T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$500.5M
$500,546,324
Beneficiaries
5.1M
5,089,874
Avg $/Claim
$70
$98 per beneficiary
Spending Growth
+112.8%
$/Claim: +97.2%
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 | $71.1M | $203vs $121 med | 1.67x | 351,075 | 291,661 |
| 2 | 99213 | $50.7M | $205vs $120 med | 1.72x | 246,914 | 206,988 |
| 3 | 99212 | $23.8M | $209vs $178 med | 1.17x | 113,575 | 100,224 |
| 4 | J9271 | $12.2M | $5,922vs $5,028 med | 1.18x | 2,057 | 1,384 |
| 5 | 99211 | $7.6M | $202vs $102 med | 1.98x | 37,717 | 32,287 |
| 6 | 93306 | $7.3M | $492vs $332 med | 1.48x | 14,886 | 13,156 |
| 7 | 99204 | $4.7M | $204vs $118 med | 1.73x | 23,081 | 21,853 |
| 8 | 96365 | $4.5M | $187vs $138 med | 1.35x | 24,071 | 15,518 |
| 9 | 43239 | $4.4M | $824vs $607 med | 1.36x | 5,355 | 4,935 |