T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$178.1M
$178,141,487
Beneficiaries
3.0M
3,019,011
Avg $/Claim
$50
$59 per beneficiary
Spending Growth
+184.7%
$/Claim: +56.6%
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 | 99213 | $32.1M | $125vs $120 med | 1.05x | 257,044 | 219,177 |
| 2 | 99282 | $11.0M | $244vs $182 med | 1.34x | 45,003 | 42,243 |
| 3 | 36415 | $8.2M | $19vs $82 med | 0.23x | 433,027 | 195,238 |
| 4 | 90791 | $7.0M | $867vs $212 med | 4.10x | 8,083 | 7,212 |
| 5 | 90460 | $2.5M | $37vs $36 med | 1.04x | 68,247 | 67,552 |
| 6 | 99394 | $1.8M | $100vs $108 med | 0.93x | 17,833 | 17,782 |