T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$283.2M
$283,151,941
Beneficiaries
3.2M
3,188,351
Avg $/Claim
$63
$89 per beneficiary
Spending Growth
+21.9%
$/Claim: +20.0%
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 | 99284 | $35.0M | $275vs $310 med | 0.89x | 127,579 | 108,040 |
| 2 | 99283 | $32.5M | $194vs $251 med | 0.77x | 168,044 | 145,757 |
| 3 | 99285 | $30.8M | $370vs $399 med | 0.93x | 83,226 | 61,701 |
| 4 | 74177 | $11.2M | $444vs $508 med | 0.87x | 25,248 | 22,117 |
| 5 | H0035 | $9.5M | $138vs $141 med | 0.98x | 68,412 | 5,276 |
| 6 | 99282 | $6.5M | $126vs $182 med | 0.69x | 51,486 | 44,559 |
| 7 | 74176 | $4.4M | $274vs $399 med | 0.69x | 15,919 | 13,912 |
| 8 | 70450 | $4.2M | $164vs $230 med | 0.71x | 25,561 | 21,826 |
| 9 | 96374 | $3.9M | $38vs $96 med | 0.40x | 102,885 | 69,202 |
| 10 | 93306 | $3.9M | $428vs $332 med | 1.29x | 9,064 | 7,676 |
| 11 | 71045 | $3.7M | $55vs $44 med | 1.25x | 66,600 | 54,135 |
| 12 | 43239 | $3.4M | $541vs $607 med | 0.89x | 6,311 | 5,082 |
| 13 | 71046 | $2.3M | $79vs $48 med | 1.63x | 28,615 | 24,194 |