WAL-MART STORES EAST, LP
NPI: 1063595510
· MURFREESBORO, TN 37130
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
296 |
$3K |
| 2019 |
533 |
$8K |
| 2020 |
228 |
$3K |
| 2021 |
651 |
$7K |
| 2022 |
862 |
$6K |
| 2023 |
856 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,013 |
1,811 |
$20K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
812 |
766 |
$13K |
| V2100 |
Lens spher single plano 4.00 |
52 |
51 |
$997.12 |
| V2784 |
Lens polycarb or equal |
217 |
163 |
$285.00 |
| V2750 |
Anti-reflective coating |
305 |
263 |
$235.00 |
| V2744 |
Tint photochromatic lens/es |
27 |
27 |
$30.00 |