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#193 of 11K

V2020

Frames, purchases

Frames, purchases is the #193 most-billed Medicaid procedure code, with $887.6M in payments across 47.7M claims from 2018–2024. The national median cost per claim is $19.33. Costs vary widely — the 90th percentile is $42.83 per claim, 2.2× the median.

Total Paid

$887.6M

0.08% of all spending

Total Claims

47.7M

Providers

19K

Avg Cost/Claim

$19

National Cost Distribution

How much do providers bill per claim for V2020? Based on 18K providers billing this code nationally.

Median

$19.33

Average

$23.66

Std Dev

$18.00

Max

$438.10

Percentile Distribution (Cost per Claim)

p10
$7.72
p25
$12.52
Median
$19.33
p75
$29.77
p90
$42.83
p95
$60.01
p99
$91.77

50% of providers bill between $12.52 and $29.77 per claim for this code.

90% bill between $7.72 and $42.83.

Top 1% bill above $91.77.

About This Procedure

HCPCS code V2020 (Frames, purchases) was billed by 19K providers across 47.7M claims, totaling $887.6M in Medicaid payments from 2018–2024. This code was used for 44.8M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.33

Providers Billing

18K

National Spending

$887.6M

Avg/Median Ratio

1.22×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V2020

#ProviderTotal Paid
1Classic Optical Laboratories, Inc.

Youngstown, OH · Technician/Technologist, Ocularist

$43.2M
2Massachusetts Correctional Industries

Gardner, MA · Eyewear Supplier (Equipment not the service)

$21.2M
31205995388$18.3M
41376576777$15.9M
51851430839$13.0M
61194879023$8.6M
71942644661$8.6M
81407051279$7.7M
91780896332$7.0M
10Premier Eye Care Of Florida Llc

Coral Gables, FL · Exclusive Provider Organization

$7.0M
111417156589$6.7M
121720033343$5.8M
131326472945$5.2M
141295808012$5.2M
151124080080$3.5M
161831244953$3.3M
171750358826$2.8M
18Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$2.6M
191639339930$2.6M
201386077832$2.5M

Showing top 20 of 19K providers billing this code

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