WAL-MART STORES EAST LP
NPI: 1366469496
· MARTINSBURG, WV 25401
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
31 |
$1K |
| 2019 |
58 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
49 |
48 |
$2K |
| 90662 |
|
12 |
12 |
$627.60 |
| A4253 |
Blood glucose/reagent strips |
28 |
26 |
$229.73 |