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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
97140 | GP | 65 | 11,302 | 00 | 1 | 11 | KX | 73507 | 4405786.92 | 1530804.43 | 1302 | 79212.85 | 71338 | 1,187,569.92 | N | 0 | P6C |
72100 | 26 | 30 | 2,302 | 99 | 4 | 11 | null | 1450 | 53351 | 14575 | 75 | 2975 | 1450 | 9,994.92 | N | 0 | I1B |
99215 | null | 06 | 6,302 | 00 | 1 | 22 | null | 1988 | 962540.94 | 264476.96 | 52 | 24638.9 | 1988 | 192,051.53 | N | 0 | M1B |
43255 | null | 10 | 9,102 | 99 | 2 | 21 | null | 1375 | 1088713.49 | 256296.49 | 83 | 65749.67 | 1375 | 200,898.45 | N | 0 | P8B |
97163 | GP | 65 | 1,182 | 73 | 1 | 12 | KX | * | * | * | * | * | * | 84.3 | N | 0 | M5D |
G9916 | GO | 67 | 6,202 | 00 | 1 | 13 | null | 17 | 0 | 0 | 17 | 0 | 17 | 0 | N | 0 | Z2 |
99214 | 95 | 50 | 4,412 | 18 | 1 | 11 | GW | 19 | 4743.4 | 2125.34 | * | * | 19 | 1,666.3 | N | 0 | M1B |
74174 | 26 | 94 | 8,102 | 00 | 4 | 23 | X5 | * | * | * | * | * | * | 720.28 | N | 0 | I2B |
99214 | GV | 08 | 1,112 | 75 | 1 | 11 | null | 52 | 14995.05 | 6821.02 | * | * | 52 | 3,886.84 | N | 0 | M1B |
61783 | 80 | 20 | 1,182 | 18 | 8 | 21 | 58 | 22 | 28800 | 803.25 | * | * | 22 | 630.09 | N | 0 | I4B |
99283 | 57 | 50 | 5,302 | 99 | 1 | 23 | null | * | * | * | * | * | * | 280.92 | N | 0 | M3 |
64454 | RT | 05 | 8,102 | 00 | 2 | 11 | null | * | * | * | * | * | * | 1,541.71 | N | 0 | P6C |
28735 | LT | 20 | 14,412 | 01 | 2 | 21 | null | * | * | * | * | * | * | 634.28 | N | 0 | P3D |
73630 | 26 | 94 | 4,412 | 18 | 4 | 21 | LT | 21 | 1914 | 175.35 | * | * | 21 | 139.07 | N | 0 | I1B |
99497 | null | 50 | 6,202 | 00 | 1 | 21 | null | 754 | 225271 | 45789.84 | 23 | 6845.5 | 754 | 36,145.11 | N | 0 | P5E |
43239 | 59 | 49 | 15,202 | 10 | F | 24 | 51 | 129 | 218793.96 | 25694.22 | * | * | 129 | 19,956.25 | N | 0 | P8B |
85025 | null | 46 | 2,302 | AX | 5 | 11 | null | 285 | 8049 | 2074.59 | 18 | 519 | 285 | 2,031.87 | N | 0 | T1D |
73502 | 26 | 30 | 1,112 | 63 | 4 | 11 | null | 42 | 2383 | 453.2 | * | * | 42 | 362.2 | N | 0 | P6B |
99308 | null | 04 | 12,502 | 01 | 1 | 32 | null | 1352 | 108160 | 73287.41 | 411 | 32880 | 1352 | 57,456.31 | N | 0 | M4B |
99291 | 24 | 21 | 4,412 | 99 | 1 | 21 | null | 12 | 5512 | 2496.48 | * | * | 12 | 1,996.72 | N | 0 | M2C |
99222 | null | 50 | 10,112 | 00 | 1 | 21 | null | 5599 | 1305904.35 | 546174.16 | 424 | 93403.21 | 5599 | 412,597.03 | N | 0 | M2A |
01220 | AA | 05 | 10,312 | 35 | 7 | 22 | null | * | * | * | * | * | * | 482.28 | N | 0 | P0 |
93282 | 26 | 21 | 13,202 | 02 | 1 | 11 | null | 16 | 5365.98 | 739.44 | * | * | 16 | 554.38 | N | 0 | T2C |
74150 | 26 | 30 | 4,412 | 18 | 4 | 22 | 51 | * | * | * | * | * | * | 259.25 | N | 0 | I2B |
90962 | null | 39 | 1,112 | 51 | 1 | 65 | null | 173 | 62827.5 | 33781.46 | 20 | 7472.5 | 173 | 25,883.3 | N | 0 | P9A |
99284 | 25 | 02 | 882 | 01 | 1 | 23 | null | * | * | * | * | * | * | 99.17 | N | 0 | M3 |
70450 | 26 | 92 | 4,112 | 01 | 4 | 23 | MG | 44 | 13219.36 | 1607.61 | * | * | 44 | 1,197.65 | N | 0 | I2A |
76942 | 26 | 34 | 14,212 | 99 | 6 | 22 | null | 167 | 23125.34 | 4890.55 | * | * | 167 | 3,679 | N | 0 | I3F |
01230 | AA | 05 | 13,292 | 04 | 7 | 21 | GC | 26 | 40125 | 10794.08 | * | * | 26 | 8,462.54 | N | 0 | P0 |
Q4104 | null | 07 | 1,182 | 71 | 1 | 11 | null | * | * | * | * | * | * | 70.56 | N | 0 | O1E |
32555 | RT | 97 | 11,302 | 00 | 2 | 22 | X4 | 167 | 61134 | 11406.26 | 41 | 15870 | 167 | 8,911.53 | N | 0 | P6C |
33508 | XU | 97 | 11,202 | 01 | 2 | 21 | null | 34 | 1054 | 0 | 34 | 1054 | 34 | 0 | N | 0 | P8I |
99204 | 25 | C6 | 14,212 | 99 | 1 | 11 | null | 218 | 91631.5 | 34802.58 | 16 | 6802 | 218 | 24,636.59 | N | 0 | M1A |
95886 | null | 14 | 10,212 | 99 | 5 | 11 | null | 245 | 122723 | 21360.55 | * | * | 245 | 16,076.53 | N | 0 | T2D |
73030 | 50 | 63 | 10,312 | 35 | 4 | 13 | null | * | * | * | * | * | * | 75.03 | N | 0 | I1B |
L4361 | KX | 99 | 18,003 | 45 | P | 12 | RT | 48 | 26592.85 | 13064.04 | * | * | 48 | 9,936.45 | N | 0 | D1F |
90966 | null | 39 | 13,202 | 01 | 1 | 11 | null | 69 | 103226.4 | 22551.52 | * | * | 69 | 16,929.26 | N | 0 | P9A |
93970 | 26 | 06 | 6,102 | 12 | 5 | 22 | 59 | 33 | 3630 | 1093.12 | * | * | 33 | 853.4 | N | 0 | I3F |
36561 | RT | 02 | 8,202 | 01 | 2 | 22 | null | 86 | 126006 | 27751.12 | * | * | 86 | 21,922.89 | N | 0 | P8F |
17000 | 79 | 50 | 11,302 | 00 | 2 | 11 | XE | * | * | * | * | * | * | 22.96 | N | 0 | P5A |
E2395 | NU | 54 | 18,003 | 45 | P | 12 | RB | 478 | 37441.63 | 24029.5 | 18 | 1294.87 | 478 | 18,568.45 | N | 0 | D1D |
37226 | RT | 02 | 14,212 | 01 | 2 | 22 | null | * | * | * | * | * | * | 1,266.2 | N | 0 | P2F |
1124F | null | 77 | 1,182 | 18 | 1 | 21 | null | 18 | 0.18 | 0 | 18 | 0.18 | 18 | 0 | N | 0 | Z2 |
99443 | 93 | 26 | 8,202 | 01 | 1 | 11 | null | * | * | * | * | * | * | 0 | N | 0 | M5D |
99213 | 95 | 90 | 14,112 | 03 | 1 | 22 | null | * | * | * | * | * | * | 346.43 | N | 0 | M1B |
90834 | AJ | 80 | 14,312 | 40 | T | 11 | null | 248 | 32720 | 18254.06 | * | * | 248 | 13,705.49 | N | 0 | M5B |
28299 | null | 48 | 1,112 | 59 | 2 | 24 | null | * | * | * | * | * | * | 977.4 | N | 0 | P3D |
99235 | null | 81 | 9,102 | 99 | 1 | 21 | null | 25 | 12465 | 4015 | * | * | 25 | 3,153.15 | N | 0 | M2B |
97535 | KX | 67 | 1,182 | 72 | 1 | 11 | GO | 29 | 3188.55 | 855.94 | * | * | 29 | 671.06 | N | 0 | P6C |
J0490 | JW | 66 | 10,312 | 35 | 1 | 11 | JA | 286 | 22459 | 14065.79 | * | * | 286 | 10,159.62 | Y | 0 | O1E |
73562 | 26 | 30 | 9,102 | 99 | 4 | 22 | 77 | * | * | * | * | * | * | 14.49 | N | 0 | I1B |
J7613 | KO | A5 | 17,013 | 52 | P | 12 | CR | 4419 | 894.42 | 117.46 | 999 | 172.5 | 4419 | 46.68 | N | 0 | D1G |
99222 | 24 | 21 | 4,412 | 99 | 1 | 21 | null | 43 | 13849.52 | 4696.04 | * | * | 43 | 3,709.5 | N | 0 | M2A |
G8433 | null | 39 | 882 | 01 | 1 | 11 | null | * | * | * | * | * | * | 0 | N | 0 | M5D |
01120 | AA | 05 | 13,292 | 04 | 7 | 21 | GC | * | * | * | * | * | * | 298.37 | N | 0 | P0 |
G2212 | 95 | 13 | 12,302 | 01 | 1 | 2 | null | 19 | 2047 | 592.02 | * | * | 19 | 368.84 | N | 0 | M5D |
88177 | 26 | 22 | 6,102 | 16 | 5 | 21 | XE | 18 | 1260 | 396.36 | * | * | 18 | 391.03 | N | 0 | T1G |
12035 | 59 | 02 | 1,112 | 75 | 2 | 21 | null | * | * | * | * | * | * | 203.51 | N | 0 | P6A |
67820 | GW | 41 | 2,402 | 02 | 2 | 11 | RT | * | * | * | * | * | * | 16.64 | N | 0 | P6C |
66991 | RT | 18 | 12,302 | 99 | 2 | 24 | null | 19 | 31062 | 11781.17 | * | * | 19 | 9,236.44 | Y | 0 | P4B |
L1812 | KX | 23 | 19,003 | 17 | P | 12 | RT | 15 | 2610 | 923.39 | * | * | 15 | 723.93 | N | 0 | D1F |
64625 | null | 25 | 6,202 | 00 | 2 | 24 | null | * | * | * | * | * | * | 0 | N | 0 | P6C |
73562 | 26 | 20 | 3,102 | 00 | 4 | 11 | 59 | 205 | 4305 | 1827 | * | * | 205 | 1,386.19 | N | 0 | I1B |
R0070 | XP | 63 | 13,202 | 03 | 4 | 12 | null | * | * | * | * | * | * | 344.74 | N | 0 | I1F |
72157 | 26 | 30 | 13,202 | 02 | 4 | 21 | X5 | 69 | 88168 | 8077.08 | * | * | 69 | 6,307.34 | Y | 0 | I2D |
32555 | LT | 30 | 13,202 | 02 | 2 | 23 | null | * | * | * | * | * | * | 499.67 | N | 0 | P6C |
67966 | RT | 18 | 9,102 | 99 | 2 | 24 | null | 24 | 38459.4 | 10340.68 | * | * | 24 | 8,250.68 | N | 0 | P4E |
11042 | null | 77 | 4,112 | 01 | 2 | 19 | null | 436 | 61476 | 25553.43 | 13 | 1833 | 436 | 20,078.29 | N | 0 | P5A |
11105 | 59 | 13 | 11,502 | 00 | 2 | 11 | null | * | * | * | * | * | * | 270.63 | N | 0 | P6C |
22856 | AS | 50 | 3,502 | 09 | 8 | 22 | 51 | * | * | * | * | * | * | 84 | N | 0 | P3D |
38222 | LT | 11 | 13,202 | 02 | 2 | 11 | null | 14 | 10665.72 | 2962.96 | * | * | 14 | 2,373.32 | N | 0 | P6C |
76700 | 26 | 47 | 13,202 | E5 | 4 | 32 | null | * | * | * | * | * | * | 51.75 | N | 0 | I3B |
28470 | T3 | 20 | 12,302 | 99 | 2 | 11 | null | * | * | * | * | * | * | 158.02 | N | 0 | P6B |
64635 | 50 | 09 | 13,102 | 00 | 2 | 24 | null | 42 | 92347.5 | 11871.99 | * | * | 42 | 9,374.82 | N | 0 | P1G |
67924 | RT | 18 | 12,402 | 99 | 2 | 24 | null | * | * | * | * | * | * | 2,314.08 | N | 0 | P4E |
12002 | F8 | 93 | 11,502 | 00 | 2 | 23 | null | * | * | * | * | * | * | 44.23 | N | 0 | P6A |
36416 | null | 46 | 882 | 02 | 1 | 11 | null | 21 | 465 | 0 | 21 | 465 | 21 | 0 | N | 0 | T1A |
93880 | 26 | 77 | 1,112 | 64 | 5 | 21 | null | 13 | 1259 | 519.48 | * | * | 13 | 416.65 | N | 0 | I3D |
99215 | 95 | 26 | 14,112 | 99 | 1 | 22 | null | 19 | 8779 | 2603.38 | * | * | 19 | 1,657.27 | N | 0 | M1B |
97530 | GP | 65 | 14,512 | 50 | 1 | 11 | KX | 6245 | 335678.56 | 196454.76 | 43 | 2463.89 | 6245 | 153,403.14 | N | 0 | P6C |
92020 | RT | 41 | 13,102 | 00 | 1 | 11 | LT | 21 | 861 | 475.36 | * | * | 21 | 302.77 | N | 0 | M5C |
70480 | 26 | 30 | 6,102 | 15 | 4 | 23 | 59 | 46 | 16298 | 2692.62 | * | * | 46 | 2,125.33 | N | 0 | I2A |
87801 | GW | 69 | 4,412 | AX | 5 | 81 | null | 3702 | 647577.11 | 242890.2 | 233 | 39169.47 | 3702 | 237,613.75 | N | 0 | T1H |
99203 | null | 46 | 15,102 | 00 | 1 | 11 | null | 351 | 69122.48 | 36356.1 | * | * | 351 | 23,727.65 | N | 0 | M1A |
G8950 | null | 39 | 2,402 | 99 | 1 | 11 | null | 1432 | 0 | 0 | 1432 | 0 | 1432 | 0 | N | 0 | M5B |
G0279 | 26 | 30 | 7,302 | 00 | 4 | 22 | null | 2219 | 286900.84 | 56980.72 | 156 | 19079.08 | 2219 | 42,024.69 | N | 0 | I1C |
99213 | null | 97 | 882 | 02 | 1 | 11 | null | 655 | 169751.16 | 53743.79 | * | * | 655 | 36,287.76 | N | 0 | M1B |
99493 | null | 06 | 14,212 | 99 | 1 | 11 | null | 14 | 7905.84 | 2067.38 | * | * | 14 | 1,620.92 | N | 0 | M5D |
31231 | null | 50 | 10,212 | 99 | 2 | 11 | null | 235 | 157402.7 | 32348.19 | 18 | 11526 | 235 | 23,743.55 | N | 0 | P8I |
76981 | 26 | 30 | 12,402 | 99 | 4 | 22 | null | 42 | 8138 | 974.28 | * | * | 42 | 744.95 | N | 0 | P6C |
G1004 | null | 06 | 2,302 | 99 | 1 | 11 | null | 626 | 0 | 0 | 626 | 0 | 626 | 0 | N | 0 | Z2 |
G3002 | null | 50 | 10,312 | 35 | 1 | 11 | null | 2481 | 354584.02 | 155389.44 | 88 | 11440 | 2481 | 117,451.11 | N | 0 | P5E |
G8753 | null | 06 | 7,302 | 00 | 1 | 11 | null | 2176 | 0 | 0 | 2176 | 0 | 2176 | 0 | N | 0 | M5B |
3288F | null | 11 | 14,212 | 01 | 1 | 11 | null | 5287 | 10.89 | 0 | 5287 | 10.89 | 5287 | 0 | N | 0 | Z2 |
99213 | null | 50 | 9,102 | 99 | 1 | 11 | null | 261124 | 52560071.49 | 19419903.56 | 6526 | 1356585.41 | 261124 | 12,879,484.62 | N | 0 | M1B |
99214 | null | 06 | 4,412 | 99 | 1 | 11 | null | 233450 | 57839308.59 | 28318452.7 | 5444 | 1323822.09 | 233450 | 19,775,944.7 | N | 0 | M1B |
73522 | 26 | 30 | 2,302 | 01 | 4 | 22 | null | 269 | 12886 | 3801.2 | * | * | 269 | 2,723.89 | N | 0 | P6B |
81002 | 59 | 08 | 7,202 | AX | 5 | 11 | null | 303 | 4191 | 922.2 | 38 | 497 | 303 | 903.65 | N | 0 | T1C |
76604 | 26 | 30 | 8,202 | 01 | 4 | 21 | null | 488 | 48709 | 13432.16 | 19 | 1755 | 488 | 10,414.56 | N | 0 | I3F |
1170F | null | 08 | 4,412 | 99 | 1 | 11 | null | 49350 | 13819.18 | 0 | 49350 | 13819.18 | 49297 | 0 | N | 0 | Z2 |
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