T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$345.5M
$345,535,538
Beneficiaries
6.1M
6,064,086
Avg $/Claim
$51
$57 per beneficiary
Spending Growth
+52.2%
$/Claim: +7.5%
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 | $56.4M | $240vs $399 med | 0.60x | 234,479 | 223,340 |
| 2 | 99284 | $46.5M | $180vs $310 med | 0.58x | 258,134 | 245,986 |
| 3 | 74177 | $10.9M | $299vs $508 med | 0.59x | 36,516 | 35,232 |
| 4 | 70450 | $5.0M | $159vs $230 med | 0.69x | 31,364 | 29,838 |
| 5 | 43239 | $4.5M | $416vs $607 med | 0.69x | 10,854 | 10,730 |
| 6 | 96374 | $3.5M | $38vs $96 med | 0.40x | 92,938 | 85,461 |
| 7 | 85025 | $3.0M | $8vs $8 med | 0.96x | 398,618 | 355,715 |
| 8 | 71046 | $2.7M | $49vs $48 med | 1.02x | 55,444 | 52,571 |
| 9 | D0220 | $716K | $227vs $19 med | 12.02x | 3,158 | 3,132 |