WAL-MART STORES EAST, LP
NPI: 1154403079
· GALLATIN, TN 37066
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
563 |
$8K |
| 2019 |
842 |
$12K |
| 2020 |
565 |
$6K |
| 2021 |
698 |
$7K |
| 2022 |
1,170 |
$7K |
| 2023 |
728 |
$6K |
| 2024 |
457 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,526 |
2,345 |
$27K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,170 |
1,121 |
$20K |
| V2750 |
Anti-reflective coating |
761 |
722 |
$1K |
| V2100 |
Lens spher single plano 4.00 |
75 |
75 |
$1K |
| V2784 |
Lens polycarb or equal |
212 |
177 |
$324.50 |
| V2025 |
Eyeglasses delux frames |
67 |
66 |
$45.00 |
| V2781 |
Progressive lens per lens |
78 |
61 |
$43.50 |
| V2744 |
Tint photochromatic lens/es |
134 |
130 |
$0.00 |