How Much Does Texas 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, Texas Medicaid paid an average of $25.13 per eyeglasses & lenses claim, across 764,385 total claims and 12 procedure codes. That's up 80% from $13.95 in 2018.
This data comes from official HHS Medicaid claims records. See how Texas compares to other states →
2024 Summary
Average Payment
$25.13
Total Claims
764,385
Total Paid
$19,211,544.78
Codes Reporting
12
Average Payment Trend
| Year | Avg / Claim |
|---|---|
| 2018 | $13.95 |
| 2019 | $16.44 |
| 2020 | $23.96 |
| 2021 | $23.93 |
| 2022 | $23.53 |
| 2023 | $23.54 |
| 2024 | $25.13 |
Year-over-Year Rates
| Year | Avg / Claim | Total Claims | Total Paid | Codes Reporting |
|---|---|---|---|---|
| 2018 | $13.95 | 86,575 | $1,207,387.37 | 10 |
| 2019 | $16.44 | 77,833 | $1,279,209.32 | 9 |
| 2020 | $23.96 | 226,298 | $5,421,297.20 | 11 |
| 2021 | $23.93 | 1,091,258 | $26,111,668.65 | 12 |
| 2022 | $23.53 | 1,095,592 | $25,779,325.69 | 11 |
| 2023 | $23.54 | 1,075,449 | $25,321,207.26 | 12 |
| 2024 | $25.13 | 764,385 | $19,211,544.78 | 12 |