WAL-MART STORES EAST, LP
NPI: 1992884944
· HATTIESBURG, MS 39402
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
564 |
$5K |
| 2019 |
826 |
$12K |
| 2020 |
478 |
$10K |
| 2021 |
1,044 |
$20K |
| 2022 |
1,332 |
$23K |
| 2023 |
602 |
$10K |
| 2024 |
551 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,955 |
2,542 |
$48K |
| V2100 |
Lens spher single plano 4.00 |
1,049 |
962 |
$21K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,134 |
949 |
$18K |
| V2750 |
Anti-reflective coating |
230 |
196 |
$962.20 |
| V2781 |
Progressive lens per lens |
29 |
29 |
$0.00 |