WAL-MART STORES EAST, LP
NPI: 1982792487
· SECAUCUS, NJ 07094
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
54 |
$0.00 |
| 2019 |
72 |
$0.00 |
| 2020 |
153 |
$0.00 |
| 2021 |
465 |
$3K |
| 2022 |
796 |
$6K |
| 2023 |
668 |
$5K |
| 2024 |
386 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,342 |
1,334 |
$8K |
| V2100 |
Lens spher single plano 4.00 |
355 |
353 |
$7K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
159 |
157 |
$2K |
| V2781 |
Progressive lens per lens |
12 |
12 |
$350.00 |
| V2784 |
Lens polycarb or equal |
183 |
181 |
$302.10 |
| V2750 |
Anti-reflective coating |
543 |
530 |
$0.00 |