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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
93459 | 26 | 06 | 7,102 | 13 | 2 | 21 | null | 227 | 323264 | 64900.78 | * | * | 227 | 50,223.11 | N | 0 | P2F |
99349 | GW | 93 | 10,312 | 35 | 1 | 13 | null | * | * | * | * | * | * | 189.44 | N | 0 | M4A |
73501 | 26 | 94 | 9,102 | 03 | 4 | 22 | X5 | * | * | * | * | * | * | 14.96 | N | 0 | P6B |
3126F | null | 22 | 12,302 | 01 | 2 | 21 | null | 112 | 0 | 0 | 112 | 0 | 112 | 0 | N | 0 | P6C |
G8510 | null | 90 | 12,502 | 99 | 1 | 22 | null | 708 | 7.08 | 0 | 708 | 7.08 | 708 | 0 | N | 0 | M5D |
97530 | GP | 65 | 4,312 | 00 | 1 | 19 | 97 | 38 | 2888 | 1181.35 | * | * | 38 | 917.42 | N | 0 | P6C |
28800 | 79 | 20 | 4,412 | 18 | 2 | 21 | RT | * | * | * | * | * | * | 218.01 | N | 0 | P3D |
G2212 | null | 66 | 2,402 | 99 | 1 | 19 | null | 44 | 3784 | 1247.2 | * | * | 44 | 928.87 | N | 0 | M5D |
99213 | 25 | C6 | 12,502 | 99 | 1 | 22 | GC | 16 | 3310 | 1032.16 | * | * | 16 | 809.28 | N | 0 | M1B |
74177 | 26 | 30 | 882 | A5 | 4 | 21 | null | 30 | 13990.13 | 2402.68 | * | * | 30 | 1,711.56 | Y | 0 | I2B |
92941 | RI | C3 | 6,302 | 00 | 2 | 21 | null | * | * | * | * | * | * | 752 | N | 0 | P2F |
A7046 | NU | 54 | 16,013 | 47 | P | 12 | KX | 3556 | 124340.47 | 59619.8 | 366 | 13843.39 | 3556 | 44,341.43 | N | 0 | D1E |
E0135 | NU | 51 | 16,013 | 31 | P | 12 | null | 23 | 2046 | 1072.46 | * | * | 23 | 764.48 | N | 0 | D1E |
99442 | 24 | 20 | 8,202 | 99 | 1 | 11 | 93 | * | * | * | * | * | * | 68.37 | N | 0 | M5D |
71046 | LT | 50 | 10,112 | 00 | 4 | 11 | null | * | * | * | * | * | * | 20.57 | N | 0 | I1A |
G0105 | 53 | 11 | 13,282 | 99 | 2 | 22 | null | * | * | * | * | * | * | 795.5 | Y | 0 | P8D |
A6530 | GY | 57 | 19,003 | 05 | P | 12 | null | * | * | * | * | * | * | 0 | N | 0 | D1A |
00812 | QX | 43 | 8,202 | 01 | 7 | 22 | QS | 667 | 639843 | 39568.07 | 26 | 25464 | 667 | 38,786.15 | N | 0 | P0 |
14040 | 59 | 04 | 2,402 | 02 | 2 | 24 | 51 | * | * | * | * | * | * | 272.34 | N | 0 | P6A |
1111F | null | 66 | 14,112 | 99 | 1 | 19 | null | * | * | * | * | * | * | 0 | N | 0 | Z2 |
31645 | 51 | 33 | 9,102 | 99 | 2 | 22 | XS | 26 | 13431 | 1762.56 | * | * | 26 | 1,414.08 | N | 0 | P8F |
99214 | 25 | D7 | 14,112 | 99 | 1 | 19 | null | * | * | * | * | * | * | 512.05 | N | 0 | M1B |
70450 | 26 | 30 | 13,202 | 02 | 4 | 23 | MH | 1447 | 317407.54 | 62097.18 | 64 | 13708.27 | 1447 | 46,590.11 | N | 0 | I2A |
99284 | GY | 97 | 1,112 | 64 | 1 | 23 | null | * | * | * | * | * | * | 0 | N | 0 | M3 |
45331 | XU | 02 | 4,212 | 05 | 2 | 22 | 51 | * | * | * | * | * | * | 39.45 | N | 0 | P8C |
36590 | null | 91 | 6,102 | 16 | 2 | 22 | null | * | * | * | * | * | * | 831.55 | N | 0 | P6C |
B9002 | RR | 54 | 18,003 | 40 | R | 33 | KJ | 16 | 1834.08 | 1834.08 | * | * | 16 | 1,437.92 | N | 0 | O1C |
93351 | 26 | C3 | 10,112 | 00 | 5 | 21 | null | * | * | * | * | * | * | 442.09 | N | 0 | I3C |
95925 | null | 13 | 8,202 | 01 | 5 | 11 | null | 57 | 16469 | 9402.64 | * | * | 57 | 7,297.83 | N | 0 | T2D |
36246 | RT | 77 | 1,112 | 09 | 2 | 11 | null | * | * | * | * | * | * | 1,740.82 | N | 0 | P2F |
15823 | SG | 49 | 9,102 | 01 | F | 24 | LT | 63 | 76480 | 25107.01 | * | * | 63 | 19,684.07 | Y | 0 | P6A |
G8752 | null | 84 | 9,102 | 99 | 1 | 2 | null | 17 | 0.17 | 0 | 17 | 0.17 | 17 | 0 | N | 0 | M5B |
85025 | AY | 69 | 1,312 | AX | 5 | 81 | null | * | * | * | * | * | * | 7.61 | N | 0 | T1D |
V2303 | KX | 41 | 19,003 | 13 | Q | 12 | LT | * | * | * | * | * | * | 560.74 | N | 0 | D1F |
G0438 | 95 | 11 | 12,302 | 01 | 1 | 11 | X1 | * | * | * | * | * | * | 708.76 | N | 0 | M5D |
G0443 | null | 50 | 1,182 | 26 | 1 | 11 | null | * | * | * | * | * | * | 0 | N | 0 | Y1 |
11044 | 78 | 20 | 4,412 | 31 | 2 | 21 | null | * | * | * | * | * | * | 875.95 | N | 0 | P5A |
A4425 | null | A6 | 18,003 | 25 | P | 12 | null | 630 | 4094.44 | 2903.6 | 20 | 160 | 630 | 2,276.52 | N | 0 | D1F |
11406 | null | 02 | 3,502 | 09 | 2 | 22 | null | 14 | 7714.66 | 1675.66 | * | * | 14 | 1,316.24 | N | 0 | P5A |
93882 | 26 | C3 | 15,202 | 00 | 5 | 21 | null | * | * | * | * | * | * | 38.1 | N | 0 | I3D |
67911 | SG | 49 | 8,202 | 01 | F | 24 | E4 | 14 | 42000 | 10720.14 | * | * | 14 | 8,306.7 | Y | 0 | P4E |
01926 | QZ | 43 | 882 | 13 | 7 | 21 | null | * | * | * | * | * | * | 1,675.14 | N | 0 | P0 |
72192 | 26 | 30 | 4,412 | 99 | 4 | 23 | AQ | 19 | 4437 | 765.6 | * | * | 19 | 564.72 | N | 0 | I2B |
L0172 | null | 53 | 17,013 | 24 | P | 12 | null | * | * | * | * | * | * | 636.7 | N | 0 | D1F |
93888 | null | 13 | 12,402 | 01 | 5 | 11 | null | * | * | * | * | * | * | 727.94 | N | 0 | T2D |
G9900 | null | 97 | 8,202 | 99 | 1 | 22 | null | 310 | 0 | 0 | 310 | 0 | 310 | 0 | N | 0 | Z2 |
88381 | 26 | 22 | 12,502 | 99 | 5 | 22 | null | 214 | 30245 | 4832.1 | * | * | 214 | 4,758.95 | N | 0 | T1G |
72170 | 26 | 30 | 5,202 | 00 | 4 | 21 | X5 | 945 | 29736.73 | 7191.2 | 55 | 1848.19 | 945 | 5,551.42 | N | 0 | I1B |
J1030 | null | 20 | 12,202 | 01 | 1 | 11 | null | 8613 | 167417.17 | 64177.94 | 356 | 7540.45 | 8613 | 48,245.92 | N | 0 | O1E |
81003 | null | 08 | 7,302 | AX | 5 | 11 | null | 9398 | 153594.17 | 20159.12 | 445 | 7153.05 | 9398 | 19,557.13 | N | 0 | T1C |
J9317 | null | 83 | 12,302 | 99 | 1 | 11 | null | 17173 | 1059378.37 | 551829.3 | 400 | 32000 | 17173 | 432,634.4 | Y | 0 | O1D |
82044 | QW | 08 | 7,302 | AX | 5 | 11 | null | 4878 | 119711.94 | 29498.08 | 145 | 3647.23 | 4878 | 28,628.17 | N | 0 | T1H |
93000 | X5 | 11 | 10,212 | 99 | 5 | 11 | null | 74 | 2960 | 966.31 | * | * | 74 | 704.22 | N | 0 | T2A |
51798 | null | 50 | 12,402 | 99 | 2 | 11 | null | 1054 | 86771.7 | 10970.85 | 151 | 9897 | 1054 | 8,097.52 | N | 0 | P6C |
J1439 | null | 08 | 4,412 | 99 | 1 | 11 | null | 12750 | 41437.5 | 14171.25 | * | * | 12750 | 11,047.49 | Y | 0 | O1E |
78264 | 26 | 30 | 8,202 | 99 | 4 | 22 | X5 | 167 | 19906 | 6032.4 | * | * | 167 | 4,314.24 | N | 0 | I1E |
98980 | GP | 65 | 12,402 | 01 | 1 | 11 | null | 120 | 20276 | 6014.52 | 12 | 1743 | 120 | 4,749.25 | N | 0 | P5E |
G9990 | null | 50 | 5,302 | 01 | 1 | 11 | null | 233 | 1.73 | 0 | 233 | 1.73 | 233 | 0 | N | 0 | Z2 |
77300 | null | 92 | 8,202 | 99 | 6 | 11 | null | 2062 | 677806.3 | 121406.16 | 134 | 40050 | 2062 | 95,410.27 | Y | 0 | P7A |
45397 | GC | 28 | 7,202 | 01 | 2 | 21 | null | * | * | * | * | * | * | 1,687.54 | N | 0 | P1G |
76705 | 26 | 30 | 3,302 | 01 | 4 | 22 | null | 1084 | 145518 | 29220.75 | 31 | 3525 | 1084 | 19,945.17 | N | 0 | I3B |
99211 | null | 08 | 7,202 | 99 | 1 | 11 | null | 2441 | 99388.59 | 44582.2 | 334 | 14033.15 | 2441 | 28,423.87 | N | 0 | M1B |
82728 | null | 08 | 7,302 | AX | 5 | 11 | null | 1022 | 48540 | 10699.55 | 237 | 10598 | 1022 | 10,271.1 | N | 0 | T1H |
84100 | null | 69 | 3,302 | AX | 5 | 81 | null | 1161 | 35019.2 | 5104.98 | 84 | 2752.65 | 1161 | 4,929.68 | N | 0 | T1H |
00450 | QK | 05 | 12,202 | 01 | 7 | 22 | X4 | * | * | * | * | * | * | 238.41 | N | 0 | P0 |
00540 | AA | 05 | 8,102 | 00 | 7 | 21 | P2 | * | * | * | * | * | * | 1,003.72 | N | 0 | P0 |
45381 | 53 | 10 | 9,102 | 99 | 2 | 21 | XS | * | * | * | * | * | * | 12.16 | N | 0 | P8D |
92250 | null | 41 | 14,512 | 50 | Q | 11 | null | 6014 | 634747.98 | 198845.04 | 641 | 66840 | 6014 | 123,453.77 | N | 0 | M5C |
11102 | 79 | 18 | 9,102 | 99 | 2 | 11 | null | * | * | * | * | * | * | 159.3 | N | 0 | P6C |
73110 | TC | 20 | 6,102 | 16 | 4 | 11 | RT | 28 | 3208.9 | 865.25 | * | * | 28 | 653.25 | N | 0 | I1B |
31575 | null | 97 | 13,202 | 02 | 2 | 23 | null | 27 | 12090.92 | 1769.61 | * | * | 27 | 1,344.29 | N | 0 | P8H |
E0910 | RR | A6 | 17,013 | 52 | R | 12 | KJ | 273 | 8752.51 | 2782.97 | 48 | 1604.76 | 273 | 1,946.78 | N | 0 | D1E |
98941 | null | 35 | 4,412 | 09 | 1 | 11 | null | 147 | 8540 | 0 | 147 | 8540 | 147 | 0 | N | 0 | O1B |
45331 | null | 10 | 9,102 | 99 | 2 | 22 | null | 146 | 65214 | 10406.88 | * | * | 146 | 7,756.7 | N | 0 | P8C |
93976 | null | 77 | 4,412 | 11 | 5 | 11 | null | 23 | 20156.47 | 3378.47 | * | * | 23 | 2,323.23 | N | 0 | I3F |
99212 | 25 | 48 | 1,182 | 26 | 1 | 11 | null | 2229 | 239381.9 | 136897.59 | 57 | 7207.61 | 2229 | 96,891.68 | N | 0 | M1B |
11104 | null | 07 | 2,402 | 99 | 2 | 22 | null | 90 | 13590 | 4215.6 | * | * | 90 | 3,004.88 | N | 0 | P6C |
92250 | null | 41 | 882 | 50 | Q | 11 | null | * | * | * | * | * | * | 233.44 | N | 0 | M5C |
00400 | QZ | 43 | 1,112 | 62 | 7 | 21 | null | 18 | 34346 | 1988.71 | * | * | 18 | 1,571.18 | N | 0 | P0 |
99284 | FS | 12 | 15,202 | 00 | 1 | 23 | GV | * | * | * | * | * | * | 94.23 | N | 0 | M3 |
93990 | null | 39 | 10,312 | 35 | 5 | 11 | null | 26 | 10402 | 3046.16 | * | * | 26 | 2,388.48 | N | 0 | P9A |
A4414 | null | 54 | 18,003 | 10 | P | 12 | null | 124571 | 1520385.48 | 766618.55 | 7150 | 86749.14 | 124041 | 578,361.28 | N | 0 | D1F |
99213 | 95 | 16 | 1,112 | 67 | 1 | 11 | null | 14 | 3458 | 1398.18 | * | * | 14 | 1,096.2 | N | 0 | M1B |
45382 | null | 10 | 14,212 | 99 | 2 | 22 | null | 48 | 68873.74 | 12586.56 | * | * | 48 | 9,126.2 | N | 0 | P8D |
11721 | XS | 48 | 11,302 | 00 | 2 | 32 | Q8 | 13 | 716.8 | 486.64 | * | * | 13 | 353.43 | N | 0 | P6A |
11402 | 76 | 07 | 4,312 | 00 | 2 | 11 | 59 | * | * | * | * | * | * | 314.8 | N | 0 | P5A |
66984 | RT | 49 | 4,412 | 14 | F | 24 | null | 776 | 9104450 | 755544.28 | 16 | 143740 | 776 | 583,205.9 | N | 0 | P4B |
J9298 | JZ | 90 | 9,102 | 03 | 1 | 11 | null | 2080 | 991486.4 | 322647.52 | 320 | 131040 | 2080 | 252,955.68 | Y | 0 | O1D |
13122 | 79 | D7 | 1,112 | 05 | 2 | 19 | null | * | * | * | * | * | * | 147.26 | N | 0 | P6B |
93971 | 26 | 06 | 8,102 | 00 | 5 | 22 | RT | 172 | 10071.48 | 3214.98 | 13 | 793 | 172 | 2,373.65 | N | 0 | I3F |
49424 | 59 | 30 | 13,202 | 02 | 2 | 21 | 51 | * | * | * | * | * | * | 51.24 | N | 0 | I1F |
99213 | X2 | 48 | 12,502 | 01 | 1 | 11 | null | 391 | 44975 | 37022.96 | * | * | 391 | 27,240.42 | N | 0 | M1B |
97530 | GP | 65 | 8,102 | 00 | 1 | 11 | 59 | 42835 | 3091801.84 | 1330137.97 | 1566 | 104240.61 | 42835 | 1,009,854.33 | N | 0 | P6C |
64491 | LT | 25 | 2,402 | 99 | 2 | 24 | null | 36 | 6514.83 | 1473.25 | 11 | 1839.75 | 36 | 1,152.44 | N | 0 | P6B |
17262 | 76 | 07 | 15,102 | 00 | 2 | 11 | 59 | 11 | 3001 | 1324.48 | * | * | 11 | 1,043.9 | N | 0 | P5A |
99473 | null | 50 | 4,412 | 37 | 1 | 11 | null | * | * | * | * | * | * | 41 | N | 0 | P5E |
73560 | 26 | 20 | 15,102 | 00 | 4 | 19 | RT | 118 | 3798.4 | 919.22 | * | * | 118 | 699.97 | N | 0 | I1B |
20611 | LT | 11 | 3,502 | 09 | 1 | 11 | null | 34 | 8750 | 2694.44 | * | * | 34 | 2,037.4 | N | 0 | P4C |
01380 | QZ | 43 | 4,312 | 00 | 7 | 24 | P2 | * | * | * | * | * | * | 350.43 | N | 0 | P0 |
J1930 | JB | 83 | 8,202 | 00 | 1 | 11 | null | 1800 | 224520 | 105278.4 | * | * | 1800 | 82,017.3 | Y | 0 | O1E |
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