WAL-MART STORES EAST, LP
NPI: 1164503157
· POPLAR BLUFF, MO 63901
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
389 |
$5K |
| 2019 |
497 |
$7K |
| 2020 |
197 |
$2K |
| 2021 |
403 |
$4K |
| 2022 |
825 |
$13K |
| 2023 |
806 |
$16K |
| 2024 |
524 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,845 |
1,838 |
$34K |
| V2100 |
Lens spher single plano 4.00 |
842 |
841 |
$11K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
813 |
809 |
$8K |
| V2781 |
Progressive lens per lens |
12 |
12 |
$97.00 |
| V2025 |
Eyeglasses delux frames |
129 |
129 |
$0.00 |