T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$537.0M
$536,975,608
Beneficiaries
635K
635,354
Avg $/Claim
$169
$845 per beneficiary
Spending Growth
+45.2%
$/Claim: +50.3%
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 | H2015 | $150.9M | $228vs $225 med | 1.01x | 660,637 | 169,526 |
| 2 | H2017 | $74.6M | $322vs $143 med | 2.26x | 231,442 | 63,562 |
| 3 | T1017 | $49.4M | $232vs $225 med | 1.03x | 213,303 | 85,603 |
| 4 | H0019 | $35.6M | $289vs $360 med | 0.80x | 123,191 | 6,679 |
| 5 | H2019 | $26.2M | $407vs $158 med | 2.58x | 64,414 | 6,379 |
| 6 | 90837 | $20.7M | $378vs $152 med | 2.49x | 54,687 | 25,196 |
| 7 | S9484 | $19.1M | $1,776vs $726 med | 2.45x | 10,746 | 5,706 |
| 8 | H0032 | $18.6M | $290vs $171 med | 1.69x | 64,060 | 29,949 |
| 9 | H0018 | $17.3M | $452vs $507 med | 0.89x | 38,275 | 3,239 |
| 10 | 99233 | $6.5M | $1,372vs $71 med | 19.39x | 4,764 | 826 |
| 11 | 99215 | $6.2M | $1,028vs $182 med | 5.65x | 6,067 | 5,530 |
| 12 | 99232 | $6.0M | $1,008vs $47 med | 21.48x | 5,942 | 679 |
| 13 | H0005 | $4.7M | $146vs $67 med | 2.17x | 32,332 | 6,011 |