WAL-MART STORES EAST, LP
NPI: 1154407641
· CATONSVILLE, MD 21228
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
163 |
$4K |
| 2021 |
606 |
$17K |
| 2022 |
853 |
$21K |
| 2023 |
867 |
$21K |
| 2024 |
693 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,583 |
1,530 |
$57K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
893 |
835 |
$16K |
| V2025 |
Eyeglasses delux frames |
176 |
174 |
$5K |
| V2100 |
Lens spher single plano 4.00 |
72 |
67 |
$2K |
| V2750 |
Anti-reflective coating |
387 |
362 |
$986.00 |
| V2784 |
Lens polycarb or equal |
71 |
65 |
$361.00 |