T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$240.2M
$240,239,259
Beneficiaries
3.7M
3,734,917
Avg $/Claim
$60
$64 per beneficiary
Spending Growth
+24.1%
$/Claim: +30.6%
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 | 99214 | $66.2M | $84vs $121 med | 0.69x | 792,008 | 762,069 |
| 2 | 99215 | $8.8M | $108vs $182 med | 0.59x | 81,458 | 76,661 |
| 3 | 99391 | $7.2M | $102vs $102 med | 1.00x | 70,543 | 66,044 |
| 4 | 99232 | $6.4M | $50vs $47 med | 1.08x | 127,038 | 55,513 |
| 5 | 99392 | $6.1M | $101vs $105 med | 0.97x | 60,536 | 60,384 |
| 6 | 99204 | $4.9M | $133vs $118 med | 1.12x | 36,845 | 36,382 |
| 7 | 99393 | $4.2M | $101vs $101 med | 1.00x | 41,516 | 41,441 |
| 8 | 99291 | $3.5M | $122vs $228 med | 0.53x | 28,717 | 14,810 |
| 9 | 99394 | $2.7M | $101vs $108 med | 0.94x | 26,968 | 26,885 |