WAL-MART STORES TEXAS, LP
NPI: 1942381447
· LEWISVILLE, TX 75067
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
510 |
$6K |
| 2021 |
2,239 |
$23K |
| 2022 |
1,708 |
$19K |
| 2023 |
1,957 |
$25K |
| 2024 |
1,147 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,734 |
2,686 |
$44K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,693 |
1,663 |
$31K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
632 |
625 |
$10K |
| V2750 |
Anti-reflective coating |
1,842 |
1,806 |
$2K |
| V2100 |
Lens spher single plano 4.00 |
74 |
72 |
$1K |
| V2105 |
Spherocylinder 4.00d/4.25-6d |
27 |
25 |
$286.00 |
| V2744 |
Tint photochromatic lens/es |
28 |
28 |
$30.00 |
| V2799 |
Misc vision item or service |
531 |
356 |
$0.00 |