WAL-MART STORES EAST, LP
NPI: 1962580902
· KINGSPORT, TN 37660
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$186.25 |
| 2019 |
13 |
$164.15 |
| 2020 |
12 |
$165.90 |
| 2021 |
217 |
$255.15 |
| 2022 |
149 |
$179.45 |
| 2023 |
249 |
$203.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
314 |
253 |
$1K |
| V2784 |
Lens polycarb or equal |
153 |
110 |
$31.00 |
| V2702 |
Deluxe lens feature |
24 |
24 |
$0.00 |
| V2781 |
Progressive lens per lens |
41 |
40 |
$0.00 |
| V2750 |
Anti-reflective coating |
121 |
105 |
$0.00 |