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#362 of 11K

V2100

Lens, sphere, single vision, plus or minus 4.00

Lens, sphere, single vision, plus or minus 4.00 is the #362 most-billed Medicaid procedure code, with $343.7M in payments across 18.5M claims from 2018–2024. The national median cost per claim is $20.68.

Total Paid

$343.7M

0.03% of all spending

Total Claims

18.5M

Providers

11K

Avg Cost/Claim

$19

National Cost Distribution

How much do providers bill per claim for V2100? Based on 11K providers billing this code nationally.

Median

$20.68

Average

$23.41

Std Dev

$14.95

Max

$170.83

Percentile Distribution (Cost per Claim)

p10
$8.55
p25
$14.77
Median
$20.68
p75
$27.75
p90
$41.05
p95
$52.86
p99
$76.47

50% of providers bill between $14.77 and $27.75 per claim for this code.

90% bill between $8.55 and $41.05.

Top 1% bill above $76.47.

About This Procedure

HCPCS code V2100 (Lens, sphere, single vision, plus or minus 4.00) was billed by 11K providers across 18.5M claims, totaling $343.7M in Medicaid payments from 2018–2024. This code was used for 14.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$20.68

Providers Billing

11K

National Spending

$343.7M

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V2100

#ProviderTotal Paid
11942644661$14.9M
21205995388$12.6M
3Classic Optical Laboratories, Inc.

Youngstown, OH · Technician/Technologist, Ocularist

$9.1M
41508856923$6.1M
51649487729$6.0M
61588871669$4.4M
71124080080$2.8M
81750358826$2.8M
91114012689$2.8M
101831244953$2.5M
111780896332$2.2M
121194879023$2.1M
131518598952$1.8M
141417156589$1.5M
151487926556$1.5M
161689711046$1.5M
171699811869$1.2M
181386077832$1.1M
191003287558$1.1M
201669470019$1.0M

Showing top 20 of 11K providers billing this code