T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$637.7M
$637,741,417
Beneficiaries
54.6M
54,552,026
Avg $/Claim
$11
$12 per beneficiary
Spending Growth
+32.4%
$/Claim: -8.6%
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 | U0003 | $95.0M | $75vs $67 med | 1.12x | 1,267,341 | 1,143,759 |
| 2 | 80307 | $32.2M | $27vs $42 med | 0.64x | 1,202,543 | 697,215 |
| 3 | 87491 | $31.7M | $19vs $27 med | 0.71x | 1,657,300 | 1,603,761 |
| 4 | 87591 | $31.0M | $19vs $26 med | 0.73x | 1,635,831 | 1,582,880 |
| 5 | 80053 | $15.5M | $6vs $27 med | 0.21x | 2,795,608 | 2,709,453 |
| 6 | G0480 | $10.6M | $34vs $62 med | 0.54x | 315,169 | 204,528 |
| 7 | 85025 | $10.2M | $4vs $8 med | 0.46x | 2,769,243 | 2,686,502 |
| 8 | 81420 | $6.7M | $271vs $311 med | 0.87x | 24,697 | 24,162 |
| 9 | 88305 | $4.9M | $48vs $81 med | 0.59x | 101,540 | 78,661 |
| 10 | 87635 | $3.6M | $41vs $47 med | 0.87x | 86,863 | 84,721 |