WAL-MART STORES TEXAS, LP
NPI: 1295811453
· ARLINGTON, TX 76017
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
132 |
$2K |
| 2021 |
1,090 |
$15K |
| 2022 |
1,296 |
$19K |
| 2023 |
1,432 |
$28K |
| 2024 |
1,554 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,441 |
2,375 |
$52K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,536 |
1,487 |
$29K |
| V2750 |
Anti-reflective coating |
1,059 |
1,035 |
$6K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
276 |
273 |
$5K |
| V2100 |
Lens spher single plano 4.00 |
137 |
135 |
$2K |
| V2744 |
Tint photochromatic lens/es |
29 |
29 |
$454.40 |
| V2784 |
Lens polycarb or equal |
13 |
13 |
$60.00 |
| V2799 |
Misc vision item or service |
13 |
12 |
$0.00 |