T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$493.4M
$493,376,372
Beneficiaries
3.0M
3,026,103
Avg $/Claim
$139
$163 per beneficiary
Spending Growth
+40.3%
$/Claim: +22.1%
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 | $88.1M | $813vs $399 med | 2.04x | 108,411 | 100,552 |
| 2 | 99284 | $56.4M | $419vs $310 med | 1.35x | 134,482 | 129,698 |
| 3 | 99283 | $50.6M | $232vs $251 med | 0.93x | 218,120 | 209,620 |
| 4 | 97110 | $14.2M | $116vs $79 med | 1.45x | 123,270 | 35,332 |
| 5 | 70450 | $5.1M | $376vs $230 med | 1.63x | 13,522 | 12,437 |
| 6 | 43239 | $4.9M | $1,173vs $607 med | 1.93x | 4,145 | 3,911 |
| 7 | 71046 | $3.3M | $80vs $48 med | 1.67x | 40,964 | 38,912 |
| 8 | D0230 | $1.2M | $353vs $5 med | 75.26x | 3,400 | 3,207 |
| 9 | D0220 | $1.2M | $323vs $19 med | 17.15x | 3,591 | 3,382 |