WAL-MART STORES EAST, LP
NPI: 1063594992
· KINGSPORT, TN 37664
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
62 |
$853.99 |
| 2020 |
13 |
$155.35 |
| 2021 |
335 |
$1K |
| 2022 |
247 |
$487.30 |
| 2023 |
354 |
$296.25 |
| 2024 |
86 |
$279.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
683 |
576 |
$3K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
24 |
24 |
$446.44 |
| V2784 |
Lens polycarb or equal |
182 |
150 |
$31.00 |
| V2750 |
Anti-reflective coating |
146 |
130 |
$25.00 |
| V2744 |
Tint photochromatic lens/es |
34 |
30 |
$0.00 |
| V2781 |
Progressive lens per lens |
28 |
19 |
$0.00 |