T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$1.05B
$1,053,552,905
Beneficiaries
1.7M
1,679,994
Avg $/Claim
$161
$627 per beneficiary
Spending Growth
+59.9%
$/Claim: +73.3%
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 | H2015 | $325.1M | $203vs $225 med | 0.90x | 1,601,963 | 471,988 |
| 2 | H2017 | $122.8M | $220vs $143 med | 1.54x | 558,369 | 187,743 |
| 3 | H2010 | $90.7M | $259vs $325 med | 0.80x | 350,702 | 231,020 |
| 4 | H0018 | $58.2M | $424vs $507 med | 0.84x | 137,391 | 7,470 |
| 5 | T1017 | $55.9M | $170vs $225 med | 0.76x | 328,467 | 121,030 |
| 6 | H0019 | $51.8M | $179vs $360 med | 0.50x | 288,779 | 16,167 |
| 7 | S9484 | $46.0M | $1,000vs $726 med | 1.38x | 45,990 | 38,531 |
| 8 | H0020 | $30.5M | $15vs $24 med | 0.62x | 2,021,319 | 78,239 |
| 9 | 90837 | $29.7M | $413vs $152 med | 2.71x | 71,895 | 38,236 |
| 10 | H2019 | $27.1M | $326vs $158 med | 2.07x | 82,923 | 10,783 |
| 11 | H0004 | $25.3M | $99vs $153 med | 0.65x | 254,776 | 98,144 |
| 12 | H0032 | $25.0M | $188vs $171 med | 1.10x | 133,162 | 105,310 |
| 13 | H2011 | $18.7M | $383vs $548 med | 0.70x | 48,791 | 18,442 |
| 14 | 99215 | $13.9M | $1,161vs $182 med | 6.38x | 11,972 | 11,487 |
| 15 | H0034 | $9.0M | $229vs $212 med | 1.08x | 39,335 | 30,039 |
| 16 | H0005 | $8.5M | $48vs $67 med | 0.71x | 177,795 | 31,688 |
| 17 | H0031 | $6.2M | $527vs $168 med | 3.13x | 11,828 | 10,417 |
| 18 | 99232 | $5.6M | $1,042vs $47 med | 22.21x | 5,417 | 1,601 |
| 19 | 90792 | $3.7M | $606vs $289 med | 2.10x | 6,186 | 5,202 |