T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$374.5M
$374,467,034
Beneficiaries
6.8M
6,765,506
Avg $/Claim
$48
$55 per beneficiary
Spending Growth
-0.5%
$/Claim: +23.9%
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 | $72.4M | $146vs $102 med | 1.43x | 495,590 | 414,086 |
| 2 | 99212 | $13.3M | $140vs $178 med | 0.78x | 95,197 | 86,886 |
| 3 | 96361 | $11.8M | $310vs $313 med | 0.99x | 37,935 | 25,733 |
| 4 | 99215 | $6.2M | $151vs $182 med | 0.83x | 41,112 | 34,276 |
| 5 | 96365 | $5.2M | $175vs $138 med | 1.27x | 29,448 | 22,371 |
| 6 | 43239 | $3.9M | $709vs $607 med | 1.17x | 5,527 | 5,325 |