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 | $4.7B | 34.7M |
| H2022 | Com wrap-around sv, per diem | $2.3B | 4.8M |
| 99214 | Office o/p est mod 30 min | $2.2B | 52.5M |
| 99283 | Emergency dept visit low mdm | $2.1B | 49.9M |
| H0023 | Alcohol and/or drug outreach | $1.7B | 9.5M |
| H0046 | Mental health service, nos | $1.5B | 8.0M |
| T2033 | Res, nos waiver per diem | $1.4B | 584.2K |
| G0463 | Hospital outpt clinic visit | $860.9M | 13.2M |
| 99213 | Office o/p est low 20 min | $831.3M | 26.8M |
| 99284 | Emergency dept visit mod mdm | $727.5M | 20.1M |