Objective: To study the development of Traditional Chinese Medicine services at the grassroots level in Beijing during the 13th Five-Year Plan period by analyzing the distribution and trend of Chinese medicine expenditure of primary medical institutions in Beijing from 2016 to 2020.Method: Case summary method. Results: During the 13th Five-Year Plan period, TCM service capabilities in primary health care institutions had achieved coordinated development with the health system. Community health service institutions were the main body of grassroots TCM service provision. Traditional Chinese medicine services in primary medical institutions were mainly based on the provision of pharmaceutical services. Conclusions: Take advantage of development opportunities to further enhance the TCM service capabilities of primary medical institutions. Going forward through multiple channels to promote the development of TCM outpatient departments and clinics. Develop the characteristic technical services of TCM at the grassroots level, in order to improve the quality of TCM development.