T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$7.18B
$7,177,816,544
Beneficiaries
5.6M
5,596,134
Avg $/Claim
$80
$1,283 per beneficiary
Spending Growth
+55.2%
$/Claim: +40.9%
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 | T1019 | $2.70B | $74vs $153 med | 0.48x | 36,485,766 | 1,909,173 |
| 2 | S5126 | $2.37B | $83vs $108 med | 0.77x | 28,521,222 | 1,121,226 |
| 3 | S5150 | $444.7M | $65vs $91 med | 0.71x | 6,889,810 | 678,476 |
| 4 | H2021 | $343.1M | $136vs $266 med | 0.51x | 2,530,816 | 135,462 |
| 5 | H2016 | $315.5M | $274vs $445 med | 0.61x | 1,151,912 | 52,531 |
| 6 | S5130 | $225.8M | $61vs $101 med | 0.61x | 3,691,013 | 227,623 |
| 7 | S5125 | $205.2M | $79vs $64 med | 1.24x | 2,594,717 | 119,649 |
| 8 | T2025 | $178.7M | $50vs $213 med | 0.23x | 3,599,375 | 233,839 |
| 9 | S5135 | $59.3M | $45vs $94 med | 0.48x | 1,305,627 | 83,759 |
| 10 | S5136 | $16.6M | $115vs $1,502 med | 0.08x | 144,528 | 5,064 |