T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$716.4M
$716,407,788
Beneficiaries
6.9M
6,877,120
Avg $/Claim
$81
$104 per beneficiary
Spending Growth
+50.6%
$/Claim: +10.5%
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 | $71.0M | $422vs $310 med | 1.36x | 168,001 | 143,108 |
| 2 | 99285 | $43.5M | $772vs $399 med | 1.93x | 56,290 | 48,248 |
| 3 | G0463 | $29.2M | $49vs $72 med | 0.68x | 596,543 | 480,956 |
| 4 | J9271 | $29.0M | $9,689vs $5,028 med | 1.93x | 2,989 | 2,284 |
| 5 | 74177 | $22.9M | $799vs $508 med | 1.57x | 28,651 | 24,881 |
| 6 | 99211 | $13.6M | $51vs $102 med | 0.50x | 267,242 | 220,241 |
| 7 | G0378 | $13.3M | $239vs $640 med | 0.37x | 55,687 | 23,096 |
| 8 | 93306 | $8.2M | $605vs $332 med | 1.82x | 13,544 | 11,854 |
| 9 | 80053 | $6.4M | $18vs $27 med | 0.66x | 361,020 | 268,114 |
| 10 | 70450 | $5.7M | $271vs $230 med | 1.18x | 21,203 | 17,597 |
| 11 | 96365 | $5.4M | $141vs $138 med | 1.03x | 38,541 | 18,731 |
| 12 | 43239 | $4.5M | $676vs $607 med | 1.11x | 6,694 | 6,206 |
| 13 | 96374 | $4.3M | $49vs $96 med | 0.52x | 86,167 | 55,951 |
| 14 | 74176 | $4.1M | $596vs $399 med | 1.49x | 6,952 | 6,063 |
| 15 | 88305 | $4.1M | $134vs $81 med | 1.66x | 30,748 | 26,758 |
| 16 | 71045 | $4.0M | $84vs $44 med | 1.91x | 47,453 | 38,586 |
| 17 | 99291 | $3.5M | $1,167vs $228 med | 5.12x | 2,977 | 2,403 |
| 18 | 71046 | $3.3M | $92vs $48 med | 1.90x | 36,349 | 31,671 |
| 19 | 36415 | $3.3M | $6vs $82 med | 0.07x | 560,344 | 346,994 |
| 20 | 85025 | $3.1M | $11vs $8 med | 1.42x | 272,515 | 215,037 |