WAL-MART STORES EAST, LP
NPI: 1417030115
· COLUMBIA, MS 39429
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
187 |
$3K |
| 2019 |
285 |
$4K |
| 2020 |
148 |
$3K |
| 2021 |
438 |
$9K |
| 2022 |
556 |
$11K |
| 2023 |
494 |
$8K |
| 2024 |
319 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,641 |
1,556 |
$29K |
| V2100 |
Lens spher single plano 4.00 |
578 |
562 |
$13K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
191 |
187 |
$4K |
| V2781 |
Progressive lens per lens |
17 |
17 |
$0.00 |