T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$201.3M
$201,288,692
Beneficiaries
18.0M
18,037,418
Avg $/Claim
$11
$11 per beneficiary
Spending Growth
+236.1%
$/Claim: +66.7%
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 | $46.4M | $27vs $120 med | 0.22x | 1,735,588 | 1,656,290 |
| 2 | 99214 | $40.7M | $41vs $121 med | 0.34x | 988,981 | 945,646 |
| 3 | 99392 | $29.8M | $58vs $105 med | 0.56x | 510,821 | 500,059 |
| 4 | 99391 | $25.8M | $58vs $102 med | 0.57x | 441,996 | 406,946 |
| 5 | 99393 | $20.9M | $57vs $101 med | 0.56x | 368,346 | 361,473 |
| 6 | 99394 | $12.1M | $60vs $108 med | 0.55x | 203,497 | 199,532 |
| 7 | 90460 | $8.1M | $8vs $36 med | 0.22x | 1,016,064 | 991,334 |