T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$190.7M
$190,650,224
Beneficiaries
2.8M
2,760,153
Avg $/Claim
$60
$69 per beneficiary
Spending Growth
+30.8%
$/Claim: +13.1%
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 | 99215 | $16.6M | $110vs $182 med | 0.61x | 150,525 | 137,566 |
| 2 | 99233 | $6.9M | $69vs $71 med | 0.98x | 99,025 | 38,242 |
| 3 | 99204 | $6.7M | $136vs $118 med | 1.16x | 48,965 | 47,271 |
| 4 | 99203 | $5.5M | $92vs $101 med | 0.91x | 60,347 | 58,317 |
| 5 | 99291 | $5.1M | $179vs $228 med | 0.78x | 28,700 | 11,112 |
| 6 | 71045 | $2.0M | $10vs $44 med | 0.22x | 208,445 | 154,967 |