T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$473.4M
$473,443,036
Beneficiaries
1.0M
1,046,756
Avg $/Claim
$111
$452 per beneficiary
Spending Growth
+30.6%
$/Claim: +56.6%
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 | H2015 | $131.3M | $273vs $225 med | 1.21x | 480,853 | 227,647 |
| 2 | H2017 | $100.8M | $253vs $143 med | 1.77x | 398,988 | 226,167 |
| 3 | H0004 | $38.8M | $118vs $153 med | 0.77x | 328,341 | 112,932 |
| 4 | H0020 | $35.1M | $15vs $24 med | 0.62x | 2,338,012 | 91,286 |
| 5 | H2010 | $32.6M | $341vs $325 med | 1.05x | 95,509 | 85,493 |
| 6 | T1017 | $23.0M | $154vs $225 med | 0.68x | 149,822 | 89,718 |
| 7 | H2013 | $22.8M | $3,133vs $835 med | 3.75x | 7,285 | 2,644 |
| 8 | H0005 | $10.6M | $80vs $67 med | 1.19x | 132,152 | 24,724 |
| 9 | H0032 | $6.8M | $215vs $171 med | 1.26x | 31,707 | 25,373 |
| 10 | H0034 | $6.4M | $187vs $212 med | 0.88x | 34,355 | 26,572 |
| 11 | 90792 | $3.9M | $196vs $289 med | 0.68x | 19,820 | 17,048 |