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 |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $74.6B | 501.7M |
| 99213 | Office o/p est low 20 min | $6.1B | 83.9M |
| T1020 | Personal care ser per diem | $4.6B | 15.1M |
| 99214 | Office o/p est mod 30 min | $3.0B | 33.5M |
| S5126 | Attendant care service /diem | $2.4B | 28.6M |
| G9005 | Mccd, risk adj, maintenance | $2.1B | 6.8M |
| 90834 | Psytx w pt 45 minutes | $2.0B | 15.8M |
| 90832 | Psytx w pt 30 minutes | $1.6B | 14.7M |
| S5105 | Centerbased day care perdiem | $1.5B | 20.4M |
| 99284 | Emergency dept visit mod mdm | $1.0B | 8.1M |