WAL-MART STORES TEXAS, LLC
NPI: 1619052552
· MESQUITE, TX 75149
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
231 |
$6K |
| 2021 |
1,239 |
$28K |
| 2022 |
1,086 |
$14K |
| 2023 |
805 |
$12K |
| 2024 |
561 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,548 |
1,528 |
$42K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,076 |
1,062 |
$18K |
| V2750 |
Anti-reflective coating |
947 |
933 |
$7K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
171 |
166 |
$2K |
| V2100 |
Lens spher single plano 4.00 |
12 |
12 |
$211.00 |
| V2799 |
Misc vision item or service |
154 |
133 |
$88.72 |
| V2744 |
Tint photochromatic lens/es |
14 |
14 |
$71.26 |