T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$219.6M
$219,576,485
Beneficiaries
3.5M
3,537,961
Avg $/Claim
$53
$62 per beneficiary
Spending Growth
+47.1%
$/Claim: +21.2%
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 | 99214 | $33.1M | $66vs $121 med | 0.54x | 503,378 | 455,380 |
| 2 | 99215 | $8.2M | $86vs $182 med | 0.47x | 95,181 | 90,216 |
| 3 | 99232 | $7.2M | $37vs $47 med | 0.78x | 194,894 | 53,674 |
| 4 | 99291 | $6.6M | $112vs $228 med | 0.49x | 58,936 | 13,964 |
| 5 | 99233 | $6.2M | $54vs $71 med | 0.77x | 115,236 | 35,062 |
| 6 | 99204 | $6.2M | $85vs $118 med | 0.72x | 73,169 | 71,680 |
| 7 | 99223 | $3.4M | $93vs $135 med | 0.68x | 36,420 | 32,257 |