WAL-MART STORES EAST, LP
NPI: 1497836985
· REPUBLIC, MO 65738
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
38 |
$2K |
| 2021 |
232 |
$6K |
| 2022 |
684 |
$23K |
| 2023 |
679 |
$25K |
| 2024 |
197 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
526 |
526 |
$36K |
| V2020 |
Vision svcs frames purchases |
617 |
617 |
$12K |
| 92014 |
|
84 |
84 |
$4K |
| V2100 |
Lens spher single plano 4.00 |
237 |
237 |
$3K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
238 |
238 |
$2K |
| V2025 |
Eyeglasses delux frames |
128 |
128 |
$0.00 |