T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$352.6M
$352,571,667
Beneficiaries
6.8M
6,772,848
Avg $/Claim
$45
$52 per beneficiary
Spending Growth
+21.1%
$/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 | 99213 | $47.7M | $96vs $120 med | 0.81x | 495,297 | 421,088 |
| 2 | 99214 | $40.8M | $92vs $121 med | 0.75x | 445,242 | 384,457 |
| 3 | 96361 | $16.6M | $356vs $313 med | 1.14x | 46,734 | 41,028 |
| 4 | 99215 | $6.2M | $94vs $182 med | 0.52x | 66,076 | 60,742 |
| 5 | 99211 | $4.8M | $93vs $102 med | 0.92x | 51,571 | 40,860 |
| 6 | 92014 | $4.0M | $75vs $104 med | 0.72x | 53,889 | 52,087 |
| 7 | 99391 | $3.4M | $90vs $102 med | 0.88x | 37,622 | 32,880 |
| 8 | 99394 | $1.6M | $83vs $108 med | 0.77x | 19,731 | 19,642 |