T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$768.5M
$768,481,072
Beneficiaries
12.5M
12,530,368
Avg $/Claim
$53
$61 per beneficiary
Spending Growth
+28.7%
$/Claim: +9.1%
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 | $75.2M | $135vs $121 med | 1.11x | 558,247 | 493,214 |
| 2 | 99213 | $57.4M | $130vs $120 med | 1.09x | 440,043 | 390,235 |
| 3 | 96361 | $32.1M | $397vs $313 med | 1.27x | 80,652 | 63,955 |
| 4 | 99215 | $28.0M | $147vs $182 med | 0.81x | 190,774 | 173,688 |
| 5 | G0463 | $17.8M | $34vs $72 med | 0.47x | 523,396 | 373,699 |
| 6 | 99212 | $11.1M | $116vs $178 med | 0.65x | 96,271 | 84,047 |
| 7 | 99211 | $10.1M | $121vs $102 med | 1.18x | 83,404 | 65,497 |
| 8 | 99204 | $10.0M | $121vs $118 med | 1.03x | 82,693 | 79,986 |
| 9 | J9271 | $9.8M | $4,240vs $5,028 med | 0.84x | 2,320 | 1,749 |
| 10 | 99203 | $8.9M | $114vs $101 med | 1.14x | 78,003 | 75,687 |
| 11 | 97110 | $7.7M | $39vs $79 med | 0.49x | 197,189 | 74,783 |
| 12 | 99282 | $6.8M | $153vs $182 med | 0.84x | 44,193 | 39,911 |
| 13 | 43239 | $6.6M | $692vs $607 med | 1.14x | 9,506 | 9,196 |
| 14 | 74177 | $6.1M | $183vs $508 med | 0.36x | 33,564 | 31,901 |
| 15 | 93306 | $5.2M | $186vs $332 med | 0.56x | 27,747 | 26,773 |
| 16 | 92014 | $4.3M | $91vs $104 med | 0.87x | 46,817 | 45,927 |
| 17 | 70450 | $3.7M | $136vs $230 med | 0.59x | 27,148 | 25,156 |
| 18 | 96365 | $3.6M | $135vs $138 med | 0.98x | 26,836 | 23,518 |
| 19 | 99391 | $3.3M | $106vs $102 med | 1.04x | 30,838 | 29,055 |
| 20 | 97140 | $2.5M | $40vs $37 med | 1.08x | 62,706 | 30,379 |
| 21 | 92004 | $2.0M | $85vs $122 med | 0.70x | 23,348 | 22,946 |