WAL-MART STORES TEXAS, LLC
NPI: 1114058385
· SEALY, TX 77474
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
524 |
$13K |
| 2022 |
525 |
$16K |
| 2023 |
717 |
$24K |
| 2024 |
501 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
790 |
785 |
$51K |
| V2100 |
Lens spher single plano 4.00 |
477 |
467 |
$9K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
397 |
390 |
$6K |
| V2020 |
Vision svcs frames purchases |
225 |
214 |
$4K |
| V2750 |
Anti-reflective coating |
378 |
370 |
$2K |