T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$277.3M
$277,277,790
Beneficiaries
1.5M
1,538,814
Avg $/Claim
$158
$180 per beneficiary
Spending Growth
+665.5%
$/Claim: -1.4%
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 | 99285 | $80.5M | $957vs $399 med | 2.39x | 84,138 | 82,633 |
| 2 | 99284 | $52.7M | $796vs $310 med | 2.57x | 66,205 | 65,501 |
| 3 | 97110 | $12.6M | $224vs $79 med | 2.82x | 56,219 | 19,214 |
| 4 | 41899 | $8.1M | $2,249vs $1,476 med | 1.52x | 3,610 | 3,558 |
| 5 | 87635 | $4.9M | $67vs $47 med | 1.42x | 72,366 | 71,355 |
| 6 | 97112 | $3.6M | $222vs $47 med | 4.70x | 16,306 | 6,486 |
| 7 | 85025 | $2.4M | $35vs $8 med | 4.43x | 69,365 | 60,520 |