WAL-MART STORES EAST, LP
NPI: 1942383435
· CANTON, OH 44705
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
471 |
$7K |
| 2019 |
447 |
$7K |
| 2020 |
297 |
$8K |
| 2021 |
775 |
$19K |
| 2022 |
1,295 |
$30K |
| 2023 |
1,584 |
$19K |
| 2024 |
229 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,620 |
2,451 |
$50K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,030 |
930 |
$19K |
| V2100 |
Lens spher single plano 4.00 |
557 |
495 |
$12K |
| V2784 |
Lens polycarb or equal |
609 |
580 |
$8K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
66 |
66 |
$3K |
| V2200 |
Lens spher bifoc plano 4.00d |
42 |
39 |
$1K |
| V2750 |
Anti-reflective coating |
28 |
28 |
$340.00 |
| V2025 |
Eyeglasses delux frames |
146 |
145 |
$100.00 |