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