T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Total Paid
$287.3M
$287,340,554
Beneficiaries
5.5M
5,503,645
Avg $/Claim
$41
$52 per beneficiary
Spending Growth
+12.3%
$/Claim: -10.7%
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 | 99284 | $53.6M | $253vs $310 med | 0.82x | 211,494 | 190,221 |
| 2 | 99285 | $45.3M | $550vs $399 med | 1.38x | 82,315 | 73,073 |
| 3 | 99283 | $31.5M | $141vs $251 med | 0.56x | 223,006 | 205,412 |
| 4 | G0463 | $23.2M | $106vs $72 med | 1.48x | 217,964 | 159,578 |
| 5 | 97110 | $10.4M | $63vs $79 med | 0.80x | 163,580 | 44,723 |
| 6 | 96374 | $7.4M | $143vs $96 med | 1.49x | 52,056 | 44,049 |
| 7 | 99291 | $5.7M | $716vs $228 med | 3.14x | 7,982 | 7,120 |
| 8 | 71046 | $3.5M | $57vs $48 med | 1.19x | 61,080 | 55,074 |