T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$211.1M
$211,134,090
Beneficiaries
17.4M
17,449,588
Avg $/Claim
$11
$12 per beneficiary
Spending Growth
+20.4%
$/Claim: +3.3%
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 | $26.6M | $75vs $67 med | 1.12x | 353,884 | 292,524 |
| 2 | 80307 | $10.1M | $28vs $42 med | 0.69x | 355,805 | 271,796 |
| 3 | 87491 | $9.5M | $17vs $27 med | 0.65x | 546,878 | 486,243 |
| 4 | 87591 | $9.0M | $17vs $26 med | 0.65x | 538,606 | 480,059 |
| 5 | G0480 | $6.9M | $30vs $62 med | 0.48x | 233,742 | 177,670 |
| 6 | 80053 | $6.1M | $5vs $27 med | 0.18x | 1,269,232 | 1,144,975 |
| 7 | 85025 | $3.7M | $4vs $8 med | 0.50x | 950,007 | 854,938 |
| 8 | 81420 | $3.7M | $490vs $311 med | 1.58x | 7,631 | 6,907 |