WAL-MART STORES EAST, LP
NPI: 1760565485
· GREENEVILLE, TN 37745
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
520 |
$6K |
| 2019 |
682 |
$8K |
| 2020 |
393 |
$4K |
| 2021 |
483 |
$4K |
| 2022 |
1,153 |
$5K |
| 2023 |
1,160 |
$5K |
| 2024 |
939 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,573 |
2,311 |
$21K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
932 |
864 |
$14K |
| V2784 |
Lens polycarb or equal |
598 |
463 |
$696.00 |
| V2100 |
Lens spher single plano 4.00 |
27 |
27 |
$419.50 |
| V2750 |
Anti-reflective coating |
648 |
590 |
$270.00 |
| V2781 |
Progressive lens per lens |
206 |
174 |
$58.00 |
| V2744 |
Tint photochromatic lens/es |
346 |
313 |
$40.00 |