How Much Does Pennsylvania 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, Pennsylvania Medicaid paid an average of $31.49 per eyeglasses & lenses claim, across 713,974 total claims and 12 procedure codes. That's up 122% from $14.17 in 2018.
This data comes from official HHS Medicaid claims records. See how Pennsylvania compares to other states →
2024 Summary
Average Payment
$31.49
Total Claims
713,974
Total Paid
$22,485,127.54
Codes Reporting
12
Average Payment Trend
| Year | Avg / Claim |
|---|---|
| 2018 | $14.17 |
| 2019 | $15.88 |
| 2020 | $27.64 |
| 2021 | $29.40 |
| 2022 | $31.15 |
| 2023 | $31.21 |
| 2024 | $31.49 |
Year-over-Year Rates
| Year | Avg / Claim | Total Claims | Total Paid | Codes Reporting |
|---|---|---|---|---|
| 2018 | $14.17 | 22,734 | $322,114.96 | 7 |
| 2019 | $15.88 | 50,779 | $806,243.67 | 7 |
| 2020 | $27.64 | 215,380 | $5,954,039.39 | 13 |
| 2021 | $29.40 | 811,549 | $23,862,728.35 | 14 |
| 2022 | $31.15 | 832,650 | $25,936,388.14 | 13 |
| 2023 | $31.21 | 863,171 | $26,942,554.37 | 13 |
| 2024 | $31.49 | 713,974 | $22,485,127.54 | 12 |