WAL-MART STORES EAST, LP
NPI: 1396827200
· MANCHESTER, TN 37355
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,010 |
$11K |
| 2019 |
1,117 |
$10K |
| 2020 |
553 |
$6K |
| 2021 |
594 |
$7K |
| 2022 |
676 |
$8K |
| 2023 |
744 |
$9K |
| 2024 |
518 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,938 |
2,835 |
$30K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,314 |
1,277 |
$22K |
| V2100 |
Lens spher single plano 4.00 |
387 |
380 |
$6K |
| V2784 |
Lens polycarb or equal |
175 |
169 |
$480.00 |
| V2750 |
Anti-reflective coating |
215 |
208 |
$305.00 |
| V2781 |
Progressive lens per lens |
120 |
109 |
$72.50 |
| V2744 |
Tint photochromatic lens/es |
51 |
49 |
$30.00 |
| V2025 |
Eyeglasses delux frames |
12 |
12 |
$0.00 |