T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$160.4M
$160,363,652
Beneficiaries
6.9M
6,901,976
Avg $/Claim
$19
$23 per beneficiary
Spending Growth
+525.7%
$/Claim: -1.9%
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 | $31.4M | $37vs $121 med | 0.31x | 848,508 | 783,437 |
| 2 | 99393 | $15.3M | $65vs $101 med | 0.64x | 235,403 | 231,955 |
| 3 | 99392 | $13.8M | $61vs $105 med | 0.58x | 226,622 | 222,350 |
| 4 | 90460 | $11.3M | $9vs $36 med | 0.25x | 1,274,860 | 604,459 |
| 5 | 99394 | $10.9M | $68vs $108 med | 0.63x | 159,518 | 156,177 |
| 6 | 99391 | $9.9M | $61vs $102 med | 0.60x | 161,579 | 151,919 |