WAL-MART STORES EAST, LP
NPI: 1801978713
· COOKEVILLE, TN 38501
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
545 |
$6K |
| 2019 |
455 |
$6K |
| 2020 |
311 |
$3K |
| 2021 |
423 |
$3K |
| 2022 |
853 |
$3K |
| 2023 |
849 |
$3K |
| 2024 |
677 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,327 |
2,007 |
$15K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
760 |
693 |
$11K |
| V2784 |
Lens polycarb or equal |
381 |
274 |
$350.00 |
| V2750 |
Anti-reflective coating |
273 |
248 |
$180.00 |
| V2744 |
Tint photochromatic lens/es |
193 |
171 |
$90.00 |
| V2781 |
Progressive lens per lens |
161 |
127 |
$58.00 |
| V2702 |
Deluxe lens feature |
18 |
17 |
$0.00 |