WAL-MART STORES EASST, LP
NPI: 1295816205
· APPLETON, WI 54915
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
309 |
$6K |
| 2022 |
506 |
$13K |
| 2023 |
1,048 |
$22K |
| 2024 |
279 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
950 |
838 |
$15K |
| 92004 |
|
343 |
280 |
$14K |
| V2100 |
Lens spher single plano 4.00 |
403 |
344 |
$11K |
| 92014 |
|
88 |
88 |
$4K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
147 |
146 |
$4K |
| V2750 |
Anti-reflective coating |
13 |
13 |
$0.00 |
| 92015 |
|
198 |
117 |
$0.00 |