T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$559.5M
$559,483,344
Beneficiaries
4.0M
4,007,530
Avg $/Claim
$50
$140 per beneficiary
Spending Growth
-7.6%
$/Claim: +4.0%
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 | H0036 | $131.1M | $46vs $160 med | 0.29x | 2,864,369 | 168,964 |
| 2 | 90837 | $68.6M | $113vs $152 med | 0.74x | 608,937 | 448,259 |
| 3 | H2012 | $53.5M | $70vs $188 med | 0.37x | 759,703 | 61,811 |
| 4 | H2017 | $47.1M | $58vs $143 med | 0.41x | 806,585 | 69,576 |
| 5 | H0040 | $37.0M | $36vs $303 med | 0.12x | 1,020,381 | 44,578 |
| 6 | H0004 | $35.7M | $60vs $153 med | 0.39x | 595,115 | 501,503 |
| 7 | 90832 | $32.0M | $57vs $111 med | 0.51x | 562,191 | 455,132 |
| 8 | H2022 | $21.5M | $81vs $1,614 med | 0.05x | 265,722 | 12,780 |
| 9 | 90791 | $21.2M | $121vs $212 med | 0.57x | 176,105 | 162,374 |
| 10 | H0035 | $18.2M | $178vs $141 med | 1.26x | 102,296 | 8,672 |
| 11 | H0032 | $15.8M | $22vs $171 med | 0.13x | 732,057 | 698,574 |
| 12 | H0034 | $10.6M | $22vs $212 med | 0.10x | 490,518 | 347,539 |
| 13 | H0046 | $9.1M | $31vs $196 med | 0.16x | 296,029 | 206,356 |
| 14 | 90847 | $4.3M | $90vs $139 med | 0.65x | 48,163 | 40,251 |