T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$317.6M
$317,626,964
Beneficiaries
9.6M
9,572,370
Avg $/Claim
$31
$33 per beneficiary
Spending Growth
+192.1%
$/Claim: +6.7%
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 | $50.8M | $88vs $120 med | 0.74x | 575,655 | 548,993 |
| 2 | 99392 | $10.1M | $112vs $105 med | 1.07x | 90,301 | 88,707 |
| 3 | 81420 | $9.6M | $728vs $311 med | 2.34x | 13,246 | 12,850 |
| 4 | 99391 | $8.6M | $100vs $102 med | 0.99x | 85,268 | 75,399 |
| 5 | 87635 | $6.8M | $56vs $47 med | 1.18x | 122,337 | 109,440 |
| 6 | 92014 | $6.2M | $123vs $104 med | 1.18x | 50,301 | 49,370 |
| 7 | 87591 | $5.9M | $38vs $26 med | 1.47x | 154,970 | 146,112 |
| 8 | 87491 | $5.9M | $38vs $27 med | 1.41x | 155,174 | 146,310 |
| 9 | 92004 | $5.3M | $150vs $122 med | 1.23x | 35,053 | 34,360 |
| 10 | 77067 | $5.1M | $149vs $105 med | 1.42x | 33,883 | 33,514 |
| 11 | 99393 | $4.6M | $110vs $101 med | 1.09x | 42,006 | 41,372 |
| 12 | 88305 | $3.4M | $124vs $81 med | 1.53x | 27,542 | 24,376 |
| 13 | V2020 | $2.6M | $44vs $37 med | 1.18x | 59,058 | 55,015 |
| 14 | 99394 | $1.6M | $122vs $108 med | 1.13x | 13,350 | 13,048 |