T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$243.0M
$242,963,811
Beneficiaries
1.9M
1,923,577
Avg $/Claim
$111
$126 per beneficiary
Spending Growth
+53.4%
$/Claim: +69.6%
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 | 99212 | $58.1M | $220vs $178 med | 1.23x | 264,410 | 222,193 |
| 2 | 99283 | $41.1M | $265vs $251 med | 1.06x | 155,024 | 141,958 |
| 3 | 99282 | $6.5M | $192vs $182 med | 1.06x | 34,135 | 32,647 |
| 4 | 99392 | $3.4M | $193vs $105 med | 1.84x | 17,601 | 16,491 |
| 5 | 99393 | $3.4M | $197vs $101 med | 1.94x | 17,238 | 16,174 |
| 6 | 99394 | $2.1M | $208vs $108 med | 1.93x | 10,116 | 9,523 |