T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$333.0M
$333,032,794
Beneficiaries
2.8M
2,772,070
Avg $/Claim
$94
$120 per beneficiary
Spending Growth
+41.7%
$/Claim: -18.6%
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 | 99284 | $33.7M | $399vs $310 med | 1.29x | 84,594 | 77,988 |
| 2 | 99283 | $31.2M | $292vs $251 med | 1.16x | 107,058 | 99,499 |
| 3 | G0378 | $19.3M | $1,001vs $640 med | 1.56x | 19,271 | 16,536 |
| 4 | J9271 | $17.0M | $10,140vs $5,028 med | 2.02x | 1,681 | 1,185 |
| 5 | 43239 | $5.0M | $1,840vs $607 med | 3.03x | 2,738 | 2,644 |
| 6 | 96365 | $4.7M | $155vs $138 med | 1.13x | 30,434 | 24,069 |
| 7 | 93306 | $3.5M | $498vs $332 med | 1.50x | 7,010 | 6,679 |
| 8 | 97140 | $1.9M | $41vs $37 med | 1.09x | 46,358 | 10,822 |