diff --git a/homeassistant/components/anthropic/conversation.py b/homeassistant/components/anthropic/conversation.py
index 56b8031417b..7e1fda467a8 100644
--- a/homeassistant/components/anthropic/conversation.py
+++ b/homeassistant/components/anthropic/conversation.py
@@ -9,11 +9,13 @@ from anthropic import AsyncStream
 from anthropic._types import NOT_GIVEN
 from anthropic.types import (
     InputJSONDelta,
+    MessageDeltaUsage,
     MessageParam,
     MessageStreamEvent,
     RawContentBlockDeltaEvent,
     RawContentBlockStartEvent,
     RawContentBlockStopEvent,
+    RawMessageDeltaEvent,
     RawMessageStartEvent,
     RawMessageStopEvent,
     RedactedThinkingBlock,
@@ -31,6 +33,7 @@ from anthropic.types import (
     ToolResultBlockParam,
     ToolUseBlock,
     ToolUseBlockParam,
+    Usage,
 )
 from voluptuous_openapi import convert
 
@@ -162,7 +165,8 @@ def _convert_content(
     return messages
 
 
-async def _transform_stream(
+async def _transform_stream(  # noqa: C901 - This is complex, but better to have it in one place
+    chat_log: conversation.ChatLog,
     result: AsyncStream[MessageStreamEvent],
     messages: list[MessageParam],
 ) -> AsyncGenerator[conversation.AssistantContentDeltaDict]:
@@ -207,6 +211,7 @@ async def _transform_stream(
         | None
     ) = None
     current_tool_args: str
+    input_usage: Usage | None = None
 
     async for response in result:
         LOGGER.debug("Received response: %s", response)
@@ -215,6 +220,7 @@ async def _transform_stream(
             if response.message.role != "assistant":
                 raise ValueError("Unexpected message role")
             current_message = MessageParam(role=response.message.role, content=[])
+            input_usage = response.message.usage
         elif isinstance(response, RawContentBlockStartEvent):
             if isinstance(response.content_block, ToolUseBlock):
                 current_block = ToolUseBlockParam(
@@ -285,12 +291,34 @@ async def _transform_stream(
                 raise ValueError("Unexpected stop event without a current message")
             current_message["content"].append(current_block)  # type: ignore[union-attr]
             current_block = None
+        elif isinstance(response, RawMessageDeltaEvent):
+            if (usage := response.usage) is not None:
+                chat_log.async_trace(_create_token_stats(input_usage, usage))
         elif isinstance(response, RawMessageStopEvent):
             if current_message is not None:
                 messages.append(current_message)
                 current_message = None
 
 
+def _create_token_stats(
+    input_usage: Usage | None, response_usage: MessageDeltaUsage
+) -> dict[str, Any]:
+    """Create token stats for conversation agent tracing."""
+    input_tokens = 0
+    cached_input_tokens = 0
+    if input_usage:
+        input_tokens = input_usage.input_tokens
+        cached_input_tokens = input_usage.cache_creation_input_tokens or 0
+    output_tokens = response_usage.output_tokens
+    return {
+        "stats": {
+            "input_tokens": input_tokens,
+            "cached_input_tokens": cached_input_tokens,
+            "output_tokens": output_tokens,
+        }
+    }
+
+
 class AnthropicConversationEntity(
     conversation.ConversationEntity, conversation.AbstractConversationAgent
 ):
@@ -393,7 +421,8 @@ class AnthropicConversationEntity(
                     [
                         content
                         async for content in chat_log.async_add_delta_content_stream(
-                            user_input.agent_id, _transform_stream(stream, messages)
+                            user_input.agent_id,
+                            _transform_stream(chat_log, stream, messages),
                         )
                         if not isinstance(content, conversation.AssistantContent)
                     ]
diff --git a/tests/components/anthropic/test_conversation.py b/tests/components/anthropic/test_conversation.py
index caaef43e931..8706abf36c0 100644
--- a/tests/components/anthropic/test_conversation.py
+++ b/tests/components/anthropic/test_conversation.py
@@ -8,9 +8,11 @@ from anthropic import RateLimitError
 from anthropic.types import (
     InputJSONDelta,
     Message,
+    MessageDeltaUsage,
     RawContentBlockDeltaEvent,
     RawContentBlockStartEvent,
     RawContentBlockStopEvent,
+    RawMessageDeltaEvent,
     RawMessageStartEvent,
     RawMessageStopEvent,
     RawMessageStreamEvent,
@@ -23,6 +25,7 @@ from anthropic.types import (
     ToolUseBlock,
     Usage,
 )
+from anthropic.types.raw_message_delta_event import Delta
 from freezegun import freeze_time
 from httpx import URL, Request, Response
 import pytest
@@ -65,6 +68,11 @@ def create_messages(
             type="message_start",
         ),
         *content_blocks,
+        RawMessageDeltaEvent(
+            type="message_delta",
+            delta=Delta(stop_reason="end_turn", stop_sequence=""),
+            usage=MessageDeltaUsage(output_tokens=0),
+        ),
         RawMessageStopEvent(type="message_stop"),
     ]