WAL-MART STORES EAST LP
NPI: 1962752253
· DENTON, MD 21629
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,976 |
$3K |
| 2021 |
3,002 |
$6K |
| 2022 |
3,894 |
$12K |
| 2023 |
4,794 |
$19K |
| 2024 |
3,777 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
6,022 |
5,777 |
$24K |
| 92004 |
|
1,541 |
1,249 |
$13K |
| 92014 |
|
1,352 |
1,160 |
$7K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
3,642 |
3,518 |
$7K |
| V2100 |
Lens spher single plano 4.00 |
1,325 |
1,256 |
$2K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
333 |
316 |
$2K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
429 |
415 |
$532.25 |
| V2107 |
Spherocylinder 4.25d/12-2d |
72 |
65 |
$164.50 |
| V2784 |
Lens polycarb or equal |
916 |
867 |
$161.00 |
| V2750 |
Anti-reflective coating |
1,537 |
1,468 |
$39.00 |
| 92083 |
|
14 |
14 |
$0.00 |
| V2744 |
Tint photochromatic lens/es |
197 |
192 |
$0.00 |
| V2799 |
Misc vision item or service |
63 |
58 |
$0.00 |