WAL-MART STORES EAST, LP
NPI: 1871503870
· CAPE GIRARDEAU, MO 63701
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$454.10 |
| 2019 |
134 |
$2K |
| 2020 |
72 |
$1K |
| 2021 |
105 |
$2K |
| 2022 |
188 |
$4K |
| 2023 |
337 |
$9K |
| 2024 |
274 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
750 |
750 |
$16K |
| V2100 |
Lens spher single plano 4.00 |
232 |
232 |
$3K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
140 |
140 |
$2K |
| 92004 |
|
14 |
14 |
$712.06 |