T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$555.7M
$555,705,726
Beneficiaries
3.6M
3,641,942
Avg $/Claim
$133
$153 per beneficiary
Spending Growth
+28.6%
$/Claim: +3.5%
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 | 99284 | $82.4M | $635vs $310 med | 2.05x | 129,761 | 124,914 |
| 2 | 99285 | $68.0M | $911vs $399 med | 2.28x | 74,614 | 70,649 |
| 3 | 99283 | $63.2M | $357vs $251 med | 1.42x | 177,305 | 169,883 |
| 4 | 93306 | $10.2M | $628vs $332 med | 1.89x | 16,320 | 15,637 |
| 5 | 88305 | $9.5M | $716vs $81 med | 8.87x | 13,211 | 12,854 |
| 6 | 99282 | $7.1M | $157vs $182 med | 0.87x | 44,927 | 43,974 |
| 7 | 80053 | $6.2M | $68vs $27 med | 2.52x | 91,852 | 71,530 |
| 8 | 43239 | $3.8M | $460vs $607 med | 0.76x | 8,294 | 8,153 |
| 9 | 97112 | $3.3M | $101vs $47 med | 2.14x | 32,652 | 10,908 |