T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$863.5M
$863,549,396
Beneficiaries
12.9M
12,948,304
Avg $/Claim
$54
$67 per beneficiary
Spending Growth
+186.5%
$/Claim: +31.1%
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 | G0463 | $270.0M | $107vs $72 med | 1.49x | 2,534,307 | 2,108,085 |
| 2 | 99285 | $45.3M | $87vs $399 med | 0.22x | 518,214 | 448,053 |
| 3 | 99284 | $37.4M | $64vs $310 med | 0.21x | 582,362 | 517,566 |
| 4 | J9271 | $14.6M | $8,831vs $5,028 med | 1.76x | 1,649 | 1,042 |
| 5 | 96361 | $11.3M | $365vs $313 med | 1.17x | 30,936 | 22,003 |
| 6 | 97110 | $8.7M | $85vs $79 med | 1.07x | 101,964 | 50,594 |
| 7 | 93306 | $7.8M | $104vs $332 med | 0.31x | 75,564 | 63,480 |
| 8 | 99391 | $7.0M | $77vs $102 med | 0.76x | 90,120 | 60,276 |
| 9 | 99392 | $6.7M | $84vs $105 med | 0.80x | 79,897 | 56,615 |
| 10 | 96365 | $5.5M | $194vs $138 med | 1.41x | 28,386 | 16,823 |
| 11 | 43239 | $5.2M | $358vs $607 med | 0.59x | 14,524 | 10,579 |
| 12 | 88305 | $5.0M | $34vs $81 med | 0.42x | 146,885 | 133,210 |
| 13 | 99291 | $4.1M | $48vs $228 med | 0.21x | 86,131 | 43,501 |
| 14 | 70450 | $3.7M | $82vs $230 med | 0.36x | 44,727 | 39,618 |
| 15 | 99393 | $3.2M | $92vs $101 med | 0.91x | 34,846 | 26,968 |
| 16 | 99394 | $2.1M | $113vs $108 med | 1.05x | 18,593 | 14,719 |