WAL-MART STORES EAST, LP
NPI: 1407869290
· MARIETTA, OH 45750
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
951 |
$16K |
| 2019 |
892 |
$14K |
| 2020 |
666 |
$11K |
| 2021 |
1,031 |
$19K |
| 2022 |
1,245 |
$23K |
| 2023 |
622 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,723 |
1,716 |
$29K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,076 |
1,073 |
$27K |
| V2784 |
Lens polycarb or equal |
1,289 |
1,262 |
$16K |
| V2100 |
Lens spher single plano 4.00 |
455 |
424 |
$12K |
| V2025 |
Eyeglasses delux frames |
722 |
722 |
$6K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
66 |
66 |
$3K |
| V2200 |
Lens spher bifoc plano 4.00d |
39 |
29 |
$1K |
| V2750 |
Anti-reflective coating |
37 |
37 |
$0.00 |