T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$241.4M
$241,430,553
Beneficiaries
4.8M
4,843,043
Avg $/Claim
$41
$50 per beneficiary
Spending Growth
+18.7%
$/Claim: +2.0%
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 | 99212 | $17.6M | $47vs $178 med | 0.27x | 372,199 | 325,941 |
| 2 | 80053 | $16.5M | $97vs $27 med | 3.61x | 169,784 | 132,574 |
| 3 | 99211 | $15.5M | $66vs $102 med | 0.65x | 233,261 | 206,779 |
| 4 | 36415 | $13.2M | $53vs $82 med | 0.65x | 246,755 | 193,765 |
| 5 | 88305 | $3.3M | $129vs $81 med | 1.60x | 25,166 | 18,908 |
| 6 | 96365 | $2.6M | $109vs $138 med | 0.79x | 23,498 | 16,447 |