T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$322.4M
$322,401,873
Beneficiaries
3.9M
3,945,000
Avg $/Claim
$68
$82 per beneficiary
Spending Growth
+12.1%
$/Claim: -12.7%
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 | 99284 | $59.3M | $353vs $310 med | 1.14x | 168,032 | 148,694 |
| 2 | 99283 | $53.8M | $295vs $251 med | 1.18x | 182,234 | 165,521 |
| 3 | 99285 | $33.4M | $498vs $399 med | 1.25x | 67,020 | 58,716 |
| 4 | G0378 | $8.0M | $697vs $640 med | 1.09x | 11,466 | 9,643 |
| 5 | 99282 | $7.0M | $202vs $182 med | 1.11x | 34,752 | 32,417 |
| 6 | 43239 | $5.1M | $570vs $607 med | 0.94x | 8,990 | 8,661 |
| 7 | 93306 | $3.9M | $369vs $332 med | 1.11x | 10,635 | 10,115 |
| 8 | 70450 | $3.5M | $131vs $230 med | 0.57x | 26,623 | 24,152 |