T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$429.8M
$429,837,134
Beneficiaries
26.9M
26,928,927
Avg $/Claim
$15
$16 per beneficiary
Spending Growth
+59.0%
$/Claim: +7.9%
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 | G0480 | $28.9M | $57vs $62 med | 0.92x | 505,160 | 362,494 |
| 2 | U0003 | $26.8M | $74vs $67 med | 1.09x | 364,169 | 308,045 |
| 3 | 80307 | $26.0M | $38vs $42 med | 0.92x | 680,904 | 489,805 |
| 4 | 87491 | $24.3M | $27vs $27 med | 1.01x | 893,808 | 824,011 |
| 5 | 87591 | $24.2M | $27vs $26 med | 1.05x | 890,902 | 821,243 |
| 6 | 80053 | $13.0M | $7vs $27 med | 0.26x | 1,849,467 | 1,727,347 |
| 7 | 85025 | $8.3M | $5vs $8 med | 0.61x | 1,700,467 | 1,581,256 |
| 8 | 81420 | $4.4M | $410vs $311 med | 1.32x | 10,751 | 9,654 |
| 9 | 36415 | $4.0M | $3vs $82 med | 0.03x | 1,395,984 | 1,281,072 |