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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
J9271 | JZ | 11 | 882 | 15 | 1 | 11 | null | 2400 | 355200 | 133467.6 | * | * | 2400 | 104,638.56 | Y | 0 | O1D |
82607 | null | 69 | 2,302 | AX | 5 | 81 | null | 17504 | 851211.04 | 234625.2 | 1945 | 93965.61 | 17504 | 229,112.06 | N | 0 | T1H |
43999 | 51 | 02 | 2,402 | 99 | 2 | 21 | null | * | * | * | * | * | * | 658.07 | N | 0 | P1G |
37228 | null | 02 | 13,202 | 02 | 2 | 21 | null | * | * | * | * | * | * | 3,758.6 | N | 0 | P2F |
01260 | QK | 05 | 11,402 | 16 | 7 | 22 | X4 | * | * | * | * | * | * | 95.44 | N | 0 | P0 |
11042 | null | 02 | 5,302 | 02 | 2 | 21 | null | 29 | 8126 | 1575.82 | * | * | 29 | 1,249.43 | N | 0 | P5A |
78264 | 26 | 30 | 4,412 | 31 | 4 | 23 | null | * | * | * | * | * | * | 29.31 | N | 0 | I1E |
90750 | GA | 11 | 6,302 | 00 | V | 11 | null | 24 | 5248.76 | 0 | 24 | 5248.76 | 24 | 0 | N | 0 | O1G |
71045 | 26 | 94 | 4,312 | 00 | 4 | 23 | X5 | 541 | 74599 | 4455.22 | 15 | 2085 | 541 | 3,163.64 | N | 0 | I1A |
62370 | null | 25 | 1,182 | 26 | 2 | 11 | null | 79 | 32367 | 7905 | * | * | 79 | 5,882.65 | Y | 0 | P1G |
L8480 | RT | 55 | 16,013 | 21 | P | 12 | null | 54 | 1540.5 | 568.08 | * | * | 54 | 445.41 | N | 0 | D1F |
99215 | GV | 08 | 2,302 | 99 | 1 | 22 | null | * | * | * | * | * | * | 109.08 | N | 0 | M1B |
E2608 | NU | 54 | 16,013 | 22 | P | 32 | KU | * | * | * | * | * | * | 0 | N | 0 | D1D |
64636 | RT | 05 | 1,312 | 00 | 2 | 11 | null | 27 | 65958.94 | 5413.1 | * | * | 27 | 4,276.82 | N | 0 | P1G |
96360 | 59 | 08 | 13,202 | 02 | 1 | 11 | null | 134 | 10132.2 | 5067.05 | * | * | 134 | 3,882.16 | N | 0 | P6C |
00160 | QX | 43 | 13,202 | 02 | 7 | 24 | P2 | 20 | 17683.04 | 2636.33 | * | * | 20 | 1,608.1 | N | 0 | P0 |
99223 | 57 | 02 | 10,212 | 99 | 1 | 21 | null | 358 | 165461.36 | 51663.63 | 51 | 23618.56 | 358 | 39,566.98 | N | 0 | M2A |
76536 | null | 46 | 1,112 | 55 | 4 | 11 | null | 42 | 6720 | 5062.68 | * | * | 42 | 3,740.49 | N | 0 | I3F |
64999 | 59 | 05 | 15,102 | 00 | 2 | 21 | X5 | 129 | 106425 | 5573.56 | 12 | 9900 | 129 | 4,370.84 | N | 0 | P1G |
99233 | GW | 08 | 11,402 | 16 | 1 | 21 | null | 48 | 12709.13 | 5589.6 | * | * | 48 | 4,418.42 | N | 0 | M2B |
73630 | 26 | 94 | 6,302 | 00 | 4 | 23 | X5 | * | * | * | * | * | * | 6.12 | N | 0 | I1B |
11719 | XS | 48 | 9,102 | 99 | 2 | 11 | Q8 | 482 | 8101.6 | 4760.75 | * | * | 482 | 3,471.65 | N | 0 | P5A |
97110 | GO | 67 | 1,182 | 18 | 1 | 11 | KX | 29315 | 1269527.58 | 693574.36 | 1371 | 54999.39 | 29315 | 532,244.71 | N | 0 | P6C |
96372 | Q1 | 83 | 12,202 | 01 | 1 | 11 | null | 51 | 4743 | 802.13 | * | * | 51 | 556.32 | N | 0 | P6C |
99212 | null | 01 | 1,212 | 01 | 1 | 11 | null | 176 | 20679.95 | 9724.8 | 16 | 1648.96 | 166 | 6,726.56 | N | 0 | M1B |
99223 | 57 | 02 | 8,202 | 99 | 1 | 21 | null | 173 | 64878.33 | 24193.96 | 31 | 10886.69 | 173 | 18,641.59 | N | 0 | M2A |
92556 | null | 64 | 12,202 | 01 | K | 11 | null | 794 | 69921.54 | 37499.5 | 73 | 6870 | 794 | 27,020.73 | N | 0 | T2D |
64447 | LT | 93 | 15,202 | 00 | 2 | 23 | GV | * | * | * | * | * | * | 49.22 | N | 0 | P6C |
12031 | 59 | 49 | 5,202 | 00 | F | 24 | 51 | * | * | * | * | * | * | 209.14 | N | 0 | P6A |
20550 | XU | 48 | 11,202 | 01 | 2 | 11 | 79 | * | * | * | * | * | * | 21.58 | N | 0 | P6B |
92960 | null | 21 | 2,202 | 00 | 1 | 21 | null | * | * | * | * | * | * | 557.09 | N | 0 | P6C |
20550 | 51 | 05 | 4,412 | 11 | 2 | 11 | null | 306 | 11220 | 9620.25 | * | * | 306 | 7,058.53 | N | 0 | P6B |
70450 | 26 | 30 | 2,402 | 02 | 4 | 22 | 77 | 43 | 6213.8 | 1497.15 | * | * | 43 | 1,118.28 | N | 0 | I2A |
74018 | 26 | 94 | 10,312 | 35 | 4 | 21 | null | 429 | 17370.7 | 3435.6 | 20 | 926.71 | 429 | 2,651.97 | N | 0 | I1F |
G8482 | null | 01 | 12,302 | 01 | 1 | 11 | null | 130 | 0.12 | 0 | 130 | 0.12 | 130 | 0 | N | 0 | M5D |
A6223 | A4 | 54 | 17,013 | 14 | S | 12 | null | 300 | 1205.2 | 969 | * | * | 300 | 759.7 | N | 0 | D1A |
1100F | null | 11 | 8,202 | 01 | 1 | 14 | null | * | * | * | * | * | * | 0 | N | 0 | Z2 |
19499 | null | 30 | 882 | 97 | 2 | 22 | null | * | * | * | * | * | * | 371.98 | N | 0 | P1A |
94729 | null | 50 | 6,102 | 99 | 5 | 11 | null | 382 | 38904 | 15510.96 | 38 | 3762 | 382 | 12,007.4 | N | 0 | T2D |
92083 | 26 | 18 | 13,202 | 02 | Q | 22 | GZ | * | * | * | * | * | * | 0 | N | 0 | M5C |
99213 | 25 | 11 | 4,412 | 31 | 1 | 2 | 95 | * | * | * | * | * | * | 51.85 | N | 0 | M1B |
01173 | QY | 05 | 10,212 | 01 | 7 | 21 | X4 | * | * | * | * | * | * | 241.34 | N | 0 | P0 |
11057 | Q9 | 48 | 11,402 | 16 | 2 | 22 | null | 27 | 1620 | 618.42 | * | * | 27 | 459.19 | N | 0 | P5A |
17311 | 76 | 07 | 4,312 | 00 | 2 | 24 | null | 54 | 36391.64 | 16203.36 | * | * | 54 | 12,954.9 | N | 0 | P5A |
G8427 | null | 01 | 12,302 | 01 | 1 | 11 | null | 63 | 0.05 | 0 | 63 | 0.05 | 63 | 0 | N | 0 | M5D |
97530 | GO | 67 | 5,102 | 00 | 1 | 13 | null | 5301 | 321037.44 | 150096.58 | 229 | 13524.6 | 5301 | 114,184.57 | N | 0 | P6C |
49618 | AS | 50 | 3,402 | 02 | 8 | 21 | null | * | * | * | * | * | * | 365.38 | N | 0 | P1G |
99232 | 24 | 02 | 11,502 | 00 | 1 | 21 | 25 | * | * | * | * | * | * | 489.32 | N | 0 | M2B |
J2777 | JZ | 18 | 5,102 | 00 | 1 | 11 | LT | 4140 | 299160 | 153610.56 | * | * | 4140 | 120,430.45 | Y | 0 | O1E |
87811 | QW | 08 | 12,502 | AX | 5 | 10 | null | * | * | * | * | * | * | 162.2 | N | 0 | T1H |
1100F | null | 65 | 2,402 | 99 | 1 | 12 | null | 20 | 0 | 0 | 20 | 0 | 20 | 0 | N | 0 | Z2 |
70450 | TC | 08 | 5,202 | 00 | 4 | 11 | 51 | 19 | 6615.5 | 608.95 | * | * | 19 | 408.32 | N | 0 | I2A |
93970 | 26 | 30 | 4,112 | 01 | 5 | 23 | 77 | * | * | * | * | * | * | 26.68 | N | 0 | I3F |
V5257 | null | 64 | 12,302 | 01 | K | 11 | null | 31 | 74524 | 0 | 31 | 74524 | 31 | 0 | N | 0 | O1F |
96415 | null | 98 | 4,412 | 11 | 1 | 11 | null | 140 | 14176 | 3420.06 | 21 | 2089 | 140 | 2,503.71 | N | 0 | P7B |
99232 | CS | 08 | 1,182 | 18 | 1 | 21 | null | 259 | 53199.6 | 21729.35 | * | * | 259 | 16,237.32 | N | 0 | M2B |
92592 | null | 64 | 12,202 | 01 | K | 11 | null | 31 | 6821 | 0 | 31 | 6821 | 31 | 0 | N | 0 | T2D |
72080 | null | 30 | 10,312 | 35 | 4 | 11 | null | 54 | 6453.31 | 1504.47 | * | * | 54 | 1,135.4 | N | 0 | I1B |
29828 | AS | 97 | 6,102 | 99 | 8 | 24 | LT | 16 | 74024.25 | 1397.99 | * | * | 16 | 1,046.09 | N | 0 | P3D |
99232 | 57 | 02 | 6,102 | 99 | 1 | 21 | null | 169 | 35224.96 | 12294.39 | 13 | 2323.15 | 169 | 9,737.6 | N | 0 | M2B |
77080 | TC | 46 | 6,202 | 00 | 4 | 11 | null | 108 | 10877 | 3152.22 | * | * | 108 | 3,052.56 | N | 0 | I1B |
99489 | null | 50 | 10,312 | 35 | 1 | 10 | null | 71 | 8872 | 2505.42 | * | * | 71 | 1,964.29 | N | 0 | M5D |
30110 | 50 | 04 | 1,112 | 07 | 2 | 11 | null | * | * | * | * | * | * | 386.56 | N | 0 | P6C |
01961 | QY | 05 | 12,502 | 01 | 7 | 21 | X4 | * | * | * | * | * | * | 504.91 | N | 0 | P0 |
73706 | RT | 94 | 9,102 | 99 | 4 | 11 | 51 | * | * | * | * | * | * | 160.21 | N | 0 | I2B |
99212 | null | C3 | 882 | 97 | 1 | 22 | null | * | * | * | * | * | * | 113.95 | N | 0 | M1B |
99222 | 57 | 02 | 2,402 | 02 | 1 | 21 | null | 94 | 34038.93 | 11998.96 | * | * | 94 | 9,114.61 | N | 0 | M2A |
29540 | 50 | 48 | 13,282 | 99 | 2 | 11 | null | 71 | 6241.46 | 2759.06 | * | * | 71 | 2,089.81 | N | 0 | P6B |
45380 | 79 | 02 | 1,312 | 00 | 2 | 22 | 59 | * | * | * | * | * | * | 12.54 | N | 0 | P8D |
A0429 | RH | 59 | 12,102 | 01 | D | 41 | 76 | 44 | 77948 | 15685.82 | * | * | 44 | 12,284.8 | N | 0 | O1A |
14060 | 59 | 49 | 1,182 | 00 | F | 24 | 51 | * | * | * | * | * | * | 3,061.31 | N | 0 | P5A |
73501 | TC | 63 | 1,112 | 63 | 4 | 32 | LT | * | * | * | * | * | * | 63.81 | N | 0 | P6B |
13132 | RT | 48 | 12,402 | 99 | 2 | 21 | 59 | * | * | * | * | * | * | 255.46 | N | 0 | P5A |
20552 | RT | 05 | 13,102 | 00 | 2 | 11 | null | * | * | * | * | * | * | 177.47 | N | 0 | P6B |
90832 | null | E2 | 15,102 | 00 | T | 2 | null | 20 | 2158 | 0 | 20 | 2158 | 20 | 0 | N | 0 | M5B |
95972 | null | 50 | 5,302 | 99 | 5 | 11 | null | 47 | 11242.42 | 2063.1 | * | * | 47 | 1,518.36 | N | 0 | T2D |
V2203 | RT | 99 | 19,003 | 26 | Q | 12 | null | 15 | 898.35 | 838.46 | * | * | 15 | 610.35 | N | 0 | D1F |
72040 | GC | 30 | 1,182 | 18 | 4 | 11 | FY | 25 | 4866 | 1030.52 | * | * | 25 | 690.4 | N | 0 | I1B |
99214 | 24 | 18 | 4,412 | 15 | 1 | 19 | null | 13 | 3510 | 1274.52 | * | * | 13 | 789.27 | N | 0 | M1B |
G9923 | null | 50 | 9,102 | 03 | 1 | 31 | null | 85 | 0 | 0 | 85 | 0 | 85 | 0 | N | 0 | Z2 |
77012 | 26 | 94 | 5,402 | 00 | 4 | 23 | X5 | * | * | * | * | * | * | 52.2 | N | 0 | I1A |
73080 | 26 | 63 | 9,102 | 99 | 4 | 32 | RT | 24 | 379.08 | 178.08 | * | * | 24 | 139.44 | N | 0 | I1B |
99214 | 25 | 39 | 4,312 | 00 | 1 | 11 | null | 36 | 8217.36 | 3865.28 | * | * | 36 | 2,570.16 | N | 0 | M1B |
00813 | QX | 43 | 4,412 | 31 | 7 | 21 | X4 | 83 | 72159 | 7435.26 | * | * | 83 | 5,831.78 | N | 0 | P0 |
00530 | QX | 32 | 10,212 | 01 | 7 | 22 | QS | 459 | 550930.98 | 50686.55 | 11 | 15047.7 | 459 | 39,268.24 | N | 0 | P0 |
15734 | 82 | 97 | 4,412 | 18 | 8 | 22 | null | * | * | * | * | * | * | 167.48 | N | 0 | P5A |
29823 | AS | 97 | 10,212 | 99 | 8 | 24 | LT | 24 | 34933.94 | 729.44 | * | * | 24 | 577.28 | N | 0 | P8A |
A4369 | null | A6 | 17,013 | 24 | P | 12 | null | 38 | 505.04 | 112.39 | * | * | 38 | 88.16 | N | 0 | D1F |
70150 | null | 30 | 10,312 | 35 | 4 | 11 | null | 44 | 5690.97 | 1866.2 | * | * | 44 | 1,287.49 | N | 0 | I1B |
99223 | AI | C0 | 1,112 | 09 | 1 | 21 | null | * | * | * | * | * | * | 159.93 | N | 0 | M2A |
11755 | T5 | 48 | 10,212 | 01 | 2 | 13 | null | * | * | * | * | * | * | 862.36 | N | 0 | P5A |
51705 | null | 97 | 1,182 | 71 | 2 | 22 | null | 12 | 5203 | 551.04 | * | * | 12 | 432.12 | N | 0 | P6C |
22614 | 59 | 20 | 4,412 | 28 | 2 | 21 | null | 15 | 11557.12 | 5449.26 | * | * | 15 | 4,272.22 | N | 0 | P3D |
99214 | null | 02 | 6,202 | 00 | 1 | 20 | null | 27 | 10648.8 | 3411.45 | * | * | 27 | 2,166.17 | N | 0 | M1B |
73110 | RT | 93 | 5,302 | 02 | 4 | 20 | null | * | * | * | * | * | * | 62.64 | N | 0 | I1B |
76882 | 26 | C3 | 882 | J4 | 4 | 22 | XU | * | * | * | * | * | * | 51.56 | N | 0 | I3F |
20605 | 59 | 48 | 12,402 | 01 | 2 | 22 | 51 | * | * | * | * | * | * | 15.91 | N | 0 | P6B |
U0002 | null | 97 | 6,302 | AX | 5 | 11 | null | 19 | 3030.24 | 769.65 | * | * | 19 | 754.2 | N | 0 | T1H |
95800 | null | 11 | 13,202 | 01 | 1 | 11 | null | 26 | 16000 | 4399.68 | * | * | 26 | 3,309.53 | N | 0 | T2D |
82040 | null | 69 | 13,202 | AX | 5 | 81 | null | 5894 | 112576.77 | 20538.83 | 1572 | 25920.67 | 5894 | 19,974.37 | N | 0 | T1H |
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