T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$717.5M
$717,466,641
Beneficiaries
101.7M
101,685,925
Avg $/Claim
$7
$7 per beneficiary
Spending Growth
+32.8%
$/Claim: -12.6%
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 | U0003 | $99.3M | $70vs $67 med | 1.05x | 1,409,066 | 1,160,096 |
| 2 | 80307 | $44.2M | $19vs $42 med | 0.47x | 2,270,062 | 1,330,574 |
| 3 | 87491 | $36.3M | $13vs $27 med | 0.49x | 2,732,716 | 2,577,686 |
| 4 | 87591 | $34.2M | $13vs $26 med | 0.49x | 2,718,271 | 2,564,191 |
| 5 | 81420 | $15.3M | $311vs $311 med | 1.00x | 49,105 | 47,718 |
| 6 | 80053 | $15.0M | $3vs $27 med | 0.10x | 5,649,014 | 5,294,631 |
| 7 | G0480 | $12.4M | $25vs $62 med | 0.40x | 494,395 | 250,235 |
| 8 | 85025 | $9.5M | $2vs $8 med | 0.21x | 5,745,427 | 5,432,385 |
| 9 | 87635 | $3.2M | $31vs $47 med | 0.65x | 105,075 | 97,471 |