T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$235.7M
$235,663,391
Beneficiaries
4.9M
4,909,341
Avg $/Claim
$39
$48 per beneficiary
Spending Growth
+141.4%
$/Claim: -19.1%
Total payments per month (nominal $)
How billing rate has changed (nominal $)
Number of claims filed per month
Each dot is a procedure. X = cost index (vs procedure median). Y = total spending.
Drag to zoom into a region
| # | HCPCS | Total Paid▼ | $/Claim | Cost Index | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| 1 | 99214 | $41.6M | $86vs $121 med | 0.71x | 483,211 | 433,181 |
| 2 | 99213 | $34.8M | $62vs $120 med | 0.52x | 558,616 | 483,630 |
| 3 | 99232 | $10.2M | $48vs $47 med | 1.02x | 212,425 | 84,948 |
| 4 | 99204 | $9.0M | $125vs $118 med | 1.06x | 72,032 | 65,541 |
| 5 | 99233 | $8.2M | $70vs $71 med | 0.99x | 116,651 | 45,978 |
| 6 | 99223 | $5.5M | $131vs $135 med | 0.97x | 42,211 | 35,825 |
| 7 | 90792 | $4.4M | $135vs $289 med | 0.47x | 32,572 | 28,479 |
| 8 | 99291 | $4.0M | $163vs $228 med | 0.71x | 24,790 | 9,000 |