CMS T-MSIS data, 2018-2024
Concourse Sentinel connects to large-scale healthcare billing datasets β including CMS T-MSIS claims, provider enrollment (PECOS), and federal exclusion lists β and runs millions of automated statistical analyses to surface billing anomalies and areas warranting further review.
| Code | Description | Total Paid | Claims |
|---|---|---|---|
| T2016 | Habil res waiver per diem | $1.8B | 477.6K |
| T1015 | Clinic service | $700.3M | 5.9M |
| T1019 | Personal care ser per 15 min | $627.9M | 3.5M |
| 99214 | Office o/p est mod 30 min | $401.7M | 7.1M |
| 99213 | Office o/p est low 20 min | $369.1M | 8.9M |
| H0036 | Comm psy face-face per 15min | $338.8M | 4.8M |
| 81479 | Unlisted molecular pathology | $267.9M | 168.8K |
| T2021 | Day habil waiver per 15 min | $211.7M | 520.3K |
| 99284 | Emergency dept visit mod mdm | $192.2M | 3.1M |
| A0431 | Rotary wing air transport | $176.1M | 105.9K |