WAL-MART STORES EAST, LP
NPI: 1962412965
· JACKSON, MO 63755
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
26 |
$95.80 |
| 2020 |
1,788 |
$41K |
| 2021 |
1,182 |
$25K |
| 2022 |
138 |
$3K |
| 2023 |
143 |
$4K |
| 2024 |
139 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,091 |
2,076 |
$34K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
809 |
809 |
$20K |
| 92004 |
|
293 |
293 |
$15K |
| 92014 |
|
69 |
69 |
$3K |
| V2100 |
Lens spher single plano 4.00 |
154 |
153 |
$2K |