T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$491.0M
$491,010,299
Beneficiaries
8.2M
8,157,533
Avg $/Claim
$50
$60 per beneficiary
Spending Growth
+23.2%
$/Claim: +6.6%
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 | 99214 | $61.7M | $134vs $121 med | 1.11x | 459,556 | 387,479 |
| 2 | 99212 | $29.2M | $142vs $178 med | 0.80x | 206,128 | 173,700 |
| 3 | 96361 | $23.0M | $366vs $313 med | 1.17x | 62,693 | 52,867 |
| 4 | 99211 | $9.5M | $141vs $102 med | 1.38x | 67,301 | 61,637 |
| 5 | 43239 | $4.6M | $650vs $607 med | 1.07x | 7,013 | 6,867 |
| 6 | 96365 | $4.3M | $164vs $138 med | 1.19x | 26,056 | 20,795 |
| 7 | 92014 | $2.5M | $76vs $104 med | 0.72x | 32,644 | 31,699 |