WAL-MART STORES TEXAS, LLC
NPI: 1144680539
· SPRING, TX 77386
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
75 |
$2K |
| 2021 |
415 |
$14K |
| 2022 |
151 |
$6K |
| 2023 |
84 |
$4K |
| 2024 |
13 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
338 |
338 |
$22K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
230 |
225 |
$4K |
| V2100 |
Lens spher single plano 4.00 |
40 |
40 |
$624.74 |
| V2750 |
Anti-reflective coating |
118 |
117 |
$584.19 |
| V2020 |
Vision svcs frames purchases |
12 |
12 |
$158.00 |