WAL-MART STORES EAST, LP
NPI: 1518048503
· CLINTON, MO 64735
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
26 |
$330.50 |
| 2022 |
192 |
$4K |
| 2023 |
623 |
$17K |
| 2024 |
338 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
722 |
720 |
$16K |
| 92002 |
|
87 |
87 |
$5K |
| V2100 |
Lens spher single plano 4.00 |
191 |
190 |
$2K |
| 92004 |
|
41 |
41 |
$950.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
60 |
60 |
$493.50 |
| 92015 |
|
78 |
78 |
$409.11 |