T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$348.4M
$348,432,639
Beneficiaries
4.4M
4,397,741
Avg $/Claim
$61
$79 per beneficiary
Spending Growth
+69.9%
$/Claim: +41.1%
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 | 99213 | $64.7M | $123vs $120 med | 1.03x | 526,832 | 431,905 |
| 2 | 99214 | $36.9M | $137vs $121 med | 1.13x | 269,573 | 229,986 |
| 3 | 90832 | $15.5M | $118vs $111 med | 1.07x | 130,983 | 103,248 |
| 4 | 99212 | $14.6M | $109vs $178 med | 0.61x | 134,034 | 112,329 |
| 5 | 90791 | $10.9M | $768vs $212 med | 3.63x | 14,198 | 12,016 |
| 6 | 99282 | $10.3M | $236vs $182 med | 1.30x | 43,604 | 41,670 |
| 7 | 36415 | $6.0M | $17vs $82 med | 0.21x | 357,168 | 83,431 |
| 8 | 80053 | $5.4M | $22vs $27 med | 0.83x | 239,928 | 140,449 |
| 9 | 99391 | $3.9M | $55vs $102 med | 0.54x | 71,397 | 29,478 |
| 10 | 96365 | $3.0M | $117vs $138 med | 0.85x | 25,893 | 19,832 |