T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$668.5M
$668,499,554
Beneficiaries
108.2M
108,161,020
Avg $/Claim
$6
$6 per beneficiary
Spending Growth
+17.1%
$/Claim: -22.5%
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 | $57.2M | $56vs $67 med | 0.84x | 1,017,350 | 936,414 |
| 2 | 87491 | $36.8M | $11vs $27 med | 0.41x | 3,367,029 | 3,247,147 |
| 3 | 87591 | $35.9M | $11vs $26 med | 0.41x | 3,348,753 | 3,229,158 |
| 4 | 80053 | $29.0M | $3vs $27 med | 0.13x | 8,400,110 | 8,081,273 |
| 5 | 85025 | $16.3M | $2vs $8 med | 0.29x | 7,100,438 | 6,789,510 |
| 6 | 80307 | $13.8M | $22vs $42 med | 0.53x | 630,793 | 574,807 |
| 7 | 88305 | $8.5M | $25vs $81 med | 0.31x | 340,929 | 318,898 |
| 8 | G0480 | $7.0M | $28vs $62 med | 0.45x | 249,868 | 224,761 |
| 9 | 81420 | $6.3M | $306vs $311 med | 0.99x | 20,523 | 20,383 |
| 10 | 36415 | $3.6M | $1vs $82 med | 0.01x | 4,595,759 | 4,321,683 |