How Much Does Pennsylvania Medicaid Pay for Eye Exams & Vision Services?
Ophthalmologic examinations and vision screening services covered by Medicaid.
In 2024, Pennsylvania Medicaid paid an average of $30.83 per eye exams & vision services claim, across 466,751 total claims and 6 procedure codes. That's up 82% from $16.97 in 2018.
This data comes from official HHS Medicaid claims records. See how Pennsylvania compares to other states →
2024 Summary
Average Payment
$30.83
Total Claims
466,751
Total Paid
$14,392,175.61
Codes Reporting
6
Average Payment Trend
| Year | Avg / Claim |
|---|---|
| 2018 | $16.97 |
| 2019 | $22.05 |
| 2020 | $31.52 |
| 2021 | $31.57 |
| 2022 | $30.79 |
| 2023 | $30.42 |
| 2024 | $30.83 |
Year-over-Year Rates
| Year | Avg / Claim | Total Claims | Total Paid | Codes Reporting |
|---|---|---|---|---|
| 2018 | $16.97 | 48,855 | $828,938.10 | 6 |
| 2019 | $22.05 | 42,766 | $943,095.57 | 6 |
| 2020 | $31.52 | 122,052 | $3,847,610.09 | 6 |
| 2021 | $31.57 | 468,003 | $14,774,860.88 | 6 |
| 2022 | $30.79 | 481,319 | $14,820,309.77 | 6 |
| 2023 | $30.42 | 515,793 | $15,690,670.29 | 6 |
| 2024 | $30.83 | 466,751 | $14,392,175.61 | 6 |