T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$262.2M
$262,198,153
Beneficiaries
3.8M
3,778,857
Avg $/Claim
$58
$69 per beneficiary
Spending Growth
+9.9%
$/Claim: -9.4%
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 | $38.4M | $108vs $120 med | 0.90x | 355,637 | 314,455 |
| 2 | 99212 | $14.9M | $104vs $178 med | 0.58x | 143,014 | 126,499 |
| 3 | 99282 | $8.5M | $99vs $182 med | 0.54x | 85,830 | 80,332 |
| 4 | 80053 | $5.7M | $88vs $27 med | 3.29x | 65,160 | 51,972 |
| 5 | D0120 | $5.6M | $94vs $79 med | 1.18x | 59,735 | 56,417 |
| 6 | 99211 | $5.4M | $139vs $102 med | 1.36x | 38,930 | 33,872 |
| 7 | 97112 | $2.8M | $43vs $47 med | 0.90x | 65,316 | 30,513 |
| 8 | 96365 | $2.6M | $135vs $138 med | 0.98x | 19,144 | 15,524 |
| 9 | 87635 | $2.4M | $65vs $47 med | 1.38x | 36,292 | 33,463 |