T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$212.3M
$212,275,717
Beneficiaries
14.4M
14,418,740
Avg $/Claim
$14
$15 per beneficiary
Spending Growth
+30.2%
$/Claim: -9.6%
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 | U0003 | $15.7M | $74vs $67 med | 1.10x | 213,595 | 179,756 |
| 2 | 87591 | $12.3M | $29vs $26 med | 1.10x | 430,570 | 401,539 |
| 3 | 87491 | $12.2M | $29vs $27 med | 1.09x | 417,643 | 388,830 |
| 4 | 80053 | $8.2M | $8vs $27 med | 0.28x | 1,084,491 | 1,023,640 |
| 5 | 85025 | $5.1M | $5vs $8 med | 0.67x | 964,183 | 901,476 |
| 6 | 81420 | $3.7M | $465vs $311 med | 1.50x | 7,958 | 7,512 |