T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$167.2M
$167,169,122
Beneficiaries
9.9M
9,891,570
Avg $/Claim
$14
$17 per beneficiary
Spending Growth
-25.7%
$/Claim: +1.7%
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 | 80307 | $19.9M | $33vs $42 med | 0.80x | 597,006 | 363,413 |
| 2 | G0480 | $18.0M | $55vs $62 med | 0.89x | 326,499 | 220,168 |
| 3 | 87591 | $4.7M | $20vs $26 med | 0.76x | 237,850 | 221,572 |
| 4 | 87491 | $4.7M | $20vs $27 med | 0.74x | 235,705 | 219,388 |
| 5 | 80053 | $4.4M | $7vs $27 med | 0.25x | 664,133 | 625,822 |
| 6 | 81420 | $2.7M | $278vs $311 med | 0.90x | 9,866 | 8,618 |
| 7 | 85025 | $2.4M | $5vs $8 med | 0.63x | 488,963 | 459,922 |