HCPCS_CD
stringlengths 3
5
| HCPCS_INITIAL_MODIFIER_CD
stringclasses 714
values | PROVIDER_SPEC_CD
stringclasses 131
values | CARRIER_NUM
int64 882
19k
| PRICING_LOCALITY_CD
stringclasses 213
values | TYPE_OF_SERVICE_CD
stringclasses 29
values | PLACE_OF_SERVICE_CD
int64 0
99
| HCPCS_SECOND_MODIFIER_CD
stringclasses 631
values | PSPS_SUBMITTED_SERVICE_CNT
stringlengths 1
9
| PSPS_SUBMITTED_CHARGE_AMT
stringlengths 1
12
| PSPS_ALLOWED_CHARGE_AMT
stringlengths 1
12
| PSPS_DENIED_SERVICES_CNT
stringlengths 1
9
| PSPS_DENIED_CHARGE_AMT
stringlengths 1
11
| PSPS_ASSIGNED_SERVICES_CNT
stringlengths 1
9
| PSPS_NCH_PAYMENT_AMT
float64 0
296M
| PSPS_HCPCS_ASC_IND_CD
stringclasses 2
values | PSPS_ERROR_IND_CD
int64 0
4
| HCPCS_BETOS_CD
stringclasses 105
values |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
A6010 | A6 | 23 | 10,112 | 00 | S | 12 | null | 180 | 17051.4 | 0 | 180 | 17051.4 | 180 | 0 | N | 0 | D1A |
70551 | 26 | 94 | 8,102 | 00 | 4 | 21 | 51 | 24 | 7173 | 1553.04 | * | * | 24 | 1,161.68 | N | 0 | I2C |
64493 | 50 | 05 | 5,302 | 99 | 2 | 22 | null | 211 | 153023.5 | 22464.64 | 35 | 26240.74 | 211 | 17,099.91 | N | 0 | P6B |
97530 | GO | 67 | 10,212 | 01 | 1 | 13 | KX | 13562 | 838726.8 | 429432.12 | 150 | 9191.1 | 13562 | 336,590.67 | N | 0 | P6C |
73000 | LT | 50 | 14,212 | 99 | 4 | 11 | null | * | * | * | * | * | * | 91.96 | N | 0 | I1B |
64625 | LT | 49 | 9,102 | 02 | F | 24 | 51 | 146 | 739756.82 | 58356.49 | * | * | 146 | 45,751.38 | N | 0 | P6C |
94729 | 26 | 29 | 9,102 | 04 | 5 | 19 | null | 167 | 5845 | 1549.35 | * | * | 167 | 1,222.82 | N | 0 | T2D |
00731 | AA | 05 | 13,202 | 02 | 7 | 21 | QS | 2355 | 6860915.38 | 388417.69 | 65 | 188757.58 | 2355 | 305,014.33 | N | 0 | P0 |
90480 | null | 97 | 13,202 | 02 | V | 20 | null | * | * | * | * | * | * | 222.31 | N | 0 | O1G |
99214 | 95 | 11 | 13,202 | 01 | 1 | 10 | null | 595 | 152966.58 | 62809.88 | 28 | 5707.38 | 595 | 44,604 | N | 0 | M1B |
93880 | 26 | 02 | 11,402 | 16 | 5 | 19 | null | 108 | 36391.98 | 3882.07 | * | * | 108 | 2,596.47 | N | 0 | I3D |
33967 | null | C3 | 2,402 | 99 | 2 | 21 | null | 32 | 23848.75 | 7006.72 | * | * | 32 | 5,538.48 | N | 0 | P2F |
H0014 | null | 11 | 13,202 | 02 | 9 | 11 | null | 79 | 30960 | 0 | 79 | 30960 | 79 | 0 | N | 0 | Z2 |
73660 | 26 | 63 | 12,502 | 01 | 4 | 32 | LT | 47 | 964.12 | 288.96 | * | * | 47 | 221.34 | N | 0 | I1B |
33274 | Q0 | 21 | 13,102 | 00 | 2 | 21 | GC | * | * | * | * | * | * | 2,230.57 | N | 0 | P6C |
73502 | 26 | 63 | 11,502 | 00 | 4 | 13 | RT | 93 | 2460.39 | 937.17 | * | * | 93 | 668.25 | N | 0 | P6B |
99214 | null | 07 | 11,402 | 16 | 1 | 19 | null | 79 | 13274 | 7312.69 | * | * | 79 | 5,252.1 | N | 0 | M1B |
82962 | null | 08 | 7,302 | AX | 5 | 11 | null | 1270 | 20043.1 | 3522.54 | 196 | 3076 | 1270 | 3,372.2 | N | 0 | T1E |
99213 | null | 20 | 5,302 | 99 | 1 | 11 | null | 14910 | 2656792.63 | 1217171.47 | 396 | 64489.08 | 14910 | 857,926.19 | N | 0 | M1B |
73130 | 26 | 30 | 2,302 | 99 | 4 | 22 | null | 32 | 940.26 | 255.75 | * | * | 32 | 170.59 | N | 0 | I1B |
U0002 | null | 69 | 11,502 | AX | 5 | 81 | null | 38 | 2712.75 | 0 | 38 | 2712.75 | 38 | 0 | N | 0 | T1H |
84134 | null | 69 | 5,302 | AX | 5 | 81 | null | 1033 | 61960.43 | 9862.84 | 357 | 19603.5 | 1033 | 9,666.8 | N | 0 | T1H |
82330 | null | 69 | 2,202 | AX | 5 | 81 | null | 91 | 6985.4 | 1203.84 | * | * | 91 | 1,180.08 | N | 0 | T1H |
G0317 | null | 50 | 14,212 | 99 | 1 | 31 | null | 728 | 41297.28 | 18955.78 | 35 | 2073.15 | 728 | 14,845.74 | N | 0 | Y1 |
1036F | null | 18 | 9,102 | 99 | 1 | 11 | null | 34702 | 124.87 | 0 | 34702 | 124.87 | 34702 | 0 | N | 0 | Z2 |
84156 | null | 69 | 7,202 | AX | 5 | 81 | null | 4282 | 143595.01 | 14859.83 | 233 | 7082.5 | 4282 | 14,553.93 | N | 0 | T1H |
G8510 | null | 50 | 11,302 | 00 | 1 | 31 | null | 2098 | 0.01 | 0 | 2098 | 0.01 | 2098 | 0 | N | 0 | M5D |
72148 | 26 | 30 | 6,302 | 00 | 4 | 11 | null | 427 | 323893.68 | 25981.36 | 47 | 82838 | 427 | 19,534.31 | N | 0 | I2D |
99496 | null | 50 | 12,402 | 99 | 1 | 12 | null | 494 | 235482.28 | 116629.68 | 38 | 17372 | 494 | 80,830.28 | N | 0 | M5D |
70551 | 26 | 30 | 10,212 | 99 | 4 | 11 | null | 103 | 40363.88 | 6626.88 | * | * | 103 | 4,896.42 | N | 0 | I2C |
85732 | 90 | 69 | 4,412 | AX | 5 | 81 | null | 241 | 17220.07 | 1481.63 | 12 | 273.42 | 241 | 1,441.71 | N | 0 | T1H |
87426 | QW | 97 | 14,412 | AX | 5 | 20 | null | 402 | 29603.26 | 13284.08 | 26 | 1961.66 | 402 | 12,947.56 | N | 0 | T1H |
99024 | null | 20 | 6,302 | 00 | 1 | 11 | null | 1556 | 3.14 | 0 | 1556 | 3.14 | 1556 | 0 | N | 0 | Y1 |
93000 | 59 | 21 | 1,112 | 05 | 5 | 11 | null | 34 | 3036 | 560.01 | * | * | 34 | 432.27 | N | 0 | T2A |
1170F | null | 97 | 12,302 | 01 | 1 | 11 | null | 540 | 0.4 | 0 | 540 | 0.4 | 540 | 0 | N | 0 | Z2 |
71271 | null | C6 | 13,202 | 02 | 4 | 11 | null | * | * | * | * | * | * | 168.81 | N | 0 | I2B |
1000F | null | 20 | 13,102 | 00 | 1 | 11 | null | 1418 | 14.18 | 0 | 1418 | 14.18 | 1418 | 0 | N | 0 | M1B |
71275 | 26 | 30 | 3,102 | 00 | 4 | 22 | 51 | 975 | 754467.79 | 79059.28 | * | * | 975 | 60,515.33 | N | 0 | I2B |
13152 | 51 | 07 | 15,102 | 00 | 2 | 11 | null | 389 | 491969.19 | 90074.2 | * | * | 389 | 71,039.95 | N | 0 | P5A |
80053 | null | 34 | 9,102 | AX | 5 | 11 | null | 73 | 2574.54 | 760.32 | * | * | 73 | 745.2 | N | 0 | T1B |
G8510 | null | 21 | 11,302 | 00 | 1 | 11 | null | 66 | 0 | 0 | 66 | 0 | 66 | 0 | N | 0 | M5D |
27310 | 58 | 20 | 8,202 | 01 | 2 | 21 | RT | * | * | * | * | * | * | 930.23 | N | 0 | P5B |
64491 | RT | 49 | 12,402 | 13 | F | 24 | null | 23 | 50251.5 | 0 | 23 | 50251.5 | 23 | 0 | N | 0 | P6B |
83520 | null | 83 | 11,302 | AX | 5 | 11 | null | 10738 | 1943578 | 179824.33 | 324 | 58644 | 10738 | 175,526.5 | N | 0 | T1H |
93284 | null | 06 | 882 | 01 | 1 | 11 | null | 116 | 37833.74 | 12409.55 | * | * | 116 | 9,141.2 | N | 0 | T2D |
99211 | null | 13 | 11,202 | 01 | 1 | 11 | null | 54 | 2198 | 1152.22 | * | * | 54 | 908.35 | N | 0 | M1B |
96402 | null | 83 | 882 | A4 | 1 | 11 | null | 45 | 4958 | 1345.5 | * | * | 45 | 1,008.9 | N | 0 | P7B |
99205 | null | C6 | 5,102 | 00 | 1 | 22 | null | 64 | 40688.22 | 10585.26 | * | * | 64 | 7,632.92 | N | 0 | M1A |
99213 | 25 | 39 | 14,212 | 99 | 1 | 22 | null | * | * | * | * | * | * | 107.48 | N | 0 | M1B |
99213 | 25 | 08 | 4,412 | 31 | 1 | 11 | null | 4276 | 612811.13 | 365989.63 | 260 | 34223.9 | 4276 | 206,510.94 | N | 0 | M1B |
70549 | null | 30 | 9,102 | 99 | 4 | 11 | null | 158 | 318180.7 | 52526.76 | * | * | 158 | 40,213.67 | N | 0 | I2C |
99214 | null | 20 | 13,102 | 00 | 1 | 11 | null | 27662 | 7362788.74 | 3616522.56 | 1210 | 349784.63 | 27609 | 2,622,995.3 | N | 0 | M1B |
J3301 | null | 50 | 15,202 | 00 | 1 | 11 | null | 44686.5 | 308562.81 | 46997.54 | 1386 | 9623.4 | 44686.5 | 32,701.77 | N | 0 | O1E |
J2785 | null | 06 | 10,112 | 00 | 1 | 11 | null | 38105 | 3723253.52 | 2063055.5 | 993 | 96316.68 | 38105 | 1,582,704.34 | N | 0 | O1E |
0005U | null | 69 | 14,212 | AX | 5 | 81 | null | 12024 | 11963880 | 9060720 | 102 | 101490 | 12024 | 8,874,783.41 | N | 0 | T1H |
87640 | 59 | 69 | 6,302 | AX | 5 | 81 | null | 2362 | 304304.09 | 57863.41 | 713 | 76547.55 | 2362 | 56,543.77 | N | 0 | T1H |
83735 | null | 08 | 12,502 | AX | 5 | 11 | null | 3378 | 70773 | 21862.1 | 115 | 2253 | 3378 | 21,254.46 | N | 0 | T1H |
81001 | null | 11 | 6,202 | AX | 5 | 11 | null | 7138 | 98149.1 | 21888.85 | 233 | 3252.23 | 7138 | 21,352.37 | N | 0 | T1C |
82107 | null | 69 | 12,402 | AX | 5 | 81 | null | 5960 | 634853.97 | 358184.01 | 399 | 43336.1 | 5960 | 350,179.58 | N | 0 | T1H |
J0775 | null | 40 | 6,102 | 15 | 1 | 11 | null | 5450 | 582758 | 326497.35 | 406 | 51910 | 5450 | 242,769.28 | Y | 0 | O1E |
A6223 | A2 | A5 | 18,003 | 42 | S | 12 | null | 390 | 1571.4 | 1065.9 | 60 | 247.8 | 390 | 759.7 | N | 0 | D1A |
36415 | null | 08 | 3,402 | AX | 5 | 11 | null | 25132 | 278111.84 | 164589.88 | 649 | 7872.51 | 25132 | 159,945.34 | N | 0 | T1A |
36901 | XS | 77 | 2,402 | 99 | 2 | 21 | 51 | * | * | * | * | * | * | 64.19 | N | 0 | P6C |
92136 | 26 | 18 | 5,102 | 00 | Q | 11 | RT | 7837 | 763540.54 | 219986.28 | 233 | 24584.62 | 7837 | 156,695.41 | N | 0 | I3A |
87186 | null | 69 | 15,202 | AX | 5 | 81 | null | 97170 | 5775464.75 | 756219.41 | 9743 | 477730.56 | 97170 | 738,675.56 | N | 0 | T1H |
87636 | QW | 50 | 8,202 | AX | 5 | 11 | null | 271 | 51340.8 | 23688.2 | 98 | 19602.1 | 271 | 23,103.12 | N | 0 | T1H |
1090F | null | 11 | 9,102 | 03 | 1 | 11 | null | 28870 | 586.4 | 0 | 28870 | 586.4 | 28870 | 0 | N | 0 | Z2 |
69100 | null | 07 | 7,302 | 00 | 2 | 11 | null | 243 | 55545.73 | 20158.21 | * | * | 238 | 14,169.76 | Y | 0 | P6C |
81328 | 59 | 69 | 9,102 | AX | 5 | 81 | null | 2415 | 422550.71 | 372345.3 | 285 | 50083.05 | 2415 | 364,890.3 | N | 0 | T1H |
J0897 | null | 11 | 12,502 | 99 | 1 | 11 | null | 116299 | 4316399.03 | 2647736.62 | 2420 | 92850 | 116299 | 2,031,829.81 | Y | 0 | O1E |
84439 | null | 69 | 3,302 | AX | 5 | 81 | null | 12206 | 332861.6 | 97172.46 | 1433 | 34761.65 | 12206 | 95,114.45 | N | 0 | T1H |
85025 | null | 83 | 5,102 | AX | 5 | 11 | null | 25691 | 671028.77 | 194708.43 | 632 | 15657.77 | 25691 | 190,139.69 | N | 0 | T1D |
81260 | 90 | 69 | 12,402 | AX | 5 | 81 | null | 3011 | 146316.92 | 115617.43 | 69 | 3419.32 | 3011 | 113,292.92 | N | 0 | T1H |
78070 | 26 | 30 | 12,402 | 99 | 4 | 22 | null | 28 | 11713 | 1115.24 | * | * | 28 | 828.75 | N | 0 | I1E |
73552 | 26 | 30 | 14,212 | 01 | 4 | 22 | LT | 1187 | 43207.44 | 11126.7 | 17 | 607 | 1187 | 8,229.61 | N | 0 | P6B |
28750 | LT | 49 | 12,502 | 02 | F | 24 | 51 | * | * | * | * | * | * | 3,263.46 | N | 0 | P5B |
30130 | LT | 49 | 9,102 | 02 | F | 24 | 51 | 17 | 108797.76 | 9123.04 | * | * | 17 | 6,728.55 | Y | 0 | P5E |
17280 | 79 | 50 | 9,102 | 99 | 2 | 13 | null | 12 | 5220 | 0 | 12 | 5220 | 12 | 0 | N | 0 | P5A |
64494 | 50 | 05 | 4,412 | 99 | 2 | 22 | null | 563 | 384836 | 36528.12 | 73 | 34723.5 | 563 | 28,153.32 | N | 0 | P6B |
95806 | 26 | 81 | 15,102 | 00 | 5 | 12 | null | 143 | 21021 | 5944.56 | * | * | 143 | 4,364.07 | N | 0 | T2D |
72128 | 26 | 30 | 6,102 | 16 | 4 | 22 | X5 | 165 | 52388 | 7693.88 | * | * | 165 | 6,023.68 | N | 0 | I2B |
E0247 | NU | A6 | 18,003 | 51 | P | 12 | GY | * | * | * | * | * | * | 0 | N | 0 | D1E |
1123F | null | 44 | 6,102 | 15 | 1 | 21 | null | 230 | 0 | 0 | 230 | 0 | 230 | 0 | N | 0 | Z2 |
L4387 | RT | 54 | 19,003 | 26 | P | 12 | KX | 26 | 9878.85 | 4500.8 | * | * | 26 | 3,528.51 | N | 0 | D1F |
99202 | null | 07 | 11,402 | 16 | 1 | 19 | null | 20 | 1958 | 891.1 | * | * | 20 | 461.28 | N | 0 | M1A |
88311 | 26 | 22 | 6,202 | 00 | 5 | 22 | null | 2454 | 152931.87 | 28746.2 | 64 | 3497 | 2454 | 22,355.71 | N | 0 | T1G |
81003 | QW | 97 | 13,292 | AX | 5 | 20 | null | 163 | 3174 | 337.5 | 13 | 325 | 163 | 327.8 | N | 0 | T1C |
77336 | null | 92 | 8,202 | 99 | 6 | 11 | null | 2254 | 854456.95 | 173096.1 | 93 | 37909.3 | 2254 | 135,937.93 | N | 0 | P7A |
76536 | 26 | 30 | 9,102 | 99 | 4 | 19 | null | 2721 | 499248.44 | 63519.99 | 422 | 70418.76 | 2721 | 46,050.45 | N | 0 | I3F |
84480 | null | 69 | 9,102 | AX | 5 | 81 | null | 65948 | 6848017.66 | 761646.1 | 12221 | 1389882.95 | 65948 | 738,077.12 | N | 0 | T1H |
99213 | null | 10 | 5,302 | 99 | 1 | 11 | null | 2595 | 383018.56 | 214746.33 | 37 | 5019.38 | 2595 | 147,479.08 | N | 0 | M1B |
83036 | null | 11 | 6,102 | AX | 5 | 11 | null | 11634 | 737951.47 | 101894.29 | 1139 | 57689.6 | 11634 | 99,197.45 | N | 0 | T1H |
71045 | 26 | 30 | 1,312 | 00 | 4 | 22 | X5 | 4900 | 556686 | 37041.24 | 680 | 73956 | 4900 | 28,240.9 | N | 0 | I1A |
64624 | 50 | 05 | 4,412 | 99 | 2 | 22 | null | 24 | 66742.3 | 5100.98 | * | * | 24 | 3,492.51 | N | 0 | P6C |
G9903 | null | 18 | 6,102 | 99 | 1 | 11 | null | 7112 | 5.32 | 0 | 7112 | 5.32 | 7112 | 0 | N | 0 | Z2 |
81025 | null | 50 | 8,202 | AX | 5 | 11 | null | 182 | 4434.53 | 1446.48 | 14 | 407 | 182 | 1,393.44 | N | 0 | T1C |
82784 | XU | 69 | 5,402 | AX | 5 | 81 | null | 883 | 13230 | 3552.6 | 501 | 7500 | 883 | 3,480.02 | N | 0 | T1H |
96922 | null | 84 | 1,182 | 71 | 2 | 11 | null | * | * | * | * | * | * | 841.4 | N | 0 | P6A |
73718 | 26 | 30 | 13,202 | 03 | 4 | 21 | LT | 35 | 11070 | 2415.08 | * | * | 35 | 1,926.99 | N | 0 | I2D |
30560 | 51 | 04 | 6,202 | 00 | 2 | 22 | GC | * | * | * | * | * | * | 60.91 | Y | 0 | P6C |
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