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 |
|---|---|---|---|
| 8888888 | Code 8888888 | $700.2M | 10.1M |
| 90837 | Psytx w pt 60 minutes | $585.0M | 5.7M |
| 97153 | Adaptive behavior tx by tech | $333.9M | 1.6M |
| A0380 | Basic life support mileage | $299.9M | 14.7M |
| H2016 | Comp comm supp svc, per diem | $293.5M | 2.7M |
| 99213 | Office o/p est low 20 min | $249.1M | 4.0M |
| G0463 | Hospital outpt clinic visit | $221.2M | 4.8M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment | $201.4M | 755.3K |
| A0429 | Bls-emergency | $197.7M | 1.0M |
| 99214 | Office o/p est mod 30 min | $194.4M | 4.3M |