T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$437.8M
$437,796,181
Beneficiaries
8.6M
8,585,726
Avg $/Claim
$43
$51 per beneficiary
Spending Growth
-4.7%
$/Claim: +0.0%
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 | 99211 | $52.2M | $114vs $102 med | 1.12x | 458,423 | 392,435 |
| 2 | 96361 | $18.4M | $392vs $313 med | 1.25x | 46,839 | 36,452 |
| 3 | G0378 | $12.1M | $195vs $640 med | 0.30x | 62,234 | 42,893 |
| 4 | 96365 | $10.9M | $234vs $138 med | 1.70x | 46,357 | 37,039 |
| 5 | J9271 | $7.6M | $3,835vs $5,028 med | 0.76x | 1,975 | 1,516 |
| 6 | 43239 | $5.0M | $588vs $607 med | 0.97x | 8,485 | 8,218 |
| 7 | 99393 | $2.6M | $69vs $101 med | 0.68x | 37,698 | 34,285 |
| 8 | 99394 | $1.7M | $65vs $108 med | 0.60x | 25,430 | 22,776 |