T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$574.1M
$574,131,420
Beneficiaries
8.9M
8,861,329
Avg $/Claim
$52
$65 per beneficiary
Spending Growth
+47.7%
$/Claim: -4.3%
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 | $233.9M | $109vs $72 med | 1.52x | 2,149,204 | 1,815,709 |
| 2 | 99285 | $30.5M | $184vs $399 med | 0.46x | 165,456 | 131,113 |
| 3 | 96361 | $15.2M | $319vs $313 med | 1.02x | 47,683 | 37,157 |
| 4 | 99392 | $7.4M | $119vs $105 med | 1.14x | 62,120 | 57,687 |
| 5 | 99391 | $6.8M | $116vs $102 med | 1.14x | 58,861 | 51,766 |
| 6 | 90791 | $6.1M | $226vs $212 med | 1.07x | 26,831 | 24,981 |
| 7 | 99393 | $5.9M | $115vs $101 med | 1.14x | 51,529 | 47,683 |
| 8 | 92014 | $5.9M | $82vs $104 med | 0.78x | 72,506 | 69,135 |
| 9 | 99394 | $4.1M | $113vs $108 med | 1.05x | 36,433 | 32,743 |
| 10 | 93306 | $3.8M | $325vs $332 med | 0.98x | 11,665 | 10,700 |
| 11 | 70450 | $3.5M | $233vs $230 med | 1.01x | 15,154 | 12,320 |
| 12 | 96365 | $3.4M | $180vs $138 med | 1.31x | 18,870 | 14,486 |