T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$363.8M
$363,759,741
Beneficiaries
2.3M
2,295,055
Avg $/Claim
$79
$159 per beneficiary
Spending Growth
+13.1%
$/Claim: +11.4%
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 | S0280 | $67.9M | $147vs $127 med | 1.15x | 462,490 | 378,367 |
| 2 | H0043 | $55.9M | $96vs $193 med | 0.50x | 582,139 | 19,167 |
| 3 | 90837 | $48.4M | $105vs $152 med | 0.69x | 462,719 | 221,723 |
| 4 | 90834 | $46.2M | $75vs $118 med | 0.64x | 616,328 | 302,377 |
| 5 | H0037 | $31.0M | $161vs $194 med | 0.83x | 192,417 | 25,859 |
| 6 | 90832 | $26.9M | $56vs $111 med | 0.51x | 477,096 | 273,567 |
| 7 | H2020 | $12.4M | $1,968vs $183 med | 10.77x | 6,327 | 5,905 |
| 8 | 90791 | $10.0M | $117vs $212 med | 0.55x | 85,653 | 65,834 |
| 9 | H2018 | $8.4M | $78vs $437 med | 0.18x | 107,257 | 8,048 |
| 10 | 90792 | $3.0M | $133vs $289 med | 0.46x | 22,343 | 16,833 |