WAL-MART STORES EAST, LP
NPI: 1790875334
· SPRINGFIELD, TN 37172
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
531 |
$7K |
| 2019 |
520 |
$7K |
| 2020 |
347 |
$4K |
| 2021 |
898 |
$9K |
| 2022 |
1,179 |
$10K |
| 2023 |
1,187 |
$8K |
| 2024 |
392 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,680 |
2,498 |
$24K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,251 |
1,195 |
$23K |
| V2100 |
Lens spher single plano 4.00 |
69 |
68 |
$1K |
| V2784 |
Lens polycarb or equal |
375 |
281 |
$786.50 |
| V2750 |
Anti-reflective coating |
533 |
486 |
$496.00 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
12 |
12 |
$176.52 |
| V2744 |
Tint photochromatic lens/es |
121 |
113 |
$90.00 |
| V2781 |
Progressive lens per lens |
13 |
12 |
$0.00 |