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
99212
null
11
11,202
01
1
11
null
3437
312545.91
177343.34
119
11270.96
3437
119,248.43
N
0
M1B
84443
null
90
10,112
AX
5
11
null
842
52364
13204.8
56
4167
842
12,937.56
N
0
T1H
86317
null
69
3,202
AX
5
81
null
19
779
89.94
13
533
19
88.14
N
0
T1H
82728
null
97
14,112
AX
5
11
null
185
6996.12
2194.43
24
920.36
185
2,137.6
N
0
T1H
82962
null
08
5,202
AX
5
11
null
543
9694.43
1590.8
58
1002
543
1,545.31
N
0
T1E
84270
null
08
14,212
AX
5
11
null
39
3393
867.02
*
*
39
849.85
N
0
T1H
G8950
null
50
9,102
99
1
31
null
478
36.01
0
478
36.01
478
0
N
0
M5B
13153
59
04
5,302
99
2
24
79
*
*
*
*
*
*
203.22
N
0
P6B
Q4205
JZ
48
4,412
18
1
11
null
1634
4667318
2247720
92
255960
1634
1,762,108.32
N
0
O1E
11721
XS
48
12,502
01
2
13
GW
*
*
*
*
*
*
151.2
N
0
P6A
U0003
null
69
882
AX
5
81
null
4989
888986.72
292138.81
1093
201348.24
4989
285,781.49
N
0
T1H
71045
26
30
3,102
00
4
21
null
56501
5045420.84
445754.02
5083
455164.29
56500
345,136.71
N
0
I1A
82248
null
69
8,202
AX
5
81
null
6265
67318.06
26302.56
857
9981.13
6265
25,764.8
N
0
T1H
22513
X4
30
11,502
00
2
22
GW
*
*
*
*
*
*
346.62
N
0
P3D
11043
null
02
1,182
18
2
12
null
1907
733361.8
453966.06
155
60305.4
1907
341,816.79
N
0
P5A
67028
78
18
3,502
09
2
11
RT
*
*
*
*
*
*
344.06
Y
0
P4E
99214
null
11
882
62
1
11
null
574
121682.74
73831.89
18
3898
574
47,242.17
N
0
M1B
92004
null
41
8,202
99
1
32
null
1657
266564.5
222943.28
116
18672.28
1657
172,838.27
N
0
M5C
30117
59
04
12,502
01
2
24
null
*
*
*
*
*
*
577.34
N
0
P5E
95939
26
13
5,102
00
5
22
null
75
437794.2
7592.88
*
*
75
5,757.86
N
0
T2D
99222
57
78
882
99
1
21
null
*
*
*
*
*
*
103.34
N
0
M2A
99285
null
13
14,212
99
1
23
null
118
49895
20002.08
*
*
118
15,556.91
N
0
M3
G8752
null
11
882
62
1
11
null
43
0.05
0
43
0.05
43
0
N
0
M5B
20600
LT
20
6,302
00
2
11
null
136
43277.6
6584.06
*
*
136
4,503.71
N
0
P6B
93926
26
30
1,182
18
5
2
null
*
*
*
*
*
*
113.41
N
0
I3F
93289
26
21
6,302
00
1
22
null
190
75544.94
6367.58
*
*
190
4,352.26
N
0
T2D
1036F
null
41
12,402
99
1
32
null
1200
0
0
1200
0
1200
0
N
0
Z2
99307
null
41
8,202
99
1
32
null
480
22113.76
17885.22
15
684.86
480
13,605.19
N
0
M4B
71045
26
11
6,202
00
4
19
null
*
*
*
*
*
*
34.25
N
0
I1A
99291
GC
93
14,112
03
1
23
null
695
934618.25
142215.2
15
19726.9
695
112,045.08
N
0
M2C
45380
51
10
1,182
26
2
24
null
37
32914.71
1602.22
*
*
37
1,182.25
N
0
P8D
96413
null
13
11,502
00
1
11
null
1455
640734.4
173474.01
42
17917
1455
126,993.28
N
0
P7B
17000
null
97
13,102
00
2
11
null
4778
719853.77
288595.12
159
22738.89
4778
200,530.98
N
0
P5A
84075
90
69
14,212
AX
5
81
null
2095
190284.76
10306.04
105
9733.4
2095
10,045.48
N
0
T1H
78227
26
30
5,202
00
4
22
X5
253
34936
10222.96
*
*
253
7,885.4
N
0
I4B
82565
90
69
4,312
AX
5
81
null
57
976.03
249.72
*
*
57
244.83
N
0
T1H
3061F
null
08
3,102
00
1
11
null
4800
47.61
0
4800
47.61
4786
0
N
0
Z2
3351F
null
24
8,202
99
1
19
null
81
0
0
81
0
81
0
N
0
Z2
73562
RT
08
11,302
00
4
20
null
36
3881.45
1430.8
*
*
36
1,031
N
0
I1B
E0159
NU
54
18,003
42
P
12
KX
77
1753.61
72.11
73
1644.82
19
56.53
N
0
D1E
94010
null
C6
12,502
01
5
11
null
365
29270
9526.18
34
2720
365
6,802.82
N
0
T2D
82075
null
50
15,102
AX
5
11
null
1017
46549.5
27150
112
5010.8
1017
26,607
N
0
T1H
64448
59
43
15,102
00
2
22
X5
124
31000
8638.29
*
*
124
6,772.38
N
0
P6C
83036
QW
22
4,412
AX
5
11
GA
30
877
9.71
29
848
30
9.52
N
0
T1H
90792
null
50
1,312
00
1
11
null
581
230287.81
82866.35
84
33144.09
581
56,048.84
N
0
M5B
01922
AA
05
13,292
04
7
22
null
13
56830.02
4251.7
*
*
13
3,333.48
N
0
P0
70486
null
01
1,182
71
4
11
null
*
*
*
*
*
*
0
N
0
I2A
71260
26
30
1,112
06
4
11
GW
*
*
*
*
*
*
47.28
N
0
I2B
27130
22
20
6,302
00
2
22
RT
113
2316328.05
133345.59
*
*
113
98,660.93
N
0
P3B
73120
TC
50
6,202
00
4
50
RT
*
*
*
*
*
*
18.77
N
0
I1B
99153
null
30
1,182
N3
1
11
null
21
534.24
0
21
534.24
21
0
N
0
P0
96367
null
11
1,112
62
1
11
null
198
20194.41
5676.66
15
1983
198
4,433.49
N
0
P6C
88309
26
69
5,102
00
5
22
null
20
10860
2748.4
*
*
20
1,890.55
N
0
T1G
99214
null
24
12,402
99
1
19
null
*
*
*
*
*
*
408.33
N
0
M1B
99212
25
25
8,102
00
1
22
null
*
*
*
*
*
*
52.74
N
0
M1B
Q4217
null
04
4,412
11
1
11
null
1264
1817600
1654143.36
*
*
1264
1,295,830.57
N
0
O1E
73080
26
94
1,182
26
4
22
LT
*
*
*
*
*
*
14.22
N
0
I1B
90836
95
50
1,112
75
T
10
null
14
2240
977.76
*
*
14
629.56
N
0
M5B
86803
null
22
12,202
AX
5
11
null
509
45886.35
5168.93
146
13161.9
509
5,052.42
N
0
T1H
86900
90
69
15,102
AX
5
81
null
11
220
32.89
*
*
11
32.23
N
0
T1H
99236
null
93
1,182
72
1
21
null
*
*
*
*
*
*
1,030.31
N
0
M2B
11042
null
08
1,182
26
2
13
null
17
4333
1631.74
*
*
17
1,279.3
N
0
P5A
99347
GV
08
12,402
99
1
13
null
*
*
*
*
*
*
104.64
N
0
M4A
66020
78
18
3,502
09
2
11
RT
*
*
*
*
*
*
356.62
Y
0
P4E
G8417
null
97
5,302
01
1
11
null
304
2.63
0
304
2.63
304
0
N
0
M5D
85027
null
69
5,302
AX
5
81
null
23342
673878.46
123001.17
4331
93363.41
23342
120,502.01
N
0
T1D
11046
AS
97
8,102
00
8
21
58
64
2620
0
64
2620
64
0
N
0
P5A
82306
null
11
4,212
AX
5
11
null
2020
223746
51237.6
289
30238.6
2020
32,892
N
0
T1H
17000
null
07
2,102
01
2
11
null
2997
702679.5
241280.48
61
14296.35
2997
161,166.88
N
0
P5A
00812
QK
05
4,412
28
7
24
null
131
320025.4
6587.95
*
*
131
6,553.55
N
0
P0
49083
null
30
882
13
2
22
null
15
5262
1467.3
*
*
15
1,161.15
Y
0
P1G
99284
null
13
12,502
99
1
23
null
147
66274
17159.28
*
*
147
13,020.71
N
0
M3
31628
GC
81
2,402
02
2
22
null
*
*
*
*
*
*
737.2
N
0
P8F
64493
RT
25
6,102
12
2
11
KX
*
*
*
*
*
*
449.6
N
0
P6B
74018
TC
63
13,202
01
4
13
null
17
616.88
440.3
*
*
17
345.27
N
0
I1F
99223
Q6
26
8,202
99
1
2
95
12
5856
2044.56
*
*
12
1,602.84
N
0
M2A
87481
GW
69
1,182
AX
5
81
null
1377
71012.99
44248.49
116
7949.58
1377
43,363.75
N
0
T1H
84156
null
34
5,302
AX
5
11
null
5877
32436
19814.33
478
2629
5877
19,429.98
N
0
T1H
G8421
null
20
12,502
99
1
11
null
516
0
0
516
0
516
0
N
0
M5D
88360
26
22
15,102
00
5
22
Q6
12
1792
394.5
*
*
12
310.06
N
0
T1G
20605
58
40
4,112
01
2
11
LT
*
*
*
*
*
*
44.57
N
0
P6B
J0585
null
25
4,412
00
1
11
null
206345
3047423.16
1091234.35
33057
525820.49
206345
842,662.29
Y
0
O1E
G9664
null
11
1,182
18
1
11
null
2734
4506.18
0
2734
4506.18
2734
0
N
0
Z2
76604
26
30
10,112
00
4
11
null
15
2733
399.9
*
*
15
314.01
N
0
I3F
84165
null
69
4,212
AX
5
81
null
2277
178120.97
24079.08
35
2774.48
2277
23,608.26
N
0
T1H
83516
90
69
13,202
AX
5
81
null
8665
821044.49
83730.86
1403
110081.11
8665
80,606.92
N
0
T1H
86803
null
66
4,312
AX
5
11
null
129
6708
1840.83
*
*
129
1,761.48
N
0
T1H
17283
null
07
12,202
01
2
11
null
45
23856.21
12265.75
*
*
45
9,345.91
N
0
P5A
G9902
null
50
9,102
99
1
11
null
1583
351.04
0
1583
351.04
1583
0
N
0
Z2
G8752
null
06
5,302
99
1
11
null
1390
2.7
0
1390
2.7
1390
0
N
0
M5B
J2001
null
50
3,102
00
1
11
null
1340
25142.68
10.3
985
20192.61
1340
7.07
N
0
O1E
99212
null
07
1,312
00
1
11
null
2230
233738.06
124748.23
45
4748.26
2230
85,413.94
N
0
M1B
G8420
null
08
9,102
03
1
11
null
15239
2127.37
0
15239
2127.37
15239
0
N
0
M5D
84703
null
69
10,112
AX
5
81
null
224
16830.71
1351.2
44
2996.8
224
1,303.03
N
0
T1H
87497
90
69
12,202
AX
5
81
null
827
86367.32
33158.16
53
5512
827
32,284.65
N
0
T1H
11603
79
07
9,102
99
2
22
null
*
*
*
*
*
*
461.91
N
0
P5A
72146
TC
11
11,202
01
4
11
MG
*
*
*
*
*
*
102.98
N
0
I2D
71101
TC
97
8,202
99
4
20
RT
20
1383.64
492.79
*
*
20
303.79
N
0
I1B
80076
null
08
12,302
AX
5
11
null
154
3913
1250.01
*
*
154
1,207.56
N
0
T1B
99221
GC
93
14,112
03
1
23
null
*
*
*
*
*
*
194.35
N
0
M2A