T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$617.0M
$617,017,962
Beneficiaries
48.0M
47,979,402
Avg $/Claim
$12
$13 per beneficiary
Spending Growth
+31.6%
$/Claim: -2.1%
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 | $62.8M | $68vs $67 med | 1.01x | 921,196 | 802,422 |
| 2 | 80053 | $26.9M | $7vs $27 med | 0.26x | 3,831,698 | 3,441,905 |
| 3 | 81420 | $21.0M | $334vs $311 med | 1.08x | 62,806 | 55,991 |
| 4 | 85025 | $17.1M | $5vs $8 med | 0.61x | 3,528,193 | 3,150,958 |
| 5 | 87491 | $16.4M | $32vs $27 med | 1.17x | 520,757 | 473,164 |
| 6 | 87591 | $16.3M | $31vs $26 med | 1.21x | 518,903 | 468,885 |
| 7 | 36415 | $3.2M | $2vs $82 med | 0.02x | 1,702,047 | 1,470,480 |