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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
00840 | QK | 05 | 12,502 | 01 | 7 | 19 | null | 14 | 8300 | 1730.95 | * | * | 14 | 1,373.87 | N | 0 | P0 |
20610 | LT | 50 | 14,212 | 99 | 2 | 11 | 51 | 29 | 8315 | 830.27 | * | * | 29 | 605.88 | N | 0 | P6B |
90832 | 95 | 68 | 6,102 | 16 | 1 | 21 | null | * | * | * | * | * | * | 269.61 | N | 0 | M5B |
J0702 | RT | 48 | 11,302 | 00 | 1 | 11 | null | 287 | 4306.5 | 1802.02 | * | * | 287 | 1,240.13 | N | 0 | O1E |
E0277 | RR | 54 | 16,013 | 07 | R | 31 | KH | * | * | * | * | * | * | 0 | N | 0 | D1E |
20552 | null | 50 | 1,312 | 00 | 2 | 20 | null | 18 | 1678 | 274.44 | 12 | 1092 | 18 | 215.19 | N | 0 | P6B |
L5685 | LT | 56 | 18,003 | 06 | P | 12 | K3 | 16 | 3009.02 | 1932.66 | * | * | 16 | 1,515.22 | N | 0 | D1F |
J1885 | JW | 92 | 3,602 | 21 | 1 | 11 | null | * | * | * | * | * | * | 2.71 | N | 0 | O1E |
99233 | GC | 44 | 11,502 | 00 | 1 | 21 | 25 | * | * | * | * | * | * | 90.45 | N | 0 | M2B |
A6448 | null | 97 | 5,402 | 00 | P | 20 | null | * | * | * | * | * | * | 0 | N | 0 | D1A |
L3761 | LT | A6 | 19,003 | 26 | P | 12 | KX | * | * | * | * | * | * | 2,036.05 | N | 0 | D1F |
88372 | 26 | 22 | 8,202 | 00 | 5 | 22 | null | * | * | * | * | * | * | 14.29 | N | 0 | T1H |
A5126 | null | 54 | 18,003 | 10 | P | 12 | null | 455 | 1045 | 606.8 | 45 | 71.1 | 165 | 392.54 | N | 0 | D1F |
70544 | 26 | 94 | 1,182 | 72 | 4 | 21 | 76 | * | * | * | * | * | * | 47.6 | N | 0 | I2C |
J7322 | null | 20 | 1,112 | 53 | 1 | 11 | null | 576 | 34560 | 9753.14 | * | * | 576 | 7,646.44 | Y | 0 | O1E |
74022 | 26 | 30 | 5,302 | 01 | 4 | 21 | null | 348 | 24462.84 | 5210.99 | * | * | 348 | 4,090.43 | N | 0 | I1F |
83088 | null | 69 | 6,102 | AX | 5 | 81 | null | 395 | 13825 | 11280.46 | 13 | 455 | 395 | 11,055.08 | N | 0 | T1H |
G8510 | null | 11 | 882 | 02 | 1 | 11 | null | 61 | 1527.19 | 0 | 61 | 1527.19 | 61 | 0 | N | 0 | M5D |
17271 | 51 | 07 | 4,312 | 00 | 2 | 11 | null | 38 | 11285.7 | 3029.53 | * | * | 38 | 2,295.95 | N | 0 | P5A |
85055 | null | 50 | 4,412 | AX | 5 | 11 | null | 3042 | 435006 | 107541.66 | 33 | 4719 | 3042 | 104,913.55 | N | 0 | T1D |
85610 | GZ | 69 | 3,102 | AX | 5 | 81 | null | 2919 | 76644.4 | 0 | 2919 | 76644.4 | 2919 | 0 | N | 0 | T1H |
J1030 | null | 11 | 1,312 | 00 | 1 | 11 | null | 57 | 731.55 | 305.85 | 12 | 110.02 | 57 | 194.96 | N | 0 | O1E |
99214 | 25 | 29 | 15,102 | 00 | 1 | 22 | GC | 21 | 4130.7 | 1869 | * | * | 21 | 1,463.74 | N | 0 | M1B |
99291 | 25 | C7 | 12,502 | 01 | 1 | 21 | null | 45 | 29510 | 8705.19 | * | * | 45 | 6,858.55 | N | 0 | M2C |
29125 | null | 50 | 10,112 | 00 | 2 | 20 | null | 12 | 1421.7 | 467.64 | * | * | 12 | 366.7 | N | 0 | P6B |
32556 | 78 | 33 | 10,312 | 35 | 2 | 21 | GC | * | * | * | * | * | * | 92.35 | N | 0 | P6C |
90834 | AJ | 80 | 15,102 | 00 | T | 10 | XE | * | * | * | * | * | * | 50.89 | N | 0 | M5B |
20526 | RT | 20 | 3,402 | 02 | 1 | 19 | null | * | * | * | * | * | * | 42.12 | Y | 0 | P5E |
99425 | null | 11 | 4,412 | 31 | 1 | 11 | null | 20 | 2408.8 | 999.77 | * | * | 20 | 783.87 | N | 0 | P5E |
70496 | 26 | 30 | 11,202 | 01 | 4 | 20 | X5 | * | * | * | * | * | * | 256.19 | N | 0 | I2A |
83872 | null | 69 | 12,502 | AX | 5 | 81 | null | 23 | 1088.12 | 134.78 | * | * | 23 | 132.02 | N | 0 | T1H |
01630 | QZ | 43 | 8,102 | 00 | 7 | 24 | P2 | * | * | * | * | * | * | 1,587.08 | N | 0 | P0 |
27236 | LT | 20 | 8,202 | 01 | 2 | 21 | null | 176 | 582498.45 | 216531.55 | * | * | 176 | 169,896.77 | N | 0 | P3A |
82607 | null | 97 | 5,402 | AX | 5 | 11 | null | 180 | 5699.88 | 2639 | * | * | 180 | 2,565.03 | N | 0 | T1H |
74183 | 26 | 30 | 2,202 | 00 | 4 | 22 | null | 958 | 700268.4 | 94284.78 | 16 | 13506 | 958 | 71,328.08 | Y | 0 | I2D |
G9622 | null | 05 | 9,102 | 99 | 1 | 11 | null | 1847 | 0 | 0 | 1847 | 0 | 1847 | 0 | N | 0 | Z2 |
11604 | null | 07 | 10,112 | 00 | 2 | 11 | null | 66 | 43180.63 | 18164.22 | * | * | 66 | 14,044.31 | N | 0 | P5A |
99213 | 95 | 25 | 12,402 | 99 | 1 | 10 | null | * | * | * | * | * | * | 495.09 | N | 0 | M1B |
43239 | XS | 10 | 1,112 | 56 | 2 | 21 | 51 | * | * | * | * | * | * | 136.68 | N | 0 | P8B |
72190 | 26 | 30 | 11,202 | 01 | 4 | 20 | X5 | * | * | * | * | * | * | 9.25 | N | 0 | I1B |
93312 | 26 | 06 | 14,212 | 99 | 5 | 22 | 52 | * | * | * | * | * | * | 340.16 | N | 0 | I3C |
Q4262 | JZ | 48 | 4,412 | 99 | 1 | 11 | RT | * | * | * | * | * | * | 4,360.61 | N | 0 | O1E |
3062F | null | 11 | 4,412 | 31 | 1 | 11 | null | 110 | 50 | 0 | 110 | 50 | 110 | 0 | N | 0 | Z2 |
69210 | null | 04 | 9,302 | 50 | 2 | 11 | null | 211 | 11782.66 | 9734.01 | * | * | 211 | 5,595.29 | N | 0 | P6C |
A6010 | A2 | 01 | 16,013 | 39 | S | 32 | CC | 30 | 2471.4 | 1235.7 | * | * | 30 | 968.79 | N | 0 | D1A |
97530 | GO | 67 | 13,202 | 02 | 1 | 11 | 95 | 396 | 29700 | 13940.83 | 19 | 1425 | 396 | 10,370.06 | N | 0 | P6C |
74174 | 26 | 94 | 9,102 | 03 | 4 | 21 | ME | * | * | * | * | * | * | 692.2 | N | 0 | I2B |
65772 | 59 | 18 | 6,102 | 16 | 2 | 24 | LT | * | * | * | * | * | * | 510.9 | N | 0 | P4E |
99222 | GC | C3 | 6,102 | 16 | 1 | 22 | null | 21 | 7329 | 2928.66 | * | * | 21 | 2,232.14 | N | 0 | M2A |
97116 | GP | 65 | 12,302 | 99 | 1 | 11 | null | 4313 | 246617.07 | 94987.16 | 224 | 13304.82 | 4313 | 71,641.32 | N | 0 | P6C |
97535 | GP | 65 | 14,212 | 99 | 1 | 11 | null | 12595 | 856268.7 | 351671.89 | 498 | 37964.9 | 12595 | 264,223.82 | N | 0 | P6C |
64450 | XS | 25 | 2,402 | 99 | 2 | 19 | 51 | * | * | * | * | * | * | 65.64 | N | 0 | P6C |
99152 | 59 | 02 | 6,202 | 00 | 1 | 22 | null | * | * | * | * | * | * | 37.01 | N | 0 | P0 |
99215 | null | 26 | 6,102 | 99 | 1 | 11 | null | 617 | 199886 | 102116.93 | 30 | 10576 | 617 | 70,823.45 | N | 0 | M1B |
99214 | null | 26 | 12,302 | 99 | 1 | 11 | null | 2553 | 475071.72 | 324372.34 | 65 | 12895.68 | 2548 | 237,798.1 | N | 0 | M1B |
31622 | XP | 11 | 882 | 99 | 2 | 21 | null | * | * | * | * | * | * | 104.12 | N | 0 | P8F |
99214 | null | 97 | 12,502 | 01 | 1 | 23 | null | * | * | * | * | * | * | 204.89 | N | 0 | M1B |
00731 | QK | 05 | 1,112 | 05 | 7 | 22 | QS | 111 | 91712 | 9414.33 | * | * | 111 | 7,344.6 | N | 0 | P0 |
63047 | AS | 97 | 12,102 | 01 | 8 | 22 | 51 | * | * | * | * | * | * | 243.38 | N | 0 | P1F |
53620 | GW | 34 | 4,412 | 99 | 2 | 21 | null | * | * | * | * | * | * | 65.55 | N | 0 | P5E |
00700 | QX | 43 | 11,202 | 01 | 7 | 21 | null | 49 | 79551.5 | 4957.69 | * | * | 49 | 3,906.85 | N | 0 | P0 |
90677 | CR | 50 | 12,102 | 01 | V | 11 | null | 61 | 34613.23 | 16833.34 | * | * | 61 | 16,218.86 | N | 0 | O1G |
J0585 | null | 16 | 11,302 | 00 | 1 | 11 | null | 27704 | 366086 | 169874.06 | 901 | 12825 | 27704 | 131,719.46 | Y | 0 | O1E |
90792 | null | 26 | 13,282 | 99 | 1 | 11 | null | 562 | 154021.43 | 98946.27 | 46 | 12060.62 | 562 | 69,902.85 | N | 0 | M5B |
99349 | GV | 08 | 8,202 | 99 | 1 | 14 | null | 29 | 5432 | 3616.01 | * | * | 29 | 2,575.75 | N | 0 | M4A |
99223 | 57 | 34 | 1,112 | 05 | 1 | 21 | null | * | * | * | * | * | * | 926.04 | N | 0 | M2A |
J1100 | JZ | 90 | 6,102 | 00 | 1 | 11 | null | 5716 | 8441.8 | 690.91 | 100 | 159.9 | 5716 | 542.99 | N | 0 | O1E |
97607 | 59 | 08 | 4,312 | 00 | 1 | 12 | null | * | * | * | * | * | * | 777.18 | N | 0 | P6A |
99202 | null | 83 | 13,202 | 02 | 1 | 22 | null | 12 | 3522 | 617.52 | * | * | 12 | 438.28 | N | 0 | M1A |
11056 | Q9 | 48 | 13,102 | 00 | 2 | 12 | null | 143 | 13881.94 | 12049.6 | * | * | 143 | 9,075.21 | N | 0 | P5A |
74018 | null | 50 | 1,112 | 56 | 4 | 11 | null | * | * | * | * | * | * | 21.95 | N | 0 | I1F |
G0439 | 93 | 50 | 8,102 | 00 | 1 | 11 | null | 124 | 41847 | 12814.14 | * | * | 124 | 12,500.04 | N | 0 | M5D |
J2930 | JZ | 90 | 2,302 | 00 | 1 | 11 | null | * | * | * | * | * | * | 12.89 | N | 0 | O1E |
78267 | null | 50 | 7,302 | AX | 5 | 11 | null | 63 | 3000 | 674.66 | * | * | 63 | 661.24 | N | 0 | I1E |
87591 | null | 97 | 2,402 | AX | 5 | 11 | null | 73 | 5673 | 1353.06 | 29 | 2057 | 73 | 1,263.3 | N | 0 | T1H |
G0101 | null | 50 | 12,502 | 99 | 1 | 19 | null | 287 | 46784 | 4376.59 | 96 | 14803 | 287 | 4,301.33 | N | 0 | M1A |
J1020 | null | 97 | 12,202 | 01 | 1 | 11 | null | 71 | 856.22 | 403.88 | * | * | 71 | 316.75 | N | 0 | O1E |
G2212 | null | 50 | 12,502 | 01 | 1 | 22 | null | 275 | 25146 | 7354.9 | * | * | 275 | 5,793.38 | N | 0 | M5D |
G0127 | 59 | 48 | 2,402 | 99 | 2 | 12 | Q8 | 335 | 12060 | 6698.85 | 18 | 648 | 335 | 4,557.39 | N | 0 | P5A |
84439 | null | 90 | 4,112 | AX | 5 | 11 | null | 378 | 23867 | 3247.2 | 18 | 1134 | 378 | 3,182.4 | N | 0 | T1H |
G8473 | null | 08 | 9,102 | 99 | 1 | 11 | null | 3361 | 817.57 | 0 | 3361 | 817.57 | 3361 | 0 | N | 0 | M5D |
G0145 | null | 22 | 11,502 | AX | 5 | 11 | null | 737 | 52615 | 18198.63 | 50 | 2844 | 737 | 17,834.52 | N | 0 | T1H |
83718 | GZ | 69 | 4,412 | AX | 5 | 81 | null | 91 | 3276 | 0 | 91 | 3276 | 91 | 0 | N | 0 | T1H |
71260 | 51 | 47 | 1,182 | 26 | 4 | 49 | null | 64 | 230400 | 8035.65 | * | * | 64 | 6,096.05 | N | 0 | I2B |
99442 | 95 | 26 | 9,202 | 20 | 1 | 10 | null | 36 | 4557.17 | 2117.35 | * | * | 36 | 1,562.82 | N | 0 | M5D |
G9226 | null | 11 | 4,412 | 99 | 1 | 11 | null | 472 | 2733.05 | 0 | 472 | 2733.05 | 472 | 0 | N | 0 | M5B |
73630 | 26 | 30 | 13,202 | 01 | 4 | 22 | RT | 1706 | 75252.25 | 15364.34 | 25 | 1216.02 | 1706 | 11,063.51 | N | 0 | I1B |
92540 | null | 13 | 6,302 | 00 | 1 | 11 | null | * | * | * | * | * | * | 414.65 | N | 0 | T2D |
64615 | null | 50 | 10,312 | 35 | 1 | 11 | null | 402 | 140194.68 | 42281.52 | 43 | 15181.04 | 402 | 29,017.58 | N | 0 | P6C |
G8421 | null | 34 | 882 | 99 | 1 | 11 | null | 13 | 0 | 0 | 13 | 0 | 13 | 0 | N | 0 | M5D |
97597 | null | 50 | 5,402 | 00 | 1 | 19 | null | 479 | 39644 | 11201.42 | 85 | 7142 | 479 | 8,420.13 | N | 0 | P6C |
J7308 | null | 07 | 7,202 | 99 | 1 | 11 | null | 796 | 541182.38 | 282618.23 | 66 | 46210.79 | 796 | 218,108.28 | Y | 0 | O1E |
G0420 | null | 39 | 12,502 | 99 | 1 | 11 | null | 174 | 35120.84 | 16156.26 | 24 | 4740.66 | 174 | 11,992.93 | N | 0 | M1B |
01922 | QX | 43 | 13,202 | 01 | 7 | 21 | null | 109 | 158150.35 | 18942.69 | 13 | 14323.6 | 109 | 14,952.94 | N | 0 | P0 |
11104 | null | 66 | 1,182 | 18 | 2 | 11 | null | 22 | 3530.88 | 2779.51 | * | * | 22 | 2,181.79 | N | 0 | P6C |
99212 | null | 16 | 1,312 | 00 | 1 | 11 | null | 329 | 35167.87 | 16306.31 | 43 | 4917.84 | 329 | 10,964.53 | N | 0 | M1B |
99214 | GW | 46 | 4,412 | 99 | 1 | 11 | null | 134 | 30739.13 | 15803.32 | * | * | 134 | 12,166.48 | N | 0 | M1B |
76098 | 26 | 30 | 2,402 | 99 | 4 | 22 | X5 | 202 | 5336 | 3017.52 | * | * | 202 | 2,354.18 | N | 0 | I1C |
J7325 | JZ | 66 | 9,102 | 99 | 1 | 11 | null | 912 | 24967.52 | 8364.14 | * | * | 912 | 6,557.54 | Y | 0 | O1E |
99222 | null | 11 | 11,202 | 01 | 1 | 22 | null | 2073 | 732339.03 | 246455.4 | 106 | 35128.37 | 2073 | 186,963.6 | N | 0 | M2A |
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