WAL-MART STORES EAST, LP
NPI: 1376628966
· ANTIOCH, TN 37013
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
406 |
$6K |
| 2019 |
553 |
$9K |
| 2020 |
393 |
$7K |
| 2021 |
802 |
$8K |
| 2022 |
816 |
$7K |
| 2023 |
265 |
$2K |
| 2024 |
332 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,103 |
1,995 |
$22K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
962 |
931 |
$17K |
| V2100 |
Lens spher single plano 4.00 |
96 |
93 |
$2K |
| V2750 |
Anti-reflective coating |
275 |
266 |
$320.00 |
| V2784 |
Lens polycarb or equal |
78 |
70 |
$0.00 |
| V2744 |
Tint photochromatic lens/es |
53 |
53 |
$0.00 |