WAL-MART STORES EAST, LP
NPI: 1679896641
· NASHVILLE, TN 37207
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,188 |
$10K |
| 2019 |
1,942 |
$12K |
| 2020 |
1,634 |
$11K |
| 2021 |
2,564 |
$13K |
| 2022 |
3,060 |
$14K |
| 2023 |
3,243 |
$13K |
| 2024 |
1,219 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
5,278 |
4,837 |
$38K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,122 |
1,992 |
$34K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
130 |
123 |
$2K |
| V2100 |
Lens spher single plano 4.00 |
108 |
101 |
$2K |
| V2750 |
Anti-reflective coating |
2,137 |
1,992 |
$2K |
| V2784 |
Lens polycarb or equal |
1,876 |
1,588 |
$777.00 |
| V2744 |
Tint photochromatic lens/es |
1,648 |
1,546 |
$715.00 |
| V2781 |
Progressive lens per lens |
1,225 |
1,075 |
$0.00 |
| V2702 |
Deluxe lens feature |
137 |
131 |
$0.00 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
84 |
63 |
$0.00 |
| S0590 |
Misc integral lens serv |
92 |
92 |
$0.00 |
| V2025 |
Eyeglasses delux frames |
13 |
13 |
$0.00 |