WAL-MART STORES EAST, LP.
NPI: 1417724733
· LEBANON, PA 17046
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
782 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2103 |
Spherocylindr 4.00d/12-2.00d |
119 |
84 |
$8K |
| 92014 |
|
185 |
163 |
$7K |
| V2115 |
Lens lenticular bifocal |
57 |
46 |
$5K |
| V2020 |
Vision svcs frames purchases |
288 |
252 |
$4K |
| 92002 |
|
106 |
90 |
$4K |
| V2799 |
Misc vision item or service |
15 |
15 |
$75.00 |
| 92015 |
|
12 |
12 |
$0.00 |