T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$132.4M
$132,391,899
Beneficiaries
10.0M
9,976,988
Avg $/Claim
$12
$13 per beneficiary
Spending Growth
+25.1%
$/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 | 80307 | $20.5M | $27vs $42 med | 0.65x | 761,585 | 454,645 |
| 2 | U0003 | $18.3M | $73vs $67 med | 1.08x | 252,167 | 204,948 |
| 3 | 87491 | $6.6M | $21vs $27 med | 0.76x | 319,571 | 301,943 |
| 4 | 87591 | $6.4M | $20vs $26 med | 0.78x | 316,074 | 298,520 |
| 5 | G0480 | $5.6M | $34vs $62 med | 0.55x | 164,423 | 112,832 |
| 6 | 81420 | $1.5M | $314vs $311 med | 1.01x | 4,690 | 4,592 |