T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$642.5M
$642,451,488
Beneficiaries
1.1M
1,082,521
Avg $/Claim
$118
$593 per beneficiary
Spending Growth
+94.4%
$/Claim: +14.4%
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 | H0019 | $211.0M | $197vs $360 med | 0.55x | 1,072,954 | 53,019 |
| 2 | H0004 | $90.9M | $149vs $153 med | 0.97x | 609,480 | 266,425 |
| 3 | H0020 | $67.9M | $50vs $24 med | 2.04x | 1,362,125 | 166,407 |
| 4 | H0005 | $59.9M | $85vs $67 med | 1.26x | 707,156 | 106,389 |
| 5 | H2015 | $45.7M | $100vs $225 med | 0.44x | 456,555 | 137,452 |
| 6 | 99233 | $16.9M | $1,148vs $71 med | 16.23x | 14,737 | 3,258 |
| 7 | 99232 | $16.1M | $929vs $47 med | 19.81x | 17,346 | 2,957 |
| 8 | 99223 | $3.4M | $1,768vs $135 med | 13.06x | 1,898 | 1,842 |