T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$354.0M
$354,034,396
Beneficiaries
3.7M
3,670,899
Avg $/Claim
$77
$96 per beneficiary
Spending Growth
+11.6%
$/Claim: -18.6%
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 | 99285 | $34.6M | $478vs $399 med | 1.20x | 72,387 | 65,511 |
| 2 | J9271 | $17.8M | $5,560vs $5,028 med | 1.11x | 3,207 | 2,284 |
| 3 | 43239 | $16.4M | $1,180vs $607 med | 1.94x | 13,858 | 13,123 |
| 4 | G0378 | $15.6M | $386vs $640 med | 0.60x | 40,356 | 21,649 |
| 5 | 87635 | $2.5M | $38vs $47 med | 0.79x | 67,027 | 59,530 |
| 6 | 77067 | $2.3M | $99vs $105 med | 0.94x | 23,151 | 22,696 |