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 | $408.0M | 1.0M |
| W0725 | Code W0725 | $247.8M | 98.3K |
| T2021 | Day habil waiver per 15 min | $172.5M | 1.0M |
| 99213 | Office o/p est low 20 min | $104.5M | 1.1M |
| W0715 | Code W0715 | $96.0M | 212.6K |
| 99214 | Office o/p est mod 30 min | $72.0M | 727.9K |
| W0300 | Code W0300 | $51.6M | 82.4K |
| S5125 | Attendant care service /15m | $48.1M | 269.6K |
| 99284 | Emergency dept visit mod mdm | $47.4M | 270.9K |
| 99283 | Emergency dept visit low mdm | $39.8M | 261.4K |