T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$362.9M
$362,912,757
Beneficiaries
4.0M
3,979,359
Avg $/Claim
$77
$91 per beneficiary
Spending Growth
+32.9%
$/Claim: -8.2%
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 | $42.8M | $444vs $251 med | 1.77x | 96,411 | 85,259 |
| 2 | G0378 | $38.0M | $1,355vs $640 med | 2.12x | 28,043 | 23,433 |
| 3 | 99284 | $35.0M | $511vs $310 med | 1.65x | 68,583 | 62,531 |
| 4 | A0429 | $25.2M | $184vs $249 med | 0.74x | 137,143 | 108,458 |
| 5 | 99212 | $22.7M | $98vs $178 med | 0.55x | 231,979 | 187,559 |
| 6 | 41899 | $7.0M | $2,487vs $1,476 med | 1.69x | 2,808 | 2,715 |
| 7 | 70450 | $4.2M | $229vs $230 med | 1.00x | 18,346 | 16,896 |
| 8 | 43239 | $3.8M | $1,370vs $607 med | 2.26x | 2,795 | 2,656 |