T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$386.7M
$386,699,974
Beneficiaries
4.4M
4,360,064
Avg $/Claim
$73
$89 per beneficiary
Spending Growth
+135.1%
$/Claim: -1.7%
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 | $61.8M | $108vs $120 med | 0.90x | 573,206 | 521,812 |
| 2 | 99212 | $17.4M | $107vs $178 med | 0.60x | 163,466 | 155,859 |
| 3 | 99392 | $6.0M | $119vs $105 med | 1.14x | 50,097 | 47,820 |
| 4 | 90791 | $5.9M | $264vs $212 med | 1.25x | 22,350 | 19,273 |
| 5 | 99391 | $5.4M | $114vs $102 med | 1.12x | 47,517 | 44,436 |
| 6 | 99393 | $5.4M | $118vs $101 med | 1.16x | 45,667 | 43,800 |
| 7 | 99394 | $2.6M | $118vs $108 med | 1.10x | 22,356 | 20,952 |
| 8 | D7140 | $2.0M | $494vs $88 med | 5.60x | 4,003 | 3,141 |