WAL-MART STORES EAST, LP
NPI: 1477658581
· CAMBRIDGE, OH 43725
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$438.00 |
| 2019 |
19 |
$302.00 |
| 2020 |
257 |
$6K |
| 2021 |
828 |
$19K |
| 2022 |
1,092 |
$25K |
| 2023 |
902 |
$13K |
| 2024 |
18 |
$17.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,480 |
1,455 |
$34K |
| V2100 |
Lens spher single plano 4.00 |
593 |
567 |
$14K |
| V2784 |
Lens polycarb or equal |
659 |
639 |
$8K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
337 |
337 |
$7K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
13 |
13 |
$485.00 |
| V2025 |
Eyeglasses delux frames |
50 |
50 |
$128.00 |
| V2750 |
Anti-reflective coating |
12 |
12 |
$0.00 |