2750 |
Anti-reflective coating |
133 |
117 |
$108.50 |
| V2784 |
Lens polycarb or equal |
15 |
15 |
$83.00 |