WAL-MART STORES EAST, LP
NPI: 1780695759
· COSHOCTON, OH 43812
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
588 |
$9K |
| 2019 |
512 |
$8K |
| 2020 |
504 |
$11K |
| 2021 |
930 |
$22K |
| 2022 |
710 |
$20K |
| 2023 |
798 |
$11K |
| 2024 |
374 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,466 |
2,398 |
$51K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,116 |
1,089 |
$21K |
| V2100 |
Lens spher single plano 4.00 |
438 |
418 |
$9K |
| V2784 |
Lens polycarb or equal |
247 |
245 |
$3K |
| V2750 |
Anti-reflective coating |
123 |
122 |
$2K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
14 |
14 |
$202.50 |
| V2025 |
Eyeglasses delux frames |
12 |
12 |
$120.00 |