T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$368.4M
$368,389,282
Beneficiaries
753K
752,950
Avg $/Claim
$168
$489 per beneficiary
Spending Growth
+6.3%
$/Claim: -21.3%
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 | T1017 | $77.5M | $309vs $225 med | 1.37x | 250,705 | 164,087 |
| 2 | H0036 | $39.5M | $305vs $160 med | 1.91x | 129,468 | 41,150 |
| 3 | 90837 | $22.5M | $268vs $152 med | 1.76x | 83,949 | 47,534 |
| 4 | H0031 | $18.4M | $713vs $168 med | 4.23x | 25,871 | 25,030 |
| 5 | H0043 | $11.1M | $300vs $193 med | 1.56x | 36,993 | 1,349 |
| 6 | H0039 | $9.6M | $180vs $183 med | 0.98x | 53,108 | 4,843 |
| 7 | 90847 | $6.6M | $237vs $139 med | 1.71x | 27,640 | 16,266 |
| 8 | 90791 | $5.0M | $642vs $212 med | 3.04x | 7,738 | 7,668 |
| 9 | 90853 | $4.5M | $166vs $73 med | 2.28x | 26,973 | 9,242 |
| 10 | 90792 | $3.9M | $904vs $289 med | 3.13x | 4,363 | 4,310 |