T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$1.08B
$1,080,566,063
Beneficiaries
17.4M
17,395,896
Avg $/Claim
$46
$62 per beneficiary
Spending Growth
+13.6%
$/Claim: -0.9%
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 | G0463 | $115.8M | $93vs $72 med | 1.30x | 1,248,173 | 948,888 |
| 2 | 99285 | $112.7M | $709vs $399 med | 1.77x | 158,886 | 130,232 |
| 3 | 99284 | $95.2M | $392vs $310 med | 1.27x | 242,485 | 202,899 |
| 4 | 99283 | $53.9M | $233vs $251 med | 0.93x | 231,095 | 202,783 |
| 5 | J9271 | $30.9M | $4,989vs $5,028 med | 0.99x | 6,184 | 4,226 |
| 6 | 96374 | $18.6M | $134vs $96 med | 1.40x | 138,750 | 111,516 |
| 7 | U0003 | $15.2M | $66vs $67 med | 0.98x | 230,246 | 187,597 |
| 8 | 97110 | $12.0M | $67vs $79 med | 0.85x | 178,678 | 69,004 |
| 9 | 93306 | $8.6M | $274vs $332 med | 0.83x | 31,253 | 28,349 |
| 10 | 96365 | $7.7M | $128vs $138 med | 0.93x | 60,298 | 41,976 |
| 11 | 99282 | $7.2M | $140vs $182 med | 0.77x | 51,168 | 46,484 |
| 12 | 99291 | $6.7M | $829vs $228 med | 3.63x | 8,065 | 7,217 |
| 13 | 71046 | $6.6M | $50vs $48 med | 1.04x | 131,644 | 114,469 |
| 14 | 74177 | $6.3M | $136vs $508 med | 0.27x | 46,446 | 42,002 |
| 15 | 43239 | $4.5M | $419vs $607 med | 0.69x | 10,671 | 9,816 |
| 16 | 77067 | $2.5M | $106vs $105 med | 1.01x | 23,217 | 22,528 |