T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$3.09B
$3,093,063,113
Beneficiaries
16.4M
16,440,856
Avg $/Claim
$29
$188 per beneficiary
Spending Growth
+38.4%
$/Claim: +24.1%
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 | A0100 | $1.27B | $33vs $40 med | 0.83x | 38,422,249 | 6,409,867 |
| 2 | A0130 | $659.8M | $51vs $47 med | 1.09x | 12,845,876 | 2,041,971 |
| 3 | A0120 | $291.2M | $38vs $49 med | 0.77x | 7,658,268 | 1,653,035 |
| 4 | A0428 | $285.9M | $129vs $128 med | 1.01x | 2,209,337 | 583,983 |
| 5 | T2003 | $127.2M | $13vs $36 med | 0.37x | 9,460,193 | 1,388,502 |
| 6 | A0425 | $80.7M | $9vs $74 med | 0.12x | 8,866,851 | 1,270,849 |
| 7 | S0215 | $21.5M | $5vs $66 med | 0.08x | 4,162,859 | 408,871 |