How Much Does New York Medicaid Pay for Eyeglasses & Lenses?
Prescription eyeglass frames and lenses — single vision, bifocal, and trifocal — covered by Medicaid.
Service Eyeglasses & Lenses Codes 16
In 2024, New York Medicaid paid an average of $23.21 per eyeglasses & lenses claim, across 1,098,677 total claims and 14 procedure codes. That's up 47% from $15.82 in 2018.
This data comes from official HHS Medicaid claims records. See how New York compares to other states →
2024 Summary
Average Payment
$23.21
Total Claims
1,098,677
Total Paid
$25,500,043.41
Codes Reporting
14
Average Payment Trend
| Year | Avg / Claim |
|---|---|
| 2018 | $15.82 |
| 2019 | $15.26 |
| 2020 | $15.82 |
| 2021 | $18.23 |
| 2022 | $20.65 |
| 2023 | $21.49 |
| 2024 | $23.21 |
Year-over-Year Rates
| Year | Avg / Claim | Total Claims | Total Paid | Codes Reporting |
|---|---|---|---|---|
| 2018 | $15.82 | 941,739 | $14,894,451.89 | 13 |
| 2019 | $15.26 | 1,123,670 | $17,144,877.75 | 12 |
| 2020 | $15.82 | 1,035,244 | $16,378,761.47 | 13 |
| 2021 | $18.23 | 1,366,658 | $24,913,461.81 | 14 |
| 2022 | $20.65 | 1,350,561 | $27,890,456.15 | 15 |
| 2023 | $21.49 | 1,350,296 | $29,019,302.35 | 15 |
| 2024 | $23.21 | 1,098,677 | $25,500,043.41 | 14 |