T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$334.9M
$334,910,515
Beneficiaries
8.7M
8,665,611
Avg $/Claim
$35
$39 per beneficiary
Spending Growth
+21.7%
$/Claim: +8.8%
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 | 99285 | $62.1M | $306vs $399 med | 0.76x | 203,076 | 185,738 |
| 2 | G0463 | $42.1M | $43vs $72 med | 0.60x | 986,870 | 805,775 |
| 3 | 96374 | $12.3M | $101vs $96 med | 1.05x | 121,610 | 113,173 |
| 4 | 96365 | $4.6M | $99vs $138 med | 0.72x | 46,208 | 40,411 |
| 5 | 71046 | $3.3M | $38vs $48 med | 0.80x | 85,804 | 82,408 |
| 6 | 90460 | $2.4M | $23vs $36 med | 0.65x | 104,990 | 104,009 |