WAL-MART STORES EAST, LP
NPI: 1992888119
· SAINT JOSEPH, MO 64506
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
599 |
$16K |
| 2023 |
46 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92002 |
|
197 |
181 |
$8K |
| V2020 |
Vision svcs frames purchases |
245 |
244 |
$5K |
| 92004 |
|
79 |
77 |
$2K |
| 92012 |
|
24 |
24 |
$1K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
87 |
87 |
$900.00 |
| V2100 |
Lens spher single plano 4.00 |
13 |
13 |
$132.50 |