WAL-MART STORES EAST, LP
NPI: 1235214818
· KNOXVILLE, TN 37912
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
257 |
$2K |
| 2019 |
534 |
$3K |
| 2020 |
311 |
$1K |
| 2021 |
162 |
$1K |
| 2022 |
212 |
$2K |
| 2023 |
49 |
$324.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,027 |
967 |
$9K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
26 |
26 |
$435.70 |
| V2750 |
Anti-reflective coating |
224 |
214 |
$225.00 |
| V2784 |
Lens polycarb or equal |
118 |
107 |
$161.00 |
| V2781 |
Progressive lens per lens |
73 |
68 |
$24.00 |
| V2744 |
Tint photochromatic lens/es |
45 |
41 |
$0.00 |
| V2702 |
Deluxe lens feature |
12 |
12 |
$0.00 |