T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$134.0M
$134,000,391
Beneficiaries
3.5M
3,459,267
Avg $/Claim
$32
$39 per beneficiary
Spending Growth
+37.9%
$/Claim: -1.2%
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 | $35.3M | $49vs $121 med | 0.41x | 718,098 | 641,375 |
| 2 | 99392 | $5.2M | $63vs $105 med | 0.60x | 81,999 | 74,740 |
| 3 | 99204 | $4.9M | $77vs $118 med | 0.65x | 63,657 | 58,940 |
| 4 | 99391 | $4.6M | $55vs $102 med | 0.54x | 83,731 | 72,158 |
| 5 | 99393 | $3.6M | $64vs $101 med | 0.63x | 57,114 | 52,981 |
| 6 | 99223 | $2.7M | $76vs $135 med | 0.56x | 35,545 | 30,358 |
| 7 | 90792 | $2.5M | $78vs $289 med | 0.27x | 31,482 | 27,291 |
| 8 | 99394 | $2.3M | $70vs $108 med | 0.65x | 32,557 | 30,044 |