WAL-MART STORES EAST, LP
NPI: 1710065768
· OAK RIDGE, TN 37830
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
827 |
$8K |
| 2019 |
1,270 |
$10K |
| 2020 |
856 |
$8K |
| 2021 |
1,470 |
$11K |
| 2022 |
1,609 |
$11K |
| 2023 |
2,028 |
$12K |
| 2024 |
1,316 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
3,824 |
3,540 |
$33K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,797 |
1,681 |
$29K |
| V2100 |
Lens spher single plano 4.00 |
266 |
264 |
$4K |
| V2750 |
Anti-reflective coating |
1,311 |
1,227 |
$2K |
| V2784 |
Lens polycarb or equal |
1,159 |
1,026 |
$2K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
14 |
13 |
$170.12 |
| V2744 |
Tint photochromatic lens/es |
527 |
498 |
$155.00 |
| V2781 |
Progressive lens per lens |
357 |
318 |
$14.50 |
| V2702 |
Deluxe lens feature |
72 |
67 |
$0.00 |
| V2025 |
Eyeglasses delux frames |
49 |
49 |
$0.00 |