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
00530
QY
05
12,502
99
7
22
QS
47
53082.59
4029.48
*
*
47
3,170.98
N
0
P0
83986
null
69
12,402
AX
5
81
null
174
7921.19
361.58
73
1230.03
174
349.95
N
0
T1H
99212
93
11
12,402
01
1
10
null
*
*
*
*
*
*
30.36
N
0
M1B
72195
51
30
1,112
66
4
11
null
11
10098
3065.92
*
*
11
2,396.25
N
0
I2D
27602
51
77
3,502
09
2
21
null
*
*
*
*
*
*
181.26
N
0
P3D
11044
79
14
4,412
99
2
21
51
*
*
*
*
*
*
85.25
N
0
P5A
23570
LT
20
8,102
00
2
11
null
*
*
*
*
*
*
996.86
N
0
P6B
1123F
8P
30
12,302
01
1
11
null
17608
0
0
17608
0
17608
0
N
0
Z2
62321
null
30
10,312
35
2
11
null
126
148571.44
28166.88
*
*
126
21,160.86
N
0
P6B
43235
null
10
7,202
01
2
21
null
118
75701
13233.46
*
*
118
10,381.74
N
0
P8B
99231
GC
44
4,412
99
1
21
null
36
2701
1257.62
*
*
36
971.29
N
0
M2B
17110
59
97
1,182
26
2
11
51
99
19436.1
5575.68
*
*
99
4,304.47
N
0
P6A
73502
RT
66
6,102
16
4
11
null
52
6481
2539.8
*
*
52
1,878.64
N
0
P6B
97110
GP
65
15,202
00
1
11
KX
132585
7436122.65
2944215.39
3472
185425.38
132579
2,239,905.56
N
0
P6C
G2252
null
39
9,102
03
1
2
null
121
4235
3243.38
*
*
121
2,465.5
N
0
M5D
20206
null
30
10,312
35
2
11
null
17
10988.93
3293.2
*
*
17
2,626.16
N
0
P6B
99204
GC
11
12,502
99
1
22
null
105
44359
11853.66
14
5693
105
8,093.18
N
0
M1A
L1686
KX
55
18,003
37
P
12
RT
22
21890
16628.55
*
*
22
12,947.56
N
0
D1F
99214
null
77
12,402
99
1
19
null
44
12100
4456.52
*
*
44
3,554.55
N
0
M1B
D9999
null
19
13,202
01
1
11
null
*
*
*
*
*
*
0
N
0
Y1
01402
QX
43
11,302
00
7
21
P3
113
339126.2
20042.58
*
*
113
15,763.53
N
0
P0
14301
GW
07
3,502
09
2
11
null
*
*
*
*
*
*
1,678.88
N
0
P1G
97112
GP
65
2,402
99
1
10
null
34
1780
917.58
*
*
34
651.49
N
0
P6C
G0103
null
17
3,402
AX
5
11
null
16
1472
289.65
*
*
16
283.8
N
0
T1H
11641
76
07
10,312
35
2
11
51
*
*
*
*
*
*
431.3
N
0
P5A
E2103
NU
A5
19,003
09
P
12
KX
*
*
*
*
*
*
90.79
N
0
D1E
44799
null
10
12,502
01
2
21
null
47
68759
8742.7
16
15148
47
6,854.3
N
0
P1G
73610
null
20
12,202
01
4
11
null
525
55653.67
20773.28
61
6480.65
525
15,492.08
N
0
I1B
74185
26
30
13,102
00
4
19
XU
*
*
*
*
*
*
136.72
N
0
I2D
73590
50
20
11,202
01
4
11
null
16
1486.5
414.82
*
*
16
327.63
N
0
I1B
99222
GC
44
14,212
99
1
21
null
605
257893
79095.6
11
4950
605
60,445.19
N
0
M2A
4177F
null
41
3,502
09
1
32
null
36
0
0
36
0
36
0
N
0
Z2
36561
LT
02
13,202
03
2
22
null
*
*
*
*
*
*
286.2
N
0
P8F
99221
FS
11
11,402
16
1
21
null
24
5023.28
1883.7
*
*
24
1,491.87
N
0
M2A
43239
XS
33
12,502
99
2
21
GC
*
*
*
*
*
*
36
N
0
P8B
00910
AA
08
2,102
01
7
24
P3
*
*
*
*
*
*
500.32
N
0
P0
28022
59
48
2,302
01
2
24
T3
*
*
*
*
*
*
272.11
N
0
P3D
93923
26
30
12,402
01
5
21
59
*
*
*
*
*
*
18.31
N
0
T2D
73110
50
20
1,212
01
4
11
null
*
*
*
*
*
*
36.52
N
0
I1B
93306
26
C3
1,112
63
5
21
76
*
*
*
*
*
*
57.27
N
0
I3C
76857
59
34
882
09
4
11
null
*
*
*
*
*
*
49.73
N
0
I3B
45388
null
10
4,112
01
2
21
null
13
33596
2699.4
*
*
13
1,960.33
N
0
P8D
73502
26
30
4,412
09
4
23
LT
125
24782
1357.8
*
*
125
1,030.12
N
0
P6B
36246
59
02
11,302
00
2
21
58
*
*
*
*
*
*
95.34
N
0
P2F
99223
G0
13
13,202
02
1
21
null
107
88404.47
21395.04
*
*
107
16,818.11
N
0
M2A
J9190
76
83
12,202
01
1
11
null
200
2117.08
379.74
37
427.36
200
297.68
N
0
O1D
76937
null
06
882
97
4
11
null
16
1517.84
445.23
*
*
16
353.28
N
0
I3F
72129
26
30
10,112
00
4
19
MG
*
*
*
*
*
*
0
Y
0
I2B
11056
Q8
48
12,102
01
2
32
59
*
*
*
*
*
*
363.37
N
0
P5A
70543
26
94
8,202
99
4
22
X5
12
3840
1182.53
*
*
12
856.69
N
0
I2C
92083
GA
41
4,312
00
Q
11
Q6
*
*
*
*
*
*
45.26
N
0
M5C
45390
null
10
8,202
01
2
21
null
*
*
*
*
*
*
1,534.44
N
0
P8D
97161
GP
65
2,402
02
1
11
95
11
2843.27
1123.5
*
*
11
626.54
N
0
M5D
99215
25
20
5,402
00
1
22
null
*
*
*
*
*
*
853.67
N
0
M1B
55700
22
34
1,112
07
2
11
null
27
40961.7
7539.75
*
*
27
5,991
Y
0
P6C
E2366
NU
53
18,003
49
P
12
KX
*
*
*
*
*
*
127.88
N
0
D1D
J9393
LT
83
1,182
74
1
11
null
411
16029
4231.12
*
*
411
3,317.11
Y
0
O1E
E1390
RR
54
16,013
10
R
12
N1
*
*
*
*
*
*
292.51
N
0
D1C
11626
null
24
1,182
18
2
49
null
*
*
*
*
*
*
0
N
0
P5A
E1007
RR
54
18,003
45
R
12
KI
12
16673.2
11766.04
*
*
12
9,105.26
N
0
D1D
76512
50
41
15,102
00
4
11
null
29
3578
2593.18
*
*
29
1,769.85
N
0
I3A
L8460
K2
55
19,003
53
P
12
LT
*
*
*
*
*
*
179.07
N
0
D1F
29130
58
97
13,202
02
2
11
RT
*
*
*
*
*
*
176
N
0
P6B
L8420
KX
20
18,003
01
P
12
K2
24
720
343.56
12
360
24
269.34
N
0
D1F
99214
95
82
12,302
01
1
10
null
98
25480
9171.45
*
*
98
5,869.64
N
0
M1B
A7005
NU
51
17,013
36
P
12
KX
*
*
*
*
*
*
0
N
0
D1E
99215
24
20
9,102
99
1
11
25
32
25615.4
5491.66
*
*
32
3,938.97
N
0
M1B
K0044
NU
54
17,013
15
P
12
KU
*
*
*
*
*
*
28.71
N
0
D1D
00700
QX
43
1,312
00
7
21
P3
*
*
*
*
*
*
339.11
N
0
P0
93926
26
30
15,202
00
5
21
RT
78
12136
896
38
6539
78
711.69
N
0
I3F
17262
GW
07
3,502
09
2
11
null
*
*
*
*
*
*
404.34
N
0
P5A
99223
null
72
2,402
02
1
21
null
*
*
*
*
*
*
556.35
N
0
M2A
45398
null
10
4,112
01
2
21
null
*
*
*
*
*
*
523.92
N
0
P8D
73590
26
97
6,102
16
4
20
LT
13
728
76.6
*
*
13
43.68
N
0
I1B
93458
26
06
2,402
99
2
22
59
170
119965
26851.23
*
*
170
21,212.85
N
0
P2F
99222
24
97
9,102
99
1
21
25
*
*
*
*
*
*
529.9
N
0
M2A
43262
null
10
8,202
01
2
21
null
24
20538
6403.66
*
*
24
5,062.85
N
0
P8B
91200
52
10
11,502
00
4
11
null
*
*
*
*
*
*
23.24
N
0
I4B
26433
F7
49
12,502
02
F
24
59
*
*
*
*
*
*
1,021.75
N
0
P5B
14060
RT
24
10,212
99
2
22
51
*
*
*
*
*
*
495.92
N
0
P5A
00532
QX
32
4,412
31
7
24
X4
*
*
*
*
*
*
404.44
N
0
P0
73000
LT
30
13,202
02
4
11
59
*
*
*
*
*
*
60.24
N
0
I1B
J2182
59
29
13,202
02
1
11
null
*
*
*
*
*
*
23.25
Y
0
O1E
L5624
GW
57
18,003
01
P
12
RT
*
*
*
*
*
*
325.61
N
0
D1F
71047
26
30
12,402
99
4
22
X5
41
1983
547.56
*
*
41
389.08
N
0
I1A
83520
null
69
6,102
AX
5
81
null
197
48033.99
3298.57
*
*
197
3,229.19
N
0
T1H
12051
null
97
4,412
99
2
11
null
55
33318.51
12475.67
*
*
55
9,109.87
N
0
P6A
99213
null
26
6,202
00
1
11
null
1170
300498.66
98004.2
70
18093.82
1164
63,168.32
N
0
M1B
93261
26
21
3,102
00
2
23
null
*
*
*
*
*
*
56.2
N
0
P2F
00790
QY
05
7,302
00
7
21
QS
*
*
*
*
*
*
224.43
N
0
P0
74261
26
30
12,502
99
4
19
null
64
18500
6976.24
*
*
64
5,116.98
N
0
I2B
72192
26
30
7,202
01
4
23
null
64
10594
3066.23
*
*
64
2,280.73
N
0
I2B
97530
GO
67
10,312
35
1
11
XP
*
*
*
*
*
*
0
N
0
P6C
99214
null
41
6,202
00
1
11
null
13679
3357505.99
1627698.12
754
162031.06
13679
1,074,939.92
N
0
M1B
93000
76
06
6,102
99
5
11
XE
*
*
*
*
*
*
22.29
N
0
T2A
96377
null
50
7,202
99
1
11
null
*
*
*
*
*
*
79.94
N
0
T2D
86052
90
69
14,212
AX
5
81
null
54
38270.34
638.65
*
*
54
625.93
N
0
T2D
76700
LT
30
13,202
02
4
11
59
*
*
*
*
*
*
111.11
N
0
I3B
97116
GP
65
5,102
00
1
11
KX
3090
149053.27
66742.24
48
2277.81
3090
52,219.43
N
0
P6C
01320
QX
43
15,202
00
7
21
P3
*
*
*
*
*
*
322.86
N
0
P0