T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$1.40B
$1,398,902,370
Beneficiaries
2.3M
2,328,336
Avg $/Claim
$161
$601 per beneficiary
Spending Growth
+51.3%
$/Claim: +60.4%
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 | H0034 | $225.5M | $261vs $212 med | 1.23x | 865,462 | 538,647 |
| 2 | H2015 | $220.9M | $168vs $225 med | 0.75x | 1,315,018 | 442,826 |
| 3 | H0019 | $179.1M | $232vs $360 med | 0.64x | 772,212 | 42,396 |
| 4 | H2017 | $160.9M | $147vs $143 med | 1.03x | 1,093,222 | 318,566 |
| 5 | T1017 | $144.7M | $167vs $225 med | 0.74x | 865,575 | 305,820 |
| 6 | S9484 | $78.2M | $800vs $726 med | 1.10x | 97,823 | 83,936 |
| 7 | 90837 | $64.7M | $517vs $152 med | 3.40x | 125,205 | 57,799 |
| 8 | H0020 | $36.6M | $15vs $24 med | 0.62x | 2,404,069 | 94,807 |
| 9 | H2019 | $33.3M | $421vs $158 med | 2.67x | 79,200 | 7,873 |
| 10 | H0038 | $30.5M | $319vs $162 med | 1.97x | 95,576 | 37,267 |
| 11 | H0004 | $28.4M | $139vs $153 med | 0.91x | 203,378 | 117,033 |
| 12 | H0018 | $27.3M | $358vs $507 med | 0.71x | 76,121 | 8,409 |
| 13 | H2010 | $20.9M | $331vs $325 med | 1.02x | 62,978 | 50,131 |
| 14 | 90834 | $19.6M | $331vs $118 med | 2.81x | 59,243 | 36,423 |
| 15 | H2011 | $18.9M | $337vs $548 med | 0.62x | 56,024 | 11,217 |
| 16 | H2013 | $17.4M | $1,006vs $835 med | 1.20x | 17,314 | 3,143 |
| 17 | H0005 | $12.5M | $70vs $67 med | 1.04x | 179,011 | 31,034 |
| 18 | 99232 | $7.7M | $832vs $47 med | 17.74x | 9,295 | 2,495 |
| 19 | 90847 | $7.3M | $418vs $139 med | 3.01x | 17,448 | 10,852 |