WAL-MART STORES EAST, LP
NPI: 1316020050
· JACKSON, TN 38305
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
174 |
$2K |
| 2019 |
335 |
$4K |
| 2020 |
262 |
$4K |
| 2021 |
1,293 |
$6K |
| 2022 |
1,191 |
$4K |
| 2023 |
1,276 |
$5K |
| 2024 |
810 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,260 |
2,029 |
$18K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
569 |
527 |
$9K |
| V2750 |
Anti-reflective coating |
941 |
837 |
$1K |
| V2784 |
Lens polycarb or equal |
720 |
590 |
$887.00 |
| V2744 |
Tint photochromatic lens/es |
465 |
438 |
$295.00 |
| V2799 |
Misc vision item or service |
16 |
12 |
$20.00 |
| V2781 |
Progressive lens per lens |
337 |
291 |
$0.00 |
| V2702 |
Deluxe lens feature |
33 |
31 |
$0.00 |