T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$266.4M
$266,391,325
Beneficiaries
5.8M
5,770,297
Avg $/Claim
$36
$46 per beneficiary
Spending Growth
-2.5%
$/Claim: +4.6%
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 | 99285 | $50.3M | $513vs $399 med | 1.28x | 97,958 | 82,745 |
| 2 | G0463 | $18.2M | $93vs $72 med | 1.30x | 196,031 | 142,510 |
| 3 | 96374 | $9.8M | $140vs $96 med | 1.46x | 70,021 | 56,701 |
| 4 | 99291 | $4.4M | $726vs $228 med | 3.18x | 6,029 | 5,357 |
| 5 | 96365 | $2.7M | $117vs $138 med | 0.85x | 22,600 | 17,363 |
| 6 | 71046 | $2.0M | $51vs $48 med | 1.06x | 38,419 | 34,302 |