WAL-MART STORES TEXAS, LP
NPI: 1487750774
· RICHMOND, TX 77469
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
117 |
$28.00 |
| 2022 |
1,075 |
$28.00 |
| 2023 |
1,620 |
$5K |
| 2024 |
192 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
850 |
793 |
$5K |
| V2100 |
Lens spher single plano 4.00 |
634 |
599 |
$2K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
353 |
338 |
$239.00 |
| V2799 |
Misc vision item or service |
78 |
69 |
$0.00 |
| V2744 |
Tint photochromatic lens/es |
60 |
58 |
$0.00 |
| V2784 |
Lens polycarb or equal |
46 |
46 |
$0.00 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
73 |
68 |
$0.00 |
| V2025 |
Eyeglasses delux frames |
611 |
594 |
$0.00 |
| V2750 |
Anti-reflective coating |
299 |
285 |
$0.00 |