T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$220.1M
$220,100,848
Beneficiaries
2.8M
2,834,212
Avg $/Claim
$54
$78 per beneficiary
Spending Growth
+29.2%
$/Claim: +8.6%
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 | $35.8M | $298vs $310 med | 0.96x | 120,262 | 102,878 |
| 2 | 99285 | $33.5M | $440vs $399 med | 1.10x | 76,084 | 63,571 |
| 3 | J9271 | $10.4M | $4,790vs $5,028 med | 0.95x | 2,181 | 1,456 |
| 4 | 96374 | $9.2M | $153vs $96 med | 1.60x | 60,302 | 51,113 |
| 5 | 96365 | $2.7M | $125vs $138 med | 0.91x | 21,781 | 15,303 |
| 6 | 71046 | $2.4M | $57vs $48 med | 1.18x | 42,953 | 38,878 |