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