T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$152.1M
$152,079,113
Beneficiaries
916K
916,025
Avg $/Claim
$85
$166 per beneficiary
Spending Growth
+34.0%
$/Claim: +8.1%
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 | 92507 | $15.9M | $87vs $80 med | 1.09x | 181,828 | 19,005 |
| 2 | 99212 | $12.5M | $119vs $178 med | 0.67x | 104,713 | 76,851 |
| 3 | 97110 | $10.5M | $57vs $79 med | 0.72x | 182,730 | 40,764 |
| 4 | 99203 | $8.0M | $136vs $101 med | 1.35x | 59,062 | 57,798 |
| 5 | 97140 | $3.3M | $46vs $37 med | 1.22x | 71,722 | 21,621 |
| 6 | 97112 | $2.5M | $55vs $47 med | 1.16x | 46,523 | 9,785 |
| 7 | 92004 | $1.7M | $134vs $122 med | 1.10x | 12,335 | 12,188 |