T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$397.2M
$397,151,977
Beneficiaries
1.9M
1,906,473
Avg $/Claim
$185
$208 per beneficiary
Spending Growth
+14.3%
$/Claim: +18.0%
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 | 99211 | $73.5M | $287vs $102 med | 2.81x | 256,406 | 189,437 |
| 2 | 87635 | $64.6M | $539vs $47 med | 11.40x | 119,847 | 101,255 |
| 3 | 80053 | $20.1M | $296vs $27 med | 11.03x | 67,812 | 58,606 |
| 4 | G0463 | $19.0M | $345vs $72 med | 4.81x | 55,096 | 44,024 |
| 5 | 96374 | $9.6M | $463vs $96 med | 4.84x | 20,642 | 18,482 |
| 6 | 99282 | $8.0M | $445vs $182 med | 2.45x | 18,009 | 16,933 |
| 7 | 87491 | $7.4M | $135vs $27 med | 5.03x | 54,510 | 51,597 |
| 8 | 71046 | $2.8M | $136vs $48 med | 2.82x | 20,417 | 18,895 |