WAL-MART STORES EAST, LP
NPI: 1396827218
· LAWRENCEBURG, TN 38464
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
905 |
$11K |
| 2019 |
1,162 |
$13K |
| 2020 |
813 |
$10K |
| 2021 |
1,466 |
$15K |
| 2022 |
1,649 |
$13K |
| 2023 |
2,100 |
$14K |
| 2024 |
920 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,166 |
2,092 |
$39K |
| V2020 |
Vision svcs frames purchases |
3,931 |
3,708 |
$35K |
| V2100 |
Lens spher single plano 4.00 |
513 |
504 |
$8K |
| V2784 |
Lens polycarb or equal |
654 |
553 |
$2K |
| V2750 |
Anti-reflective coating |
1,202 |
1,116 |
$510.00 |
| V2744 |
Tint photochromatic lens/es |
273 |
265 |
$50.00 |
| V2781 |
Progressive lens per lens |
206 |
179 |
$0.00 |
| V2702 |
Deluxe lens feature |
70 |
62 |
$0.00 |