T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$556.6M
$556,646,907
Beneficiaries
5.6M
5,639,593
Avg $/Claim
$84
$99 per beneficiary
Spending Growth
+132.4%
$/Claim: +18.8%
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 | $147.0M | $148vs $120 med | 1.24x | 991,232 | 879,763 |
| 2 | 99214 | $56.7M | $162vs $121 med | 1.34x | 349,258 | 315,856 |
| 3 | 99392 | $30.2M | $139vs $105 med | 1.33x | 217,031 | 203,330 |
| 4 | 99391 | $28.9M | $134vs $102 med | 1.32x | 215,592 | 198,126 |
| 5 | 99393 | $16.6M | $137vs $101 med | 1.35x | 121,188 | 112,823 |
| 6 | 99215 | $10.1M | $164vs $182 med | 0.90x | 61,517 | 54,598 |
| 7 | 99394 | $7.4M | $138vs $108 med | 1.28x | 53,877 | 48,501 |
| 8 | D7140 | $2.5M | $549vs $88 med | 6.23x | 4,463 | 3,690 |