T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$387.7M
$387,661,176
Beneficiaries
4.9M
4,901,182
Avg $/Claim
$73
$79 per beneficiary
Spending Growth
+94.0%
$/Claim: +17.3%
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 | $60.8M | $112vs $121 med | 0.92x | 544,794 | 524,118 |
| 2 | 99284 | $51.0M | $123vs $310 med | 0.40x | 415,276 | 410,045 |
| 3 | 99285 | $44.5M | $174vs $399 med | 0.44x | 256,008 | 252,521 |
| 4 | 99213 | $37.0M | $83vs $120 med | 0.69x | 447,693 | 413,021 |
| 5 | 99204 | $15.3M | $173vs $118 med | 1.47x | 88,048 | 87,932 |
| 6 | 99215 | $8.5M | $158vs $182 med | 0.87x | 54,025 | 51,727 |
| 7 | 99203 | $8.1M | $119vs $101 med | 1.18x | 67,672 | 67,496 |
| 8 | 74177 | $7.9M | $87vs $508 med | 0.17x | 91,075 | 90,286 |
| 9 | 93306 | $6.1M | $114vs $332 med | 0.34x | 53,477 | 52,859 |
| 10 | 99232 | $6.1M | $66vs $47 med | 1.41x | 92,412 | 36,091 |
| 11 | 88305 | $3.9M | $85vs $81 med | 1.05x | 46,016 | 45,505 |
| 12 | 99223 | $3.7M | $151vs $135 med | 1.11x | 24,609 | 21,940 |
| 13 | 70450 | $3.5M | $37vs $230 med | 0.16x | 94,849 | 91,438 |
| 14 | 71045 | $2.7M | $9vs $44 med | 0.20x | 307,907 | 237,506 |
| 15 | 92004 | $1.7M | $157vs $122 med | 1.28x | 10,856 | 10,841 |