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 |
|---|---|---|---|
| 99199 | Unlisted special svc px/rprt | $1.3B | 4.2M |
| T1015 | Clinic service | $246.5M | 3.6M |
| H2015 | Comp comm supp svc, 15 min | $225.9M | 1.5M |
| H0023 | Alcohol and/or drug outreach | $175.8M | 928.1K |
| H0020 | Alcohol and/or drug services; methadone administration and/or service | $169.4M | 4.1M |
| H2022 | Com wrap-around sv, per diem | $105.1M | 118.9K |
| 90837 | Psytx w pt 60 minutes | $94.2M | 1.3M |
| 99214 | Office o/p est mod 30 min | $71.2M | 2.3M |
| T1024 | Team evaluation & management | $68.7M | 787.2K |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment | $40.9M | 16.7K |