T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$1.73B
$1,728,502,977
Beneficiaries
1.6M
1,617,142
Avg $/Claim
$371
$1,069 per beneficiary
Spending Growth
+5.4%
$/Claim: +28.5%
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 | H2015 | $890.2M | $429vs $225 med | 1.90x | 2,073,932 | 572,579 |
| 2 | T1017 | $275.5M | $223vs $225 med | 0.99x | 1,237,599 | 437,392 |
| 3 | H2010 | $182.8M | $387vs $325 med | 1.19x | 472,315 | 253,673 |
| 4 | H2017 | $100.5M | $339vs $143 med | 2.37x | 296,494 | 96,132 |
| 5 | H0018 | $51.4M | $497vs $507 med | 0.98x | 103,486 | 7,497 |
| 6 | 90837 | $41.1M | $514vs $152 med | 3.38x | 79,930 | 38,324 |
| 7 | H2019 | $36.9M | $467vs $158 med | 2.97x | 78,993 | 13,571 |
| 8 | H0032 | $22.3M | $308vs $171 med | 1.80x | 72,181 | 43,954 |
| 9 | S9484 | $17.7M | $2,275vs $726 med | 3.13x | 7,770 | 5,910 |
| 10 | 99215 | $12.0M | $1,351vs $182 med | 7.42x | 8,879 | 7,545 |
| 11 | H0034 | $11.9M | $521vs $212 med | 2.46x | 22,815 | 15,776 |
| 12 | H2013 | $11.2M | $1,125vs $835 med | 1.35x | 9,948 | 827 |
| 13 | H0031 | $8.4M | $430vs $168 med | 2.55x | 19,585 | 11,799 |