T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$1.44B
$1,436,181,705
Beneficiaries
92.1M
92,077,561
Avg $/Claim
$14
$16 per beneficiary
Spending Growth
+11.1%
$/Claim: -17.1%
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 | U0003 | $155.6M | $78vs $67 med | 1.17x | 1,983,525 | 1,689,870 |
| 2 | 87491 | $85.1M | $21vs $27 med | 0.80x | 3,981,823 | 3,529,580 |
| 3 | 87591 | $79.5M | $20vs $26 med | 0.77x | 3,971,406 | 3,519,252 |
| 4 | 80307 | $76.3M | $35vs $42 med | 0.83x | 2,203,806 | 1,676,690 |
| 5 | 81420 | $44.8M | $435vs $311 med | 1.40x | 102,856 | 90,928 |
| 6 | G0483 | $39.3M | $71vs $139 med | 0.51x | 550,209 | 455,167 |
| 7 | G0480 | $33.2M | $49vs $62 med | 0.78x | 683,864 | 470,467 |
| 8 | 80053 | $27.2M | $6vs $27 med | 0.21x | 4,808,049 | 4,332,815 |
| 9 | 85025 | $18.6M | $4vs $8 med | 0.54x | 4,296,335 | 3,856,883 |
| 10 | 36415 | $6.1M | $1vs $82 med | 0.02x | 4,419,276 | 3,843,226 |
| 11 | 88305 | $5.5M | $53vs $81 med | 0.66x | 102,554 | 91,575 |
| 12 | 87635 | $4.0M | $40vs $47 med | 0.84x | 101,476 | 91,644 |