WAL-MART STORES EAST, LP
NPI: 1417038902
· OSAGE BEACH, MO 65065
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
53 |
$381.50 |
| 2019 |
16 |
$270.80 |
| 2020 |
84 |
$2K |
| 2021 |
460 |
$8K |
| 2022 |
615 |
$14K |
| 2024 |
56 |
$431.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
319 |
316 |
$19K |
| 92015 |
|
468 |
465 |
$2K |
| V2020 |
Vision svcs frames purchases |
159 |
159 |
$2K |
| 92340 |
|
288 |
287 |
$1K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
50 |
50 |
$355.50 |