T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$806.7M
$806,659,263
Beneficiaries
1.6M
1,554,907
Avg $/Claim
$164
$519 per beneficiary
Spending Growth
+34.1%
$/Claim: +95.3%
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 | H2015 | $296.2M | $192vs $225 med | 0.85x | 1,541,715 | 528,745 |
| 2 | H2010 | $94.5M | $165vs $325 med | 0.51x | 574,400 | 269,636 |
| 3 | S9484 | $79.3M | $2,945vs $726 med | 4.06x | 26,930 | 24,854 |
| 4 | T1017 | $55.1M | $136vs $225 med | 0.60x | 406,112 | 192,608 |
| 5 | H0019 | $33.9M | $150vs $360 med | 0.42x | 226,046 | 11,739 |
| 6 | H0018 | $33.4M | $1,562vs $507 med | 3.08x | 21,367 | 5,378 |
| 7 | H0020 | $33.3M | $28vs $24 med | 1.16x | 1,169,770 | 87,621 |
| 8 | H0004 | $22.9M | $117vs $153 med | 0.76x | 195,253 | 99,024 |
| 9 | H2017 | $22.2M | $200vs $143 med | 1.40x | 111,163 | 31,979 |
| 10 | 90837 | $22.2M | $361vs $152 med | 2.37x | 61,463 | 34,576 |
| 11 | H2011 | $14.7M | $659vs $548 med | 1.20x | 22,246 | 20,453 |
| 12 | H0031 | $11.9M | $167vs $168 med | 0.99x | 71,050 | 38,579 |
| 13 | 99215 | $8.1M | $868vs $182 med | 4.77x | 9,381 | 7,686 |
| 14 | H0005 | $7.5M | $60vs $67 med | 0.90x | 123,318 | 27,670 |
| 15 | 99232 | $6.2M | $130vs $47 med | 2.77x | 47,836 | 6,074 |
| 16 | 90847 | $4.6M | $302vs $139 med | 2.18x | 15,131 | 10,234 |
| 17 | H0034 | $2.8M | $200vs $212 med | 0.95x | 13,880 | 8,901 |