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 |
|---|---|---|---|
| T1015 | Clinic service | $3.8B | 36.0M |
| 99214 | Office o/p est mod 30 min | $1.4B | 30.5M |
| G0463 | Hospital outpt clinic visit | $1.0B | 28.5M |
| 99283 | Emergency dept visit low mdm | $934.5M | 23.4M |
| 96361 | Hydrate iv infusion add-on | $815.5M | 28.2M |
| 99213 | Office o/p est low 20 min | $656.0M | 19.6M |
| A0999 | Unlisted ambulance service | $433.9M | 1.1M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment | $413.6M | 3.3M |
| 99284 | Emergency dept visit mod mdm | $389.3M | 5.5M |
| 90837 | Psytx w pt 60 minutes | $359.7M | 6.0M |