T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$251.5M
$251,457,853
Beneficiaries
4.0M
3,975,987
Avg $/Claim
$55
$63 per beneficiary
Spending Growth
+16.2%
$/Claim: +1.2%
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 | 99283 | $45.6M | $346vs $251 med | 1.38x | 131,735 | 123,270 |
| 2 | 99285 | $29.9M | $608vs $399 med | 1.52x | 49,116 | 45,181 |
| 3 | 74177 | $29.4M | $996vs $508 med | 1.96x | 29,526 | 28,163 |
| 4 | 99282 | $18.6M | $207vs $182 med | 1.14x | 89,820 | 85,313 |
| 5 | 70450 | $10.7M | $403vs $230 med | 1.75x | 26,651 | 24,906 |
| 6 | 43239 | $4.0M | $1,213vs $607 med | 2.00x | 3,283 | 3,194 |
| 7 | 74176 | $2.7M | $715vs $399 med | 1.79x | 3,728 | 3,592 |