T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$209.7M
$209,657,270
Beneficiaries
5.3M
5,285,039
Avg $/Claim
$35
$40 per beneficiary
Spending Growth
-1.9%
$/Claim: +35.4%
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 | 99214 | $39.0M | $70vs $121 med | 0.57x | 559,918 | 489,568 |
| 2 | 99215 | $5.6M | $90vs $182 med | 0.49x | 62,679 | 56,661 |
| 3 | 99392 | $4.0M | $67vs $105 med | 0.64x | 59,521 | 57,383 |
| 4 | 99393 | $2.9M | $65vs $101 med | 0.64x | 44,702 | 42,686 |
| 5 | 92014 | $2.9M | $77vs $104 med | 0.73x | 37,798 | 36,999 |
| 6 | 92004 | $2.7M | $94vs $122 med | 0.77x | 28,574 | 28,091 |
| 7 | 90460 | $2.7M | $23vs $36 med | 0.63x | 118,833 | 114,703 |
| 8 | 99394 | $1.6M | $70vs $108 med | 0.65x | 22,312 | 21,577 |