T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$398.4M
$398,402,839
Beneficiaries
5.8M
5,789,939
Avg $/Claim
$63
$69 per beneficiary
Spending Growth
+38.9%
$/Claim: -0.7%
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 | $61.5M | $105vs $121 med | 0.87x | 586,031 | 560,498 |
| 2 | 99213 | $60.3M | $76vs $120 med | 0.64x | 788,434 | 748,014 |
| 3 | 99204 | $15.8M | $151vs $118 med | 1.28x | 104,761 | 104,012 |
| 4 | 99203 | $10.4M | $105vs $101 med | 1.04x | 99,234 | 98,681 |
| 5 | 99215 | $8.5M | $131vs $182 med | 0.72x | 64,570 | 60,356 |
| 6 | 99233 | $7.1M | $98vs $71 med | 1.39x | 72,136 | 26,878 |
| 7 | 88305 | $6.1M | $81vs $81 med | 1.01x | 74,656 | 73,463 |
| 8 | 99392 | $5.8M | $81vs $105 med | 0.78x | 71,704 | 71,314 |
| 9 | 99232 | $5.4M | $68vs $47 med | 1.46x | 78,722 | 36,827 |
| 10 | 99393 | $5.4M | $86vs $101 med | 0.85x | 62,169 | 61,725 |
| 11 | 93306 | $5.0M | $81vs $332 med | 0.24x | 61,906 | 61,293 |
| 12 | 99291 | $4.4M | $228vs $228 med | 1.00x | 19,071 | 10,056 |
| 13 | 77067 | $3.9M | $68vs $105 med | 0.64x | 57,612 | 57,369 |
| 14 | 99223 | $3.5M | $160vs $135 med | 1.18x | 21,896 | 20,041 |
| 15 | 90460 | $3.5M | $29vs $36 med | 0.82x | 119,854 | 115,417 |
| 16 | 99391 | $3.5M | $63vs $102 med | 0.62x | 55,086 | 53,599 |
| 17 | 99394 | $3.3M | $105vs $108 med | 0.97x | 31,511 | 31,382 |
| 18 | 97112 | $2.2M | $33vs $47 med | 0.71x | 65,193 | 26,673 |
| 19 | 71046 | $1.9M | $13vs $48 med | 0.26x | 153,290 | 151,076 |