WAL-MART STORES LOUISIANA, LLC
NPI: 1902989924
· COVINGTON, LA 70433
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
203 |
$3K |
| 2020 |
269 |
$4K |
| 2021 |
385 |
$6K |
| 2022 |
625 |
$9K |
| 2023 |
986 |
$17K |
| 2024 |
944 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,933 |
1,719 |
$35K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
768 |
687 |
$13K |
| V2100 |
Lens spher single plano 4.00 |
197 |
177 |
$4K |
| V2784 |
Lens polycarb or equal |
348 |
311 |
$2K |
| V2750 |
Anti-reflective coating |
166 |
149 |
$544.00 |