$22B in 2019 is worth about $27B in 2025. Population growth of about 15.3% over that span bumps that to about 30.1B. So there's been a negligible change in per capita spending.
We do know that hundreds of millions have gone to things like useless tylenol, cancelled lab contracts, and other corruption/idealogical stupidity under the UCP's watch, so I think there's a strong argument that spending on actual patients has decreased.
Also worth noting that baby boomers were aged ~55-73 in 2019. They're now 61-79. Which means a subtle but significant change in healthcare resource utilization, and we should expect to pay more to achieve the same level of service:
https://pmc.ncbi.nlm.nih.gov/articles/PMC8133481/
edit: for anyone else curious like I was about the high rate of hospital admission for 30 year olds, it looks like the reason is childbirth