T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$336.4M
$336,381,756
Beneficiaries
2.4M
2,434,439
Avg $/Claim
$106
$138 per beneficiary
Spending Growth
+18.3%
$/Claim: -8.5%
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 | 99283 | $37.0M | $370vs $251 med | 1.48x | 100,033 | 89,779 |
| 2 | G0378 | $32.1M | $803vs $640 med | 1.26x | 39,941 | 31,067 |
| 3 | 99284 | $31.9M | $402vs $310 med | 1.30x | 79,293 | 70,245 |
| 4 | 99285 | $30.0M | $535vs $399 med | 1.34x | 56,159 | 49,239 |
| 5 | A0429 | $29.6M | $299vs $249 med | 1.20x | 99,120 | 75,341 |
| 6 | H0035 | $21.0M | $270vs $141 med | 1.92x | 77,767 | 7,206 |
| 7 | 99282 | $7.4M | $258vs $182 med | 1.42x | 28,613 | 26,271 |
| 8 | 43239 | $4.5M | $1,536vs $607 med | 2.53x | 2,957 | 2,806 |
| 9 | 93306 | $3.7M | $698vs $332 med | 2.10x | 5,264 | 5,108 |