T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$454.9M
$454,946,329
Beneficiaries
6.2M
6,221,825
Avg $/Claim
$64
$73 per beneficiary
Spending Growth
+105.7%
$/Claim: +2.3%
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 | 99213 | $65.1M | $190vs $120 med | 1.59x | 343,159 | 289,761 |
| 2 | 99283 | $31.5M | $183vs $251 med | 0.73x | 172,115 | 159,539 |
| 3 | G9005 | $13.2M | $307vs $26 med | 11.91x | 42,846 | 42,266 |
| 4 | 96361 | $12.7M | $290vs $313 med | 0.93x | 43,901 | 40,573 |
| 5 | 99212 | $12.5M | $190vs $178 med | 1.07x | 65,594 | 55,404 |
| 6 | J9271 | $9.0M | $8,013vs $5,028 med | 1.59x | 1,121 | 912 |
| 7 | 99391 | $6.2M | $183vs $102 med | 1.80x | 33,934 | 31,615 |
| 8 | 99392 | $4.8M | $180vs $105 med | 1.72x | 26,451 | 26,334 |
| 9 | 43239 | $4.8M | $646vs $607 med | 1.06x | 7,363 | 7,313 |
| 10 | 96365 | $4.1M | $133vs $138 med | 0.96x | 31,175 | 19,471 |
| 11 | 70450 | $4.0M | $268vs $230 med | 1.17x | 14,983 | 14,435 |
| 12 | 99393 | $3.2M | $181vs $101 med | 1.78x | 17,787 | 17,718 |
| 13 | 99394 | $2.0M | $174vs $108 med | 1.61x | 11,426 | 11,374 |