WAL-MART STORES EAST, LP
NPI: 1871676155
· WEBB CITY, MO 64870
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17 |
$260.80 |
| 2019 |
13 |
$212.60 |
| 2020 |
12 |
$213.80 |
| 2021 |
90 |
$3K |
| 2022 |
374 |
$7K |
| 2023 |
798 |
$27K |
| 2024 |
541 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92002 |
|
423 |
423 |
$22K |
| V2020 |
Vision svcs frames purchases |
744 |
744 |
$12K |
| V2100 |
Lens spher single plano 4.00 |
322 |
322 |
$5K |
| 92004 |
|
52 |
52 |
$2K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
228 |
228 |
$2K |
| 92012 |
|
26 |
26 |
$1K |
| V2025 |
Eyeglasses delux frames |
50 |
50 |
$0.00 |