WAL-MART STORES EAST, LP
NPI: 1821179912
· HERMITAGE, TN 37076
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
350 |
$5K |
| 2019 |
472 |
$6K |
| 2020 |
309 |
$5K |
| 2021 |
368 |
$4K |
| 2022 |
517 |
$5K |
| 2023 |
349 |
$4K |
| 2024 |
25 |
$314.36 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,574 |
1,509 |
$16K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
674 |
651 |
$12K |
| V2100 |
Lens spher single plano 4.00 |
41 |
41 |
$692.54 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
13 |
13 |
$224.56 |
| V2750 |
Anti-reflective coating |
68 |
65 |
$40.00 |
| V2781 |
Progressive lens per lens |
20 |
17 |
$0.00 |