T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$620.1M
$620,067,106
Beneficiaries
59.0M
58,982,116
Avg $/Claim
$10
$11 per beneficiary
Spending Growth
-7.0%
$/Claim: -13.3%
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 | U0003 | $48.0M | $71vs $67 med | 1.06x | 675,267 | 589,139 |
| 2 | 87491 | $33.5M | $18vs $27 med | 0.67x | 1,871,552 | 1,817,958 |
| 3 | 87591 | $32.9M | $17vs $26 med | 0.66x | 1,930,171 | 1,804,750 |
| 4 | 80053 | $15.7M | $6vs $27 med | 0.21x | 2,774,574 | 2,692,157 |
| 5 | 80307 | $8.0M | $14vs $42 med | 0.35x | 552,278 | 456,140 |
| 6 | 85025 | $7.8M | $3vs $8 med | 0.32x | 3,079,186 | 3,009,530 |
| 7 | 88305 | $6.7M | $47vs $81 med | 0.58x | 141,546 | 133,309 |