WAL-MART STORES EAST, LP
NPI: 1245320696
· BRISTOL, TN 37620
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
99 |
$484.00 |
| 2020 |
30 |
$217.50 |
| 2021 |
175 |
$605.90 |
| 2022 |
234 |
$472.55 |
| 2023 |
303 |
$328.05 |
| 2024 |
104 |
$166.35 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
537 |
460 |
$2K |
| V2750 |
Anti-reflective coating |
228 |
217 |
$130.00 |
| V2784 |
Lens polycarb or equal |
104 |
90 |
$93.00 |
| V2781 |
Progressive lens per lens |
30 |
28 |
$0.00 |
| V2744 |
Tint photochromatic lens/es |
30 |
29 |
$0.00 |
| V2702 |
Deluxe lens feature |
16 |
16 |
$0.00 |