Medicaid vision services spending jumps 16% in Commerce City for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Medicaid providers in Commerce City collected $1,045,479 in claims for Vision Services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This was a 16% rise from 2023, when providers billed $901,551 for these services.

Medicaid, a public health insurance initiative jointly funded by federal and state governments, covers low-income individuals and families, seniors, children, and those with disabilities. This makes it one of the largest components of the U.S. health care system. Learn more at the Commonwealth Fund.

As Medicaid is tax-funded, shifts in local billing levels indicate how community resources for health care are distributed.

The “Vision Services” category includes a group of Medicaid-billed services organized by care type, using standardized HCPCS and CPT coding. In this analysis, each billing code was sorted into a single service category based on uniform code prefixes and numbering to ensure accurate tracking and rankings across time while avoiding duplicate counts.

Even as Medicaid expenditures grew in multiple categories, Vision Services stood as the third-largest Medicaid payment category by total in Commerce City for 2024.

Statewide in Colorado, Vision Services was ninth overall for Medicaid payments in 2024.

In the five years from 2019 to 2024, Commerce City’s Medicaid payments for Vision Services increased by $718,133, or 219.4%, with notable annual gains during periods such as 2023 and 2022.

Although the distribution of Vision Services spending spanned the city, most payments came from a small group of ZIP codes. Specifically, ZIP code 80022 accounted for all $1,045,479 in Medicaid payments for Vision Services in 2024, representing 100% of the city’s total for the category.

Within Vision Services, most Medicaid spending was tied to only a few billing codes.

Comparison data show that Vision Services Medicaid payments in Commerce City increased by 16% from 2023 to 2024, while overall Medicaid claim categories in the city grew by just 0.4% during that span.

The Centers for Medicare & Medicaid Services report that, in fiscal year 2023, combined federal and state Medicaid payments reached roughly $871.7 billion—about 18% of total U.S. health expenditures—up from about $613.5 billion in 2019, before the COVID-19 pandemic.

This marks an estimated 40% growth over several years, mainly due to greater enrollment and higher use of services during and following the pandemic.

Recent federal budget actions during the Trump administration include measures to limit federal Medicaid funding and change program structures. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim more than $1 trillion from federal Medicaid expenditures over the next decade. The law introduces policies such as work requirements and increased cost-sharing, which may reduce coverage and funding for some beneficiaries. States may have to absorb more costs and see slower federal Medicaid support growth, even as the program continues to serve tens of millions nationwide.

Medicaid Payments Tied to Vision Services in Commerce City, Colorado Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $327,346 73.1%
2021 $223,208 -31.8%
2022 $390,560 75%
2023 $901,551 130.8%
2024 $1,045,479 16%
Top Categories by Medicaid Payments in Commerce City, Colorado, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $1,503,578 21.8%
2 Medicine Services and Procedures $1,454,680 21.1%
3 Vision Services $1,045,479 15.1%
4 Dental Services $956,888 13.9%
5 Evaluation and Management $810,814 11.7%
6 Ambulance and Other Transport Services and Supplies $477,094 6.9%
7 Alcohol and Drug Abuse Treatment $470,669 6.8%
8 National Codes Established for State Medicaid Agencies $162,625 2.4%
9 Medical And Surgical Supplies $14,848 0.2%
10 Procedures / Professional Services $6,337 0.1%
11 Radiology Procedures $1,108 <0.1%
12 Pathology and Laboratory Procedures $407 <0.1%
13 Surgery $124 <0.1%
14 Drugs Administered Other than Oral Method $100 <0.1%
Top 20 HCPCS Codes Within the Vision Services Category in Commerce City, Colorado, 2024

HCPCS Code Description Medicaid Payments Claims
V2410 Lens variab asphericity sing $369,560 52
V2784 Lens polycarb or equal $235,500 68
V2020 Vision svcs frames purchases $191,997 68
V2750 Anti-reflective coating $96,763 68
V2103 Spherocylindr 4.00d/12-2.00d $82,889 33
V2104 Spherocylindr 4.00d/2.12-4d $25,645 11
V2755 Uv lens/es $22,349 24
V2100 Lens spher single plano 4.00 $9,353 8
V2744 Tint photochromatic lens/es $6,468 11
V2105 Spherocylinder 4.00d/4.25-6d $4,951 6

Note: HCPCS codes are shown for context within the category. Category totals and rankings in this article are based on standardized service groupings rather than individual billing codes.

Information in this article was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be found here.



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