WAL-MART STORES EAST, LP
NPI: 1457361602
· WILMINGTON, OH 45177
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,474 |
$24K |
| 2019 |
1,648 |
$25K |
| 2020 |
979 |
$22K |
| 2021 |
460 |
$12K |
| 2022 |
653 |
$14K |
| 2023 |
54 |
$550.00 |
| 2024 |
46 |
$598.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,538 |
2,456 |
$51K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,377 |
1,347 |
$23K |
| V2784 |
Lens polycarb or equal |
467 |
464 |
$9K |
| V2100 |
Lens spher single plano 4.00 |
406 |
390 |
$6K |
| V2750 |
Anti-reflective coating |
217 |
216 |
$4K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
98 |
98 |
$3K |
| V2755 |
Uv lens/es |
178 |
175 |
$1K |
| 92004 |
|
19 |
19 |
$950.00 |
| V2025 |
Eyeglasses delux frames |
14 |
14 |
$70.00 |