T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$708.9M
$708,859,553
Beneficiaries
7.4M
7,363,021
Avg $/Claim
$71
$96 per beneficiary
Spending Growth
+73.0%
$/Claim: +105.8%
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 | G0463 | $105.1M | $92vs $72 med | 1.29x | 1,139,423 | 963,643 |
| 2 | A0429 | $78.1M | $658vs $249 med | 2.64x | 118,666 | 90,596 |
| 3 | A0427 | $67.7M | $718vs $248 med | 2.90x | 94,266 | 82,551 |
| 4 | 99284 | $53.3M | $203vs $310 med | 0.66x | 262,223 | 224,415 |
| 5 | 99285 | $49.6M | $245vs $399 med | 0.61x | 202,775 | 169,882 |
| 6 | 99214 | $32.7M | $71vs $121 med | 0.58x | 460,726 | 395,864 |
| 7 | 99283 | $32.4M | $170vs $251 med | 0.68x | 190,002 | 166,029 |
| 8 | A0425 | $14.0M | $64vs $74 med | 0.87x | 218,688 | 165,992 |
| 9 | 99232 | $13.5M | $52vs $47 med | 1.11x | 261,070 | 61,757 |
| 10 | 99291 | $13.5M | $194vs $228 med | 0.85x | 69,483 | 32,817 |
| 11 | 99233 | $10.1M | $69vs $71 med | 0.98x | 145,923 | 38,920 |
| 12 | 99215 | $9.2M | $99vs $182 med | 0.54x | 92,877 | 80,421 |
| 13 | 36415 | $4.6M | $13vs $82 med | 0.16x | 355,455 | 308,112 |
| 14 | 99223 | $4.2M | $115vs $135 med | 0.85x | 36,910 | 28,994 |
| 15 | 71046 | $2.3M | $20vs $48 med | 0.42x | 112,437 | 101,397 |
| 16 | D7140 | $2.2M | $81vs $88 med | 0.92x | 27,595 | 9,041 |