How Much Does Medicaid Pay for Eyeglasses & Lenses?
Prescription eyeglass frames and lenses — single vision, bifocal, and trifocal — covered by Medicaid.
Service Eyeglasses & Lenses Year 2024 Codes 17
Included Procedure Codes
V2020 — Vision svcs frames purchasesV2025 — Eyeglasses delux framesV2100 — Lens spher single plano 4.00V2101 — Single visn sphere 4.12-7.00V2102 — Singl visn sphere 7.12-20.00V2103 — Spherocylindr 4.00d/12-2.00dV2104 — Spherocylindr 4.00d/2.12-4dV2105 — Spherocylinder 4.00d/4.25-6dV2106 — Spherocylinder 4.00d/>6.00dV2200 — Lens spher bifoc plano 4.00dV2201 — Lens sphere bifocal 4.12-7.0V2202 — Lens sphere bifocal 7.12-20.V2203 — Lens sphcyl bifocal 4.00d/.1V2300 — Lens sphere trifocal 4.00dV2301 — Lens sphere trifocal 4.12-7.V2302 — Lens sphere trifocal 7.12-20V2303 — Lens sphcy trifocal 4.0/.12-
State-by-State Reimbursement Rates
| State | Avg / Claim | Total Claims | Total Paid | Codes Reporting |
|---|---|---|---|---|
| Alabama | $17.48 | 192,351 | $3,362,582.59 | 11 |
| Alaska | $13.99 | 47 | $657.36 | 2 |
| Arizona | $31.87 | 243,811 | $7,769,232.45 | 8 |
| Arkansas | $27.61 | 5,891 | $162,625.76 | 5 |
| California | $13.12 | 1,918,889 | $25,179,412.81 | 14 |
| Colorado | $62.19 | 268,997 | $16,728,912.92 | 11 |
| Connecticut | $25.71 | 245,508 | $6,311,981.99 | 12 |
| Delaware | $34.68 | 37,514 | $1,301,141.14 | 6 |
| District of Columbia | $50.56 | 11,062 | $559,322.01 | 8 |
| Florida | $27.68 | 408,198 | $11,300,612.15 | 12 |
| Georgia | $19.57 | 89,546 | $1,751,973.43 | 6 |
| Guam | $195.94 | 32 | $6,270.00 | 1 |
| Hawaii | $13.13 | 13,616 | $178,838.31 | 6 |
| Idaho | $0.06 | 4,410 | $247.00 | 3 |
| Illinois | $22.30 | 372,171 | $8,299,186.38 | 11 |
| Indiana | $58.21 | 311,485 | $18,130,308.15 | 12 |
| Iowa | $21.94 | 57,717 | $1,266,552.68 | 7 |
| Kansas | $50.91 | 75,681 | $3,852,703.78 | 8 |
| Kentucky | $15.93 | 461,082 | $7,345,676.56 | 10 |
| Louisiana | $18.53 | 422,060 | $7,819,380.64 | 9 |
| Maine | $0.00 | 71 | $0.00 | 1 |
| Maryland | $21.07 | 222,827 | $4,693,953.50 | 10 |
| Massachusetts | $15.97 | 222,423 | $3,552,320.82 | 7 |
| Michigan | $16.39 | 396,584 | $6,501,975.81 | 13 |
| Minnesota | $34.74 | 200,550 | $6,966,388.84 | 11 |
| Mississippi | $27.92 | 125,742 | $3,510,790.57 | 8 |
| Missouri | $25.24 | 107,828 | $2,721,065.23 | 9 |
| Montana | $0.00 | 17 | $0.00 | 1 |
| Nebraska | $28.03 | 64,057 | $1,795,265.33 | 7 |
| Nevada | $27.00 | 168,448 | $4,548,096.50 | 10 |
| New Hampshire | $19.46 | 21,424 | $416,893.90 | 7 |
| New Jersey | $4.72 | 533,537 | $2,517,132.85 | 11 |
| New Mexico | $71.31 | 80,907 | $5,769,343.48 | 9 |
| New York | $23.21 | 1,098,677 | $25,500,043.41 | 14 |
| North Carolina | $9.29 | 506,853 | $4,707,221.78 | 8 |
| North Dakota | $47.29 | 112 | $5,296.50 | 2 |
| Ohio | $9.80 | 2,070,436 | $20,299,703.35 | 15 |
| Oklahoma | $17.15 | 120,278 | $2,063,087.36 | 7 |
| Oregon | $22.76 | 110,777 | $2,520,906.87 | 10 |
| Pennsylvania | $31.49 | 713,974 | $22,485,127.54 | 12 |
| Puerto Rico | $70.40 | 7,501 | $528,079.70 | 3 |
| Rhode Island | $28.18 | 65,022 | $1,832,483.76 | 9 |
| South Carolina | $32.66 | 60,626 | $1,979,953.82 | 7 |
| South Dakota | $59.83 | 28,205 | $1,687,542.46 | 4 |
| Tennessee | $11.33 | 256,626 | $2,907,175.85 | 8 |
| Texas | $25.13 | 764,385 | $19,211,544.78 | 12 |
| U.S. Virgin Islands | $70.28 | 5,773 | $405,702.50 | 4 |
| Utah | $33.30 | 11,545 | $384,461.20 | 5 |
| Vermont | $9.84 | 12 | $118.08 | 1 |
| Virginia | $54.35 | 134,833 | $7,327,529.16 | 7 |
| Washington | $9.60 | 211,806 | $2,033,571.03 | 11 |
| West Virginia | $45.89 | 40,906 | $1,876,976.30 | 5 |
| Wisconsin | $17.48 | 81,306 | $1,421,391.53 | 9 |
| Wyoming | $55.46 | 4,016 | $222,738.69 | 3 |