T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$530.0M
$529,965,639
Beneficiaries
5.3M
5,333,687
Avg $/Claim
$47
$99 per beneficiary
Spending Growth
+285.7%
$/Claim: -8.5%
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 | U0003 | $99.1M | $70vs $67 med | 1.05x | 1,406,305 | 412,026 |
| 2 | 99213 | $46.1M | $83vs $120 med | 0.70x | 552,614 | 485,889 |
| 3 | 97530 | $35.4M | $67vs $88 med | 0.75x | 531,363 | 159,366 |
| 4 | 99211 | $34.7M | $24vs $102 med | 0.24x | 1,427,961 | 397,225 |
| 5 | 97110 | $20.4M | $30vs $79 med | 0.38x | 670,554 | 193,646 |
| 6 | 77067 | $15.8M | $129vs $105 med | 1.23x | 122,330 | 122,243 |
| 7 | 90837 | $14.9M | $131vs $152 med | 0.86x | 113,778 | 34,682 |
| 8 | 97112 | $13.6M | $28vs $47 med | 0.60x | 481,751 | 139,801 |
| 9 | 92507 | $13.1M | $73vs $80 med | 0.91x | 179,456 | 44,836 |
| 10 | 99212 | $12.7M | $58vs $178 med | 0.33x | 218,150 | 124,965 |
| 11 | 97140 | $12.1M | $21vs $37 med | 0.57x | 574,708 | 167,094 |
| 12 | 99203 | $8.2M | $101vs $101 med | 1.01x | 81,384 | 81,260 |
| 13 | 87635 | $3.8M | $32vs $47 med | 0.67x | 119,606 | 25,565 |
| 14 | 71046 | $2.0M | $31vs $48 med | 0.64x | 64,369 | 64,108 |