WAL-MART STORES EAST, LP
NPI: 1679663330
· COLUMBIA, TN 38401
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
564 |
$8K |
| 2019 |
622 |
$8K |
| 2020 |
438 |
$6K |
| 2021 |
1,218 |
$7K |
| 2022 |
1,409 |
$7K |
| 2023 |
1,322 |
$8K |
| 2024 |
834 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
3,021 |
2,709 |
$25K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,326 |
1,260 |
$22K |
| V2100 |
Lens spher single plano 4.00 |
83 |
81 |
$1K |
| V2784 |
Lens polycarb or equal |
598 |
458 |
$917.00 |
| V2750 |
Anti-reflective coating |
848 |
735 |
$629.32 |
| V2744 |
Tint photochromatic lens/es |
247 |
227 |
$30.00 |
| V2781 |
Progressive lens per lens |
253 |
210 |
$29.00 |
| V2702 |
Deluxe lens feature |
31 |
28 |
$0.00 |