Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Topeka billed $469,126 for services in the Vision Services category in 2024. This represented a 2.2% rise compared to 2023, when $459,149 in claims were submitted for these services.
Medicaid is a public health insurance program operated by each state and financed through federal and state government partnership. It provides coverage for low-income people and families, children, seniors, and individuals with disabilities, making it a significant component of the U.S. health care landscape.
Because Medicaid funding is taxpayer-supported, fluctuations in local billing provide insight into how public health care spending is distributed at the community level.
The term “Vision Services” encompasses Medicaid-billed care types based on standardized HCPCS and CPT code assignments. For this review, individual billing codes were grouped into one service category using specific code prefixes and number ranges to group similar services, prevent double counting, and maintain an accurate view of category rankings over time.
While Medicaid expenditures rose in a number of service categories, Vision Services ranked ninth in total Medicaid payments in Topeka during 2024.
Statewide in Kansas, Vision Services held the 11th spot by total Medicaid payments in 2024.
From 2019 through 2024, Medicaid payments linked to Vision Services in Topeka grew by $233,351, almost doubling with a 99% increase. Certain periods, including 2023 and 2021, saw especially strong year-over-year gains.
Although the city’s spending on Vision Services was distributed across Topeka, payments concentrated in only a few ZIP codes. In 2024, ZIP code 66611 received $466,731 while 66614 saw $2,395, with both accounting for all Medicaid spending in the Vision Services category for Topeka that year.
Within Vision Services, Medicaid reimbursements were focused among only a select number of billing codes.
Comparatively, payments for Vision Services in Topeka increased 2.2% between 2024 and 2023, while all Medicaid claim categories in the city saw an 18.4% shift in the same period.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached about $871.7 billion in fiscal year 2023. This made up roughly 18% of all national health expenditures, growing sharply from approximately $613.5 billion in 2019, before the COVID-19 pandemic.
This change reflects about 40% growth in only a few years, driven in large part by increases in enrollment and service use during and after the pandemic.
Recent federal budget legislation under the Trump administration has brought notable proposals to reduce federal Medicaid outlays and change its structure. One example, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to decrease federal Medicaid spending by over $1 trillion over the coming decade. The act introduces work requirements and additional cost-sharing measures, potentially reducing benefits and funding for certain enrollees. These changes aim to shift more costs onto states and could curb future federal Medicaid growth, even as the program continues supporting tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $235,775 | -22.9% |
| 2021 | $313,245 | 32.9% |
| 2022 | $325,225 | 3.8% |
| 2023 | $459,148 | 41.2% |
| 2024 | $469,126 | 2.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $89,967,507 | 80.9% |
| 2 | Temporary National Codes (Non-Medicare) | $8,350,129 | 7.5% |
| 3 | Evaluation and Management | $4,197,453 | 3.8% |
| 4 | Medicine Services and Procedures | $3,304,662 | 3% |
| 5 | Ambulance and Other Transport Services and Supplies | $1,364,068 | 1.2% |
| 6 | Dental Services | $1,117,345 | 1% |
| 7 | Pathology and Laboratory Procedures | $821,865 | 0.7% |
| 8 | Alcohol and Drug Abuse Treatment | $766,282 | 0.7% |
| 9 | Vision Services | $469,126 | 0.4% |
| 10 | Radiology Procedures | $274,470 | 0.2% |
| 11 | Durable Medical Equipment | $226,447 | 0.2% |
| 12 | Procedures / Professional Services | $117,328 | 0.1% |
| 13 | Drugs Administered Other than Oral Method | $83,460 | 0.1% |
| 14 | Surgery | $70,463 | 0.1% |
| 15 | Orthotic Procedures and services | $26,454 | <0.1% |
| 16 | Medical And Surgical Supplies | $8,811 | <0.1% |
| 17 | Anesthesia | $1,639 | <0.1% |
| 18 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $934 | <0.1% |
| 19 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| V2020 | Vision svcs frames purchases | $245,831 | 58 |
| V2103 | Spherocylindr 4.00d/12-2.00d | $119,995 | 51 |
| V2100 | Lens spher single plano 4.00 | $66,542 | 42 |
| V2104 | Spherocylindr 4.00d/2.12-4d | $32,194 | 27 |
| V2107 | Spherocylinder 4.25d/12-2d | $4,447 | 5 |
| V2410 | Lens variab asphericity sing | $115 | 55 |
| V2632 | Post chmbr intraocular lens | $0 | 2 |
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.
