T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$172.2M
$172,150,510
Beneficiaries
2.8M
2,842,295
Avg $/Claim
$57
$61 per beneficiary
Spending Growth
+16.8%
$/Claim: +3.1%
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 | $37.2M | $71vs $121 med | 0.59x | 521,591 | 494,897 |
| 2 | 99213 | $33.9M | $50vs $120 med | 0.42x | 672,376 | 630,263 |
| 3 | 99215 | $7.1M | $103vs $182 med | 0.57x | 68,610 | 63,796 |
| 4 | 99391 | $5.4M | $72vs $102 med | 0.70x | 74,791 | 70,077 |
| 5 | 99392 | $5.1M | $78vs $105 med | 0.75x | 65,459 | 64,906 |
| 6 | 90460 | $4.0M | $28vs $36 med | 0.80x | 140,066 | 138,088 |
| 7 | 99393 | $2.5M | $77vs $101 med | 0.76x | 32,407 | 32,134 |