T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$777.5M
$777,537,649
Beneficiaries
8.5M
8,541,239
Avg $/Claim
$71
$91 per beneficiary
Spending Growth
+74.5%
$/Claim: +6.8%
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 | 99213 | $154.8M | $85vs $120 med | 0.71x | 1,821,214 | 1,274,644 |
| 2 | 99214 | $75.5M | $103vs $121 med | 0.85x | 735,694 | 546,096 |
| 3 | 90847 | $27.1M | $217vs $139 med | 1.56x | 125,322 | 74,516 |
| 4 | 99392 | $23.9M | $76vs $105 med | 0.72x | 314,916 | 217,174 |
| 5 | 99391 | $23.6M | $78vs $102 med | 0.77x | 301,591 | 211,567 |
| 6 | 90837 | $20.3M | $155vs $152 med | 1.02x | 130,611 | 71,860 |
| 7 | 90791 | $19.5M | $309vs $212 med | 1.46x | 63,199 | 56,468 |
| 8 | 99393 | $17.4M | $75vs $101 med | 0.74x | 231,890 | 164,240 |
| 9 | 99212 | $13.8M | $74vs $178 med | 0.41x | 187,258 | 135,179 |
| 10 | 92507 | $13.4M | $90vs $80 med | 1.12x | 149,925 | 56,800 |
| 11 | 99215 | $11.3M | $121vs $182 med | 0.67x | 93,236 | 74,231 |
| 12 | 99394 | $11.2M | $82vs $108 med | 0.76x | 135,512 | 96,387 |
| 13 | 97110 | $10.6M | $103vs $79 med | 1.30x | 103,193 | 38,596 |
| 14 | D2930 | $8.2M | $649vs $147 med | 4.41x | 12,695 | 11,203 |
| 15 | D7140 | $4.4M | $566vs $88 med | 6.41x | 7,802 | 6,666 |