T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$643.2M
$643,184,712
Beneficiaries
7.3M
7,277,905
Avg $/Claim
$82
$88 per beneficiary
Spending Growth
+62.1%
$/Claim: -3.9%
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 | 99213 | $226.5M | $110vs $120 med | 0.92x | 2,049,977 | 1,892,947 |
| 2 | S9083 | $135.4M | $156vs $118 med | 1.33x | 868,497 | 793,406 |
| 3 | 99214 | $108.7M | $121vs $121 med | 0.99x | 900,091 | 861,119 |
| 4 | 99203 | $66.7M | $102vs $101 med | 1.02x | 651,224 | 649,391 |
| 5 | 99212 | $33.2M | $102vs $178 med | 0.57x | 324,553 | 299,107 |
| 6 | 99204 | $29.1M | $111vs $118 med | 0.94x | 262,867 | 262,217 |