T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$546.5M
$546,516,639
Beneficiaries
3.7M
3,704,323
Avg $/Claim
$110
$148 per beneficiary
Spending Growth
-24.8%
$/Claim: -10.8%
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 | G9005 | $161.8M | $309vs $26 med | 11.98x | 523,334 | 522,952 |
| 2 | 99213 | $140.9M | $106vs $120 med | 0.89x | 1,331,305 | 862,238 |
| 3 | 90832 | $69.9M | $185vs $111 med | 1.68x | 377,239 | 207,260 |
| 4 | T2022 | $36.0M | $562vs $243 med | 2.32x | 63,981 | 63,944 |
| 5 | 99214 | $32.4M | $97vs $121 med | 0.80x | 333,142 | 209,194 |
| 6 | T1016 | $20.4M | $287vs $76 med | 3.78x | 71,087 | 71,000 |
| 7 | 99212 | $16.8M | $82vs $178 med | 0.46x | 204,283 | 136,039 |
| 8 | 99392 | $5.0M | $69vs $105 med | 0.66x | 72,482 | 41,182 |
| 9 | 99391 | $4.7M | $72vs $102 med | 0.71x | 65,861 | 36,842 |
| 10 | 90791 | $4.7M | $188vs $212 med | 0.89x | 25,039 | 22,319 |
| 11 | 99393 | $4.0M | $68vs $101 med | 0.67x | 58,033 | 34,349 |
| 12 | 99394 | $2.4M | $68vs $108 med | 0.63x | 35,214 | 20,748 |
| 13 | D0150 | $1.5M | $32vs $66 med | 0.48x | 48,564 | 11,943 |