T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$6.78B
$6,778,483,867
Beneficiaries
10.5M
10,549,232
Avg $/Claim
$220
$643 per beneficiary
Spending Growth
+7.1%
$/Claim: +40.6%
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 | $2.73B | $211vs $225 med | 0.94x | 12,942,903 | 3,593,769 |
| 2 | H2017 | $870.7M | $201vs $143 med | 1.41x | 4,321,332 | 1,265,212 |
| 3 | T1017 | $570.0M | $159vs $225 med | 0.71x | 3,583,778 | 1,005,568 |
| 4 | H2010 | $552.3M | $176vs $325 med | 0.54x | 3,129,818 | 1,495,215 |
| 5 | H0032 | $499.3M | $152vs $171 med | 0.89x | 3,277,257 | 1,443,736 |
| 6 | 90837 | $368.0M | $393vs $152 med | 2.58x | 936,085 | 401,384 |
| 7 | S9484 | $298.6M | $1,318vs $726 med | 1.82x | 226,456 | 203,252 |
| 8 | H2019 | $107.3M | $423vs $158 med | 2.69x | 253,418 | 24,058 |
| 9 | 90834 | $68.4M | $326vs $118 med | 2.76x | 210,026 | 136,316 |
| 10 | 99232 | $66.9M | $846vs $47 med | 18.03x | 79,041 | 18,240 |
| 11 | H2013 | $58.2M | $813vs $835 med | 0.97x | 71,605 | 4,175 |
| 12 | H0018 | $47.2M | $363vs $507 med | 0.72x | 130,137 | 9,165 |
| 13 | 99215 | $39.8M | $1,007vs $182 med | 5.54x | 39,524 | 34,293 |
| 14 | H2012 | $37.3M | $217vs $188 med | 1.15x | 171,966 | 9,983 |
| 15 | 99214 | $37.2M | $679vs $121 med | 5.59x | 54,786 | 48,507 |
| 16 | H0034 | $33.1M | $216vs $212 med | 1.02x | 153,047 | 97,595 |
| 17 | 90847 | $31.3M | $340vs $139 med | 2.45x | 92,128 | 55,572 |
| 18 | T2021 | $24.2M | $532vs $187 med | 2.85x | 45,468 | 24,724 |
| 19 | H2021 | $19.2M | $253vs $266 med | 0.95x | 75,987 | 34,826 |
| 20 | 90832 | $16.6M | $205vs $111 med | 1.85x | 81,020 | 58,573 |
| 21 | H0038 | $16.0M | $318vs $162 med | 1.96x | 50,201 | 10,739 |
| 22 | H2011 | $14.3M | $396vs $548 med | 0.72x | 36,144 | 24,094 |
| 23 | 99233 | $14.3M | $1,189vs $71 med | 16.81x | 11,983 | 4,312 |
| 24 | 90791 | $8.3M | $113vs $212 med | 0.53x | 73,680 | 54,127 |
| 25 | 99223 | $7.0M | $1,714vs $135 med | 12.66x | 4,079 | 3,989 |