T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$2.68B
$2,683,634,592
Beneficiaries
2.4M
2,441,087
Avg $/Claim
$75
$1,099 per beneficiary
Spending Growth
+110.5%
$/Claim: +38.0%
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 | T1019 | $825.6M | $67vs $153 med | 0.44x | 12,381,344 | 609,244 |
| 2 | S5135 | $649.1M | $106vs $94 med | 1.13x | 6,109,389 | 258,680 |
| 3 | S5125 | $262.5M | $65vs $64 med | 1.01x | 4,067,945 | 156,672 |
| 4 | S5130 | $208.0M | $35vs $101 med | 0.35x | 5,941,532 | 382,095 |
| 5 | H2015 | $201.7M | $89vs $225 med | 0.40x | 2,264,752 | 114,099 |
| 6 | S5126 | $68.6M | $293vs $108 med | 2.73x | 233,936 | 8,094 |
| 7 | T2013 | $52.6M | $160vs $161 med | 0.99x | 328,024 | 11,238 |
| 8 | S5150 | $38.0M | $103vs $91 med | 1.13x | 369,498 | 38,131 |
| 9 | T1005 | $30.2M | $81vs $84 med | 0.97x | 371,150 | 48,994 |
| 10 | T2025 | $23.6M | $101vs $213 med | 0.48x | 233,342 | 213,857 |
| 11 | T2003 | $12.6M | $48vs $36 med | 1.33x | 263,801 | 17,154 |
| 12 | H0043 | $10.9M | $178vs $193 med | 0.92x | 61,325 | 2,809 |
| 13 | T2012 | $7.0M | $167vs $180 med | 0.93x | 41,850 | 1,409 |