WAL-MART STORES TEXAS, LLC
NPI: 1508257312
· KYLE, TX 78640
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
503 |
$22K |
| 2022 |
380 |
$17K |
| 2023 |
12 |
$800.98 |
| 2024 |
13 |
$283.62 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
550 |
352 |
$34K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
182 |
181 |
$2K |
| V2025 |
Eyeglasses delux frames |
24 |
24 |
$2K |
| V2750 |
Anti-reflective coating |
85 |
85 |
$1K |
| V2100 |
Lens spher single plano 4.00 |
67 |
67 |
$520.50 |