WAL-MART STORES TEXAS, LP
NPI: 1700983111
· EAGLE PASS, TX 78852
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
42 |
$2K |
| 2021 |
720 |
$23K |
| 2022 |
606 |
$20K |
| 2023 |
776 |
$30K |
| 2024 |
163 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
733 |
726 |
$59K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
764 |
745 |
$12K |
| V2020 |
Vision svcs frames purchases |
483 |
470 |
$6K |
| V2750 |
Anti-reflective coating |
148 |
148 |
$1K |
| V2799 |
Misc vision item or service |
138 |
108 |
$761.26 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
41 |
39 |
$642.26 |