WAL-MART STORES EAST, LP
NPI: 1205919933
· ELIZABETHTON, TN 37643
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16 |
$51.00 |
| 2019 |
101 |
$522.90 |
| 2021 |
55 |
$38.45 |
| 2022 |
287 |
$476.85 |
| 2023 |
229 |
$219.35 |
| 2024 |
31 |
$160.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
372 |
338 |
$1K |
| V2750 |
Anti-reflective coating |
172 |
165 |
$40.00 |
| V2784 |
Lens polycarb or equal |
132 |
124 |
$31.00 |
| V2781 |
Progressive lens per lens |
15 |
15 |
$0.00 |
| V2744 |
Tint photochromatic lens/es |
28 |
28 |
$0.00 |