T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$419.6M
$419,580,329
Beneficiaries
4.2M
4,240,714
Avg $/Claim
$71
$99 per beneficiary
Spending Growth
-46.4%
$/Claim: +40.5%
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 | 99284 | $53.8M | $312vs $310 med | 1.01x | 172,180 | 145,714 |
| 2 | 99283 | $40.5M | $223vs $251 med | 0.89x | 181,711 | 162,844 |
| 3 | 74177 | $12.0M | $375vs $508 med | 0.74x | 31,946 | 28,254 |
| 4 | 99282 | $11.5M | $201vs $182 med | 1.11x | 57,392 | 52,311 |
| 5 | 93306 | $9.3M | $483vs $332 med | 1.46x | 19,342 | 16,684 |
| 6 | G0378 | $8.2M | $156vs $640 med | 0.24x | 52,668 | 23,231 |
| 7 | 70450 | $7.1M | $199vs $230 med | 0.86x | 35,783 | 30,019 |
| 8 | 96374 | $3.6M | $26vs $96 med | 0.28x | 135,986 | 62,486 |
| 9 | 96365 | $3.5M | $47vs $138 med | 0.34x | 75,838 | 25,602 |
| 10 | 74176 | $3.5M | $298vs $399 med | 0.75x | 11,581 | 10,152 |
| 11 | 71045 | $1.8M | $31vs $44 med | 0.69x | 58,733 | 46,506 |
| 12 | 71046 | $1.6M | $42vs $48 med | 0.87x | 39,451 | 35,381 |