In 2024, Medicaid providers in Ashburn billed $46,341 for Vision Services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount reflects a 151.6% jump compared to 2023, which saw $18,415 in Vision Services claims.
Medicaid is a state-administered health insurance program with joint federal and state funding, serving low-income individuals, families, seniors, children, and those with disabilities as a major component of the U.S. health system.
Because taxpayer dollars finance Medicaid payments, rebounds in local billing shed light on how public health care funds are used at the community level.
The “Vision Services” category consists of Medicaid-billed care grouped by type, using standardized HCPCS and CPT codes. Each code is assigned to a single group with set prefixes and numeric ranges in this analysis to examine related services together without overlap and to keep trend rankings accurate.
Although Medicaid spending grew across several service categories, in Ashburn, Vision Services was the seventh largest Medicaid expense in 2024.
Across Virginia, Vision Services ranked 17th by total Medicaid payments this year.
Between 2019 and 2024, Ashburn’s Medicaid payments for Vision Services increased by $19,038 (69.7%). Spending escalated particularly in some periods, with sharp year-over-year changes observed in 2022.
Though Vision Services spending covered the city, the funding was mainly concentrated within a handful of ZIP codes. In 2024, ZIP code 20147 accounted for $46,340, or 100% of Vision Services Medicaid payments in Ashburn for the year.
Within this category, a small group of billing codes comprised the majority of Medicaid payment volume.
Medicaid billings for Vision Services surged 151.6% in Ashburn from 2023 to 2024, while overall Medicaid claims across all categories in the city increased by 8.4% during the same period.
The Centers for Medicare & Medicaid Services report that combined spending from federal and state Medicaid programs reached approximately $871.7 billion for fiscal year 2023. This made up about 18% of total national health expenditures, rising significantly from around $613.5 billion in 2019, before COVID-19.
This growth represents an increase of roughly 40% in just a few years, driven largely by expanded enrollment and higher utilization during and after the COVID-19 emergency.
Recent federal budget laws under the Trump administration included major proposals to lower federal Medicaid spending and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion from federal Medicaid funds over the coming decade, introducing work requirements and increased cost-sharing—policies that could curtail some recipients’ coverage and funding. These changes are likely to transfer more Medicaid costs to states and slow federal program growth, even as tens of millions remain dependent on Medicaid services.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $27,303 | -75.7% |
| 2021 | $5,464 | -80% |
| 2022 | $20,486 | 274.9% |
| 2023 | $18,415 | -10.1% |
| 2024 | $46,340 | 151.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $10,472,749 | 76.9% |
| 2 | Evaluation and Management | $1,454,954 | 10.7% |
| 3 | Temporary National Codes (Non-Medicare) | $1,086,682 | 8% |
| 4 | Medicine Services and Procedures | $319,973 | 2.3% |
| 5 | Orthotic Procedures and services | $175,609 | 1.3% |
| 6 | Pathology and Laboratory Procedures | $59,696 | 0.4% |
| 7 | Vision Services | $46,340 | 0.3% |
| 8 | Coronavirus Diagnostic Panel | $2,969 | <0.1% |
| 9 | Surgery | $2,936 | <0.1% |
| 10 | Procedures / Professional Services | $1,994 | <0.1% |
| 11 | Radiology Procedures | $557 | <0.1% |
| 12 | Pathology and Laboratory Services | $2 | <0.1% |
| 13 | Dental Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| V2025 | Eyeglasses delux frames | $24,837 | 54 |
| V2100 | Lens spher single plano 4.00 | $8,125 | 18 |
| V2020 | Vision svcs frames purchases | $6,210 | 6 |
| V2103 | Spherocylindr 4.00d/12-2.00d | $3,996 | 5 |
| V2784 | Lens polycarb or equal | $3,171 | 24 |
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.
