T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$316.3M
$316,278,903
Beneficiaries
4.6M
4,632,306
Avg $/Claim
$43
$68 per beneficiary
Spending Growth
+22.8%
$/Claim: +13.6%
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 | 99285 | $55.0M | $522vs $399 med | 1.31x | 105,392 | 86,273 |
| 2 | 99284 | $31.1M | $291vs $310 med | 0.94x | 106,844 | 92,479 |
| 3 | G0463 | $25.7M | $88vs $72 med | 1.22x | 293,204 | 218,070 |
| 4 | 97110 | $21.7M | $54vs $79 med | 0.68x | 403,235 | 112,061 |
| 5 | J9271 | $8.5M | $5,039vs $5,028 med | 1.00x | 1,678 | 1,081 |
| 6 | 96374 | $7.4M | $141vs $96 med | 1.47x | 52,522 | 44,001 |
| 7 | 96365 | $2.9M | $119vs $138 med | 0.87x | 24,061 | 16,188 |
| 8 | 71046 | $2.5M | $55vs $48 med | 1.14x | 45,389 | 39,703 |