T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$1.07B
$1,068,150,355
Beneficiaries
1.3M
1,263,528
Avg $/Claim
$174
$845 per beneficiary
Spending Growth
-13.2%
$/Claim: +55.4%
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 | H2015 | $327.8M | $276vs $225 med | 1.22x | 1,187,836 | 334,072 |
| 2 | S9484 | $150.8M | $2,713vs $726 med | 3.74x | 55,594 | 42,688 |
| 3 | H2017 | $139.7M | $277vs $143 med | 1.94x | 504,798 | 134,835 |
| 4 | H2010 | $85.4M | $282vs $325 med | 0.87x | 303,345 | 159,428 |
| 5 | T1017 | $67.2M | $222vs $225 med | 0.98x | 302,767 | 121,829 |
| 6 | H0032 | $49.9M | $251vs $171 med | 1.46x | 199,225 | 98,982 |
| 7 | H0020 | $37.3M | $14vs $24 med | 0.59x | 2,583,632 | 101,422 |
| 8 | H2013 | $29.3M | $2,638vs $835 med | 3.16x | 11,124 | 1,750 |
| 9 | H0018 | $28.8M | $524vs $507 med | 1.03x | 54,991 | 6,499 |
| 10 | H0004 | $26.1M | $95vs $153 med | 0.62x | 273,964 | 112,779 |
| 11 | H2019 | $21.6M | $329vs $158 med | 2.09x | 65,613 | 7,317 |
| 12 | H0005 | $19.3M | $87vs $67 med | 1.30x | 221,874 | 23,670 |
| 13 | H0034 | $9.2M | $243vs $212 med | 1.15x | 37,860 | 25,319 |