T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$303.2M
$303,176,085
Beneficiaries
3.2M
3,200,331
Avg $/Claim
$69
$95 per beneficiary
Spending Growth
+57.3%
$/Claim: +17.8%
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 | 99211 | $45.9M | $94vs $102 med | 0.92x | 488,964 | 412,175 |
| 2 | 90832 | $37.6M | $149vs $111 med | 1.34x | 253,130 | 125,580 |
| 3 | D0999 | $7.4M | $40vs $216 med | 0.19x | 184,354 | 55,774 |
| 4 | D0120 | $5.8M | $37vs $79 med | 0.47x | 156,855 | 63,540 |
| 5 | D1120 | $4.3M | $57vs $50 med | 1.15x | 74,804 | 42,806 |
| 6 | 99392 | $3.5M | $83vs $105 med | 0.80x | 41,825 | 35,770 |
| 7 | 99393 | $3.1M | $91vs $101 med | 0.90x | 33,805 | 30,999 |
| 8 | 90460 | $2.6M | $26vs $36 med | 0.74x | 99,557 | 98,156 |
| 9 | D1110 | $2.6M | $67vs $63 med | 1.06x | 38,285 | 25,917 |
| 10 | 99394 | $2.3M | $93vs $108 med | 0.86x | 24,369 | 22,900 |
| 11 | D1351 | $2.2M | $61vs $31 med | 1.99x | 36,477 | 12,405 |
| 12 | D0150 | $1.6M | $48vs $66 med | 0.72x | 33,268 | 15,581 |
| 13 | D2391 | $1.5M | $74vs $79 med | 0.93x | 19,984 | 12,193 |
| 14 | D0220 | $1.1M | $14vs $19 med | 0.75x | 76,894 | 62,697 |
| 15 | D0272 | $1.1M | $31vs $22 med | 1.42x | 33,902 | 20,293 |