T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$658.5M
$658,485,314
Beneficiaries
6.3M
6,291,446
Avg $/Claim
$78
$105 per beneficiary
Spending Growth
+74.2%
$/Claim: +39.2%
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 | $120.6M | $185vs $72 med | 2.58x | 651,324 | 484,205 |
| 2 | 92507 | $24.2M | $281vs $80 med | 3.51x | 86,272 | 32,415 |
| 3 | 96361 | $14.7M | $420vs $313 med | 1.35x | 34,999 | 24,947 |
| 4 | J9271 | $14.1M | $6,012vs $5,028 med | 1.20x | 2,346 | 1,385 |
| 5 | 97110 | $9.4M | $61vs $79 med | 0.77x | 154,465 | 57,444 |
| 6 | G0378 | $9.2M | $187vs $640 med | 0.29x | 49,357 | 31,168 |
| 7 | 41899 | $8.8M | $1,960vs $1,476 med | 1.33x | 4,470 | 3,903 |
| 8 | 93306 | $6.3M | $446vs $332 med | 1.34x | 14,180 | 12,176 |
| 9 | 96365 | $6.2M | $159vs $138 med | 1.15x | 38,832 | 25,543 |
| 10 | 70450 | $5.4M | $253vs $230 med | 1.10x | 21,347 | 18,163 |
| 11 | 43239 | $4.9M | $767vs $607 med | 1.26x | 6,377 | 5,081 |
| 12 | 92014 | $3.0M | $140vs $104 med | 1.34x | 21,721 | 19,247 |
| 13 | 97112 | $2.5M | $47vs $47 med | 1.00x | 53,181 | 22,750 |
| 14 | 97140 | $1.8M | $37vs $37 med | 0.99x | 49,610 | 19,875 |