WAL-MART STORES TEXAS, LP
NPI: 1588745087
· LEWISVILLE, TX 75056
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
393 |
$5K |
| 2021 |
1,387 |
$17K |
| 2022 |
147 |
$2K |
| 2023 |
218 |
$4K |
| 2024 |
153 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,131 |
1,094 |
$18K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
564 |
546 |
$10K |
| V2100 |
Lens spher single plano 4.00 |
79 |
73 |
$1K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
71 |
71 |
$1K |
| V2750 |
Anti-reflective coating |
453 |
434 |
$302.50 |