WAL-MART STORES EAST, LP
NPI: 1114009040
· TULLAHOMA, TN 37388
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
365 |
$4K |
| 2019 |
412 |
$5K |
| 2020 |
311 |
$3K |
| 2021 |
534 |
$3K |
| 2022 |
1,004 |
$3K |
| 2023 |
1,120 |
$5K |
| 2024 |
710 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,411 |
2,114 |
$18K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
447 |
432 |
$7K |
| V2100 |
Lens spher single plano 4.00 |
140 |
140 |
$3K |
| V2750 |
Anti-reflective coating |
364 |
342 |
$185.00 |
| V2784 |
Lens polycarb or equal |
547 |
389 |
$128.00 |
| V2781 |
Progressive lens per lens |
186 |
145 |
$67.50 |
| V2744 |
Tint photochromatic lens/es |
361 |
312 |
$45.00 |