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 |
|---|---|---|---|
| H2017 | Psysoc rehab svc, per 15 min | $1.3B | 14.6M |
| 99283 | Emergency dept visit low mdm | $1.0B | 40.5M |
| 99214 | Office o/p est mod 30 min | $827.5M | 32.4M |
| 99213 | Office o/p est low 20 min | $583.2M | 15.6M |
| T1016 | Case management | $384.1M | 5.7M |
| T1015 | Clinic service | $341.3M | 5.8M |
| 81528 | Oncology colorectal scr | $277.2M | 986.0K |
| 97153 | Adaptive behavior tx by tech | $257.7M | 3.1M |
| T2046 | Hospice long term care, r&b | $227.9M | 889.0K |
| 99211 | Off/op est may x req phy/qhp | $190.8M | 6.7M |