T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$903.1M
$903,144,308
Beneficiaries
1.9M
1,851,576
Avg $/Claim
$209
$488 per beneficiary
Spending Growth
+25.5%
$/Claim: +47.0%
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 | H2015 | $221.9M | $203vs $225 med | 0.90x | 1,094,243 | 435,542 |
| 2 | H2017 | $154.9M | $210vs $143 med | 1.47x | 739,169 | 309,109 |
| 3 | T1017 | $121.1M | $102vs $225 med | 0.45x | 1,182,216 | 402,504 |
| 4 | H2010 | $118.7M | $202vs $325 med | 0.62x | 586,242 | 316,280 |
| 5 | H2013 | $66.8M | $877vs $835 med | 1.05x | 76,153 | 6,915 |
| 6 | H0018 | $34.3M | $534vs $507 med | 1.05x | 64,337 | 5,027 |
| 7 | S9484 | $31.8M | $2,559vs $726 med | 3.52x | 12,410 | 11,740 |
| 8 | H0032 | $29.8M | $160vs $171 med | 0.93x | 186,580 | 135,663 |
| 9 | 90837 | $26.0M | $393vs $152 med | 2.58x | 66,090 | 34,051 |
| 10 | 99215 | $9.9M | $985vs $182 med | 5.41x | 10,065 | 9,555 |
| 11 | H0031 | $5.5M | $300vs $168 med | 1.78x | 18,263 | 13,702 |
| 12 | H0034 | $5.4M | $144vs $212 med | 0.68x | 37,420 | 24,822 |
| 13 | 90791 | $3.9M | $140vs $212 med | 0.66x | 27,839 | 21,641 |