T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$185.3M
$185,264,697
Beneficiaries
3.6M
3,645,427
Avg $/Claim
$41
$51 per beneficiary
Spending Growth
+99.9%
$/Claim: +53.2%
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 | 99213 | $44.6M | $50vs $120 med | 0.42x | 888,043 | 795,096 |
| 2 | 99214 | $42.6M | $66vs $121 med | 0.54x | 645,447 | 575,444 |
| 3 | 99232 | $13.4M | $37vs $47 med | 0.80x | 357,933 | 141,279 |
| 4 | 99391 | $6.9M | $82vs $102 med | 0.80x | 85,174 | 69,963 |
| 5 | 99392 | $5.9M | $87vs $105 med | 0.84x | 67,850 | 60,874 |
| 6 | 99223 | $5.5M | $103vs $135 med | 0.76x | 53,646 | 48,044 |
| 7 | 99203 | $5.1M | $63vs $101 med | 0.63x | 80,173 | 73,921 |
| 8 | 99204 | $5.1M | $87vs $118 med | 0.74x | 58,507 | 54,024 |