WAL-MART STORES TEXAS, LP
NPI: 1215034624
· VICTORIA, TX 77904
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
44 |
$2K |
| 2021 |
657 |
$23K |
| 2022 |
751 |
$24K |
| 2023 |
711 |
$27K |
| 2024 |
183 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
1,003 |
997 |
$63K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
868 |
850 |
$14K |
| V2020 |
Vision svcs frames purchases |
248 |
235 |
$5K |
| V2750 |
Anti-reflective coating |
185 |
182 |
$1K |
| V2100 |
Lens spher single plano 4.00 |
28 |
28 |
$513.61 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
14 |
14 |
$171.00 |