WAL-MART STORES EAST LP
NPI: 1215954433
· CONNERSVILLE, IN 47331
· 332B00000X
$44.93
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
60 |
$44.93 |
| 2019 |
15 |
$0.00 |
| 2021 |
123 |
$0.00 |
| 2022 |
14 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
60 |
48 |
$44.93 |
| 0012A |
|
39 |
39 |
$0.00 |
| 0011A |
|
42 |
42 |
$0.00 |
| 0064A |
|
42 |
42 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
14 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
15 |
15 |
$0.00 |