WAL-MART STORES EAST, LP
NPI: 1396828893
· BEAVER FALLS, PA 15010
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
207 |
$8K |
| 2021 |
656 |
$17K |
| 2022 |
557 |
$18K |
| 2023 |
404 |
$13K |
| 2024 |
874 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2103 |
Spherocylindr 4.00d/12-2.00d |
656 |
598 |
$38K |
| V2020 |
Vision svcs frames purchases |
1,545 |
1,365 |
$22K |
| V2100 |
Lens spher single plano 4.00 |
182 |
154 |
$11K |
| V2025 |
Eyeglasses delux frames |
178 |
178 |
$10K |
| V2115 |
Lens lenticular bifocal |
84 |
73 |
$8K |
| V2520 |
Contact lens hydrophilic |
24 |
24 |
$2K |
| V2599 |
Contact lens/es other type |
12 |
12 |
$1K |
| V2750 |
Anti-reflective coating |
17 |
17 |
$75.00 |