WAL-MART STORES LOUISIANA, LLC
NPI: 1912080425
· ABBEVILLE, LA 70510
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
26 |
$219.00 |
| 2020 |
142 |
$2K |
| 2021 |
771 |
$10K |
| 2022 |
1,083 |
$19K |
| 2023 |
1,301 |
$22K |
| 2024 |
1,278 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,779 |
2,504 |
$34K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,424 |
1,295 |
$27K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
372 |
344 |
$15K |
| V2100 |
Lens spher single plano 4.00 |
14 |
14 |
$279.00 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
12 |
12 |
$220.00 |