WAL-MART STORES EAST, LP
NPI: 1063897510
· HAZLEHURST, MS 39083
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
202 |
$3K |
| 2019 |
456 |
$7K |
| 2020 |
281 |
$4K |
| 2021 |
501 |
$9K |
| 2022 |
1,070 |
$16K |
| 2023 |
690 |
$11K |
| 2024 |
497 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,196 |
2,017 |
$28K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
899 |
786 |
$16K |
| V2100 |
Lens spher single plano 4.00 |
590 |
573 |
$14K |
| V2755 |
Uv lens/es |
12 |
12 |
$0.00 |