T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$218.8M
$218,818,427
Beneficiaries
3.9M
3,884,408
Avg $/Claim
$51
$56 per beneficiary
Spending Growth
+32.5%
$/Claim: +0.4%
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 | 99214 | $65.2M | $81vs $121 med | 0.66x | 809,661 | 744,476 |
| 2 | 99213 | $54.1M | $59vs $120 med | 0.49x | 919,464 | 836,730 |
| 3 | 99204 | $6.1M | $128vs $118 med | 1.09x | 47,667 | 45,935 |
| 4 | 90460 | $5.8M | $27vs $36 med | 0.75x | 216,337 | 209,491 |
| 5 | 99393 | $4.9M | $97vs $101 med | 0.96x | 51,110 | 50,429 |
| 6 | 87635 | $4.7M | $43vs $47 med | 0.91x | 110,385 | 104,828 |
| 7 | 99392 | $4.5M | $97vs $105 med | 0.92x | 46,099 | 45,400 |
| 8 | 93306 | $4.1M | $158vs $332 med | 0.48x | 25,657 | 24,366 |
| 9 | 99394 | $3.6M | $105vs $108 med | 0.97x | 34,757 | 34,234 |