T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$189.4M
$189,387,730
Beneficiaries
2.7M
2,666,786
Avg $/Claim
$56
$71 per beneficiary
Spending Growth
+107.8%
$/Claim: +3.8%
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 | 99204 | $9.2M | $132vs $118 med | 1.12x | 69,326 | 59,885 |
| 2 | 99215 | $6.3M | $94vs $182 med | 0.52x | 66,612 | 55,016 |
| 3 | 99392 | $3.8M | $76vs $105 med | 0.73x | 50,163 | 43,280 |
| 4 | 99291 | $3.6M | $200vs $228 med | 0.88x | 18,169 | 10,056 |
| 5 | 99391 | $3.5M | $65vs $102 med | 0.64x | 54,281 | 43,884 |
| 6 | 99393 | $2.7M | $76vs $101 med | 0.75x | 35,410 | 30,627 |