T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$286.9M
$286,882,030
Beneficiaries
1.4M
1,357,054
Avg $/Claim
$171
$211 per beneficiary
Spending Growth
+105.2%
$/Claim: +54.9%
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 | 99283 | $54.8M | $597vs $251 med | 2.38x | 91,802 | 89,981 |
| 2 | 99284 | $38.4M | $588vs $310 med | 1.90x | 65,227 | 63,963 |
| 3 | 99285 | $35.6M | $595vs $399 med | 1.49x | 59,805 | 58,424 |
| 4 | G0378 | $21.0M | $872vs $640 med | 1.36x | 24,078 | 12,250 |
| 5 | 93306 | $3.8M | $784vs $332 med | 2.36x | 4,806 | 4,561 |
| 6 | 43239 | $3.5M | $1,718vs $607 med | 2.83x | 2,043 | 1,630 |