T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$961.1M
$961,141,901
Beneficiaries
14.7M
14,680,462
Avg $/Claim
$56
$65 per beneficiary
Spending Growth
+110.9%
$/Claim: +25.9%
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 | 99213 | $91.4M | $159vs $120 med | 1.33x | 574,884 | 509,794 |
| 2 | 99214 | $69.1M | $167vs $121 med | 1.38x | 413,654 | 367,386 |
| 3 | G2067 | $47.3M | $201vs $178 med | 1.13x | 235,703 | 90,809 |
| 4 | H0020 | $31.3M | $36vs $24 med | 1.47x | 870,230 | 109,766 |
| 5 | 99282 | $29.2M | $201vs $182 med | 1.11x | 145,168 | 138,414 |
| 6 | 90832 | $26.9M | $126vs $111 med | 1.14x | 213,317 | 150,860 |
| 7 | 99212 | $25.4M | $152vs $178 med | 0.85x | 166,900 | 142,747 |
| 8 | 99215 | $17.0M | $187vs $182 med | 1.03x | 91,035 | 83,839 |
| 9 | J9271 | $16.5M | $8,467vs $5,028 med | 1.68x | 1,952 | 1,568 |
| 10 | 96361 | $11.7M | $171vs $313 med | 0.55x | 68,498 | 58,026 |
| 11 | 80053 | $10.9M | $22vs $27 med | 0.80x | 504,368 | 438,504 |
| 12 | 99392 | $4.9M | $121vs $105 med | 1.16x | 40,108 | 39,948 |
| 13 | 99391 | $4.7M | $141vs $102 med | 1.38x | 33,321 | 32,690 |
| 14 | 99393 | $4.6M | $118vs $101 med | 1.17x | 39,169 | 38,984 |
| 15 | 93306 | $4.5M | $177vs $332 med | 0.53x | 25,490 | 24,982 |
| 16 | 43239 | $3.9M | $735vs $607 med | 1.21x | 5,274 | 5,187 |
| 17 | 77067 | $3.4M | $87vs $105 med | 0.83x | 39,410 | 39,264 |
| 18 | 99394 | $3.4M | $119vs $108 med | 1.10x | 28,430 | 28,107 |
| 19 | 96365 | $2.9M | $109vs $138 med | 0.79x | 26,696 | 23,479 |
| 20 | 92014 | $2.6M | $134vs $104 med | 1.28x | 19,674 | 18,785 |