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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
24358 | 59 | 49 | 12,202 | 06 | F | 24 | RT | * | * | * | * | * | * | 1,131.56 | N | 0 | P3D |
86381 | null | 69 | 12,402 | AX | 5 | 81 | null | 6939 | 897396.13 | 168095.23 | 336 | 43607.77 | 6939 | 163,439.22 | N | 0 | T2D |
99493 | null | 50 | 11,302 | 00 | 1 | 13 | null | 2131 | 478594 | 194769.76 | 509 | 113290 | 2131 | 147,275.24 | N | 0 | M5D |
86146 | 90 | 69 | 1,182 | AX | 5 | 81 | null | 6924 | 886354.88 | 162116.94 | 548 | 73358.07 | 6924 | 157,521.72 | N | 0 | T1H |
37191 | 51 | 30 | 1,112 | 75 | 2 | 21 | null | * | * | * | * | * | * | 721.69 | N | 0 | P1G |
G9996 | null | 06 | 4,412 | 18 | 1 | 2 | null | * | * | * | * | * | * | 0 | N | 0 | Z2 |
20600 | RT | 72 | 4,412 | 99 | 2 | 11 | 59 | * | * | * | * | * | * | 20.18 | N | 0 | P6B |
3052F | null | 97 | 15,102 | 00 | 5 | 11 | null | 232 | 625.49 | 0 | 232 | 625.49 | 232 | 0 | N | 0 | T1H |
99214 | 95 | 50 | 9,102 | 99 | 1 | 11 | CS | 53 | 14552.48 | 5723.47 | * | * | 53 | 4,156.9 | N | 0 | M1B |
93224 | 51 | 21 | 6,302 | 00 | 5 | 11 | null | 77 | 71080 | 5000.35 | * | * | 77 | 3,517.33 | N | 0 | T2C |
66984 | 79 | 18 | 1,182 | 17 | 2 | 24 | RT | 382 | 539164.87 | 216098.99 | * | * | 339 | 169,656.07 | N | 0 | P4B |
11056 | Q8 | 48 | 4,412 | 99 | 2 | 13 | 59 | 145 | 20139.1 | 6690.94 | 36 | 4903.74 | 145 | 4,910.85 | N | 0 | P5A |
94010 | null | 97 | 12,402 | 01 | 5 | 11 | null | 257 | 26454.01 | 5289.42 | 58 | 5719.03 | 257 | 3,860.11 | N | 0 | T2D |
00530 | QK | 05 | 6,102 | 16 | 7 | 21 | QS | 90 | 251986.52 | 15064.36 | * | * | 90 | 11,933.41 | N | 0 | P0 |
99214 | 25 | 72 | 4,412 | 99 | 1 | 22 | FS | 170 | 35530 | 15019.48 | 12 | 2508 | 170 | 11,006 | N | 0 | M1B |
15275 | 51 | 02 | 4,412 | 11 | 2 | 32 | null | 107 | 43161.66 | 8671.94 | * | * | 107 | 6,939.32 | N | 0 | P5A |
97535 | GP | 65 | 13,202 | 01 | 1 | 11 | 97 | 30 | 1549 | 885.87 | * | * | 30 | 694.59 | N | 0 | P6C |
95923 | null | 97 | 11,302 | 00 | 5 | 11 | null | 312 | 70630.06 | 27184.64 | 53 | 12567.6 | 312 | 21,310 | N | 0 | T2D |
11406 | null | 02 | 1,182 | 18 | 2 | 22 | null | 19 | 12108.56 | 2159.2 | 11 | 5754.56 | 19 | 1,702.35 | N | 0 | P5A |
Q9967 | null | 97 | 1,212 | 01 | 4 | 11 | null | 4635 | 825.38 | 670.97 | * | * | 4635 | 507.55 | N | 0 | I1E |
12002 | GV | 93 | 11,502 | 00 | 2 | 23 | null | 42 | 15386 | 2143.58 | * | * | 42 | 1,648.09 | N | 0 | P6A |
20605 | LT | 20 | 3,602 | 21 | 2 | 11 | 51 | 13 | 2009.99 | 427.8 | * | * | 13 | 301.43 | N | 0 | P6B |
77063 | 26 | 30 | 6,302 | 00 | 1 | 19 | GZ | * | * | * | * | * | * | 0 | N | 0 | I1C |
49591 | AS | 50 | 4,312 | 00 | 8 | 22 | null | * | * | * | * | * | * | 70.92 | Y | 0 | P1G |
0275T | Q0 | 49 | 3,102 | 02 | F | 24 | null | 110 | 1272294.67 | 488977.5 | * | * | 110 | 382,231.21 | N | 0 | P1G |
99222 | 24 | 72 | 4,412 | 18 | 1 | 21 | null | * | * | * | * | * | * | 105.21 | N | 0 | M2A |
64490 | 50 | 25 | 11,202 | 01 | 2 | 24 | KX | 26 | 26000 | 3905.2 | * | * | 26 | 3,061.76 | N | 0 | P6B |
E1002 | NU | 54 | 18,003 | 37 | P | 12 | KX | * | * | * | * | * | * | 24,034.88 | N | 0 | D1D |
45380 | 59 | 10 | 4,412 | 28 | 2 | 22 | PT | 81 | 74148.84 | 1223.28 | * | * | 81 | 1,020.26 | N | 0 | P8D |
74420 | 26 | 34 | 1,112 | 09 | 4 | 22 | 59 | 86 | 7646 | 2343.09 | * | * | 86 | 1,836.79 | N | 0 | I1F |
E0705 | NU | A6 | 17,013 | 18 | P | 12 | KX | 20 | 1984.19 | 1085.16 | * | * | 20 | 803.21 | N | 0 | D1E |
13101 | LT | 24 | 15,102 | 00 | 2 | 22 | null | * | * | * | * | * | * | 182.02 | N | 0 | P5A |
45305 | null | 02 | 13,202 | 02 | 2 | 11 | null | * | * | * | * | * | * | 544.08 | N | 0 | P8C |
43999 | null | 02 | 3,402 | 02 | 2 | 11 | null | 24 | 5500 | 1295.91 | * | * | 24 | 946.49 | N | 0 | P1G |
99204 | 95 | 25 | 6,202 | 00 | 1 | 11 | null | 40 | 23641.46 | 6376.89 | * | * | 40 | 4,307.77 | N | 0 | M1A |
20526 | 50 | 66 | 13,202 | 02 | 1 | 11 | 51 | * | * | * | * | * | * | 60.43 | Y | 0 | P5E |
99307 | null | 08 | 882 | 02 | 1 | 32 | null | 14 | 1171.79 | 356.64 | * | * | 14 | 251.29 | N | 0 | M4B |
97112 | GP | 65 | 2,302 | 01 | 1 | 11 | 97 | 14 | 1960 | 239.67 | * | * | 14 | 187.83 | N | 0 | P6C |
27780 | 59 | 20 | 12,302 | 01 | 2 | 22 | RT | * | * | * | * | * | * | 125.87 | N | 0 | P6B |
64445 | XU | 43 | 5,402 | 00 | 2 | 11 | LT | 14 | 3150 | 2093.14 | * | * | 14 | 1,561.98 | N | 0 | P6C |
00210 | QK | 05 | 1,112 | 63 | 7 | 21 | null | 25 | 126382 | 7630.45 | * | * | 25 | 6,090.04 | N | 0 | P0 |
76942 | XU | 25 | 2,402 | 02 | 6 | 11 | null | * | * | * | * | * | * | 107.02 | N | 0 | I3F |
73600 | 26 | 30 | 12,202 | 01 | 4 | 22 | 50 | 108 | 2998 | 883.96 | * | * | 108 | 622.74 | N | 0 | I1B |
85060 | GC | 22 | 6,302 | 00 | 5 | 21 | null | 14 | 2282 | 318.64 | * | * | 14 | 232.59 | N | 0 | T1G |
73140 | 26 | 30 | 14,312 | 40 | 4 | 21 | LT | * | * | * | * | * | * | 48.37 | N | 0 | I1B |
93926 | null | 97 | 10,212 | 01 | 5 | 11 | null | * | * | * | * | * | * | 261.05 | N | 0 | I3F |
L5845 | RT | 55 | 16,013 | 33 | P | 12 | K2 | * | * | * | * | * | * | 9,455.76 | N | 0 | D1F |
93351 | 51 | 21 | 3,102 | 00 | 5 | 11 | null | * | * | * | * | * | * | 753.11 | N | 0 | I3C |
31575 | CR | 50 | 13,282 | 99 | 2 | 11 | null | 40 | 20200 | 4296 | * | * | 40 | 2,675.04 | N | 0 | P8H |
11056 | Q8 | 48 | 9,102 | 99 | 2 | 13 | 59 | 194 | 21893.23 | 13573.16 | 21 | 2273.36 | 194 | 10,363.35 | N | 0 | P5A |
88188 | GC | 22 | 8,102 | 00 | 5 | 21 | null | 11 | 4950 | 648.12 | * | * | 11 | 508.2 | N | 0 | T1G |
15734 | 62 | 33 | 12,402 | 01 | 2 | 21 | null | * | * | * | * | * | * | 803.11 | N | 0 | P5A |
36821 | AS | 50 | 11,502 | 00 | 8 | 22 | null | 22 | 19503.1 | 1853.94 | * | * | 22 | 1,402.97 | N | 0 | P2F |
22551 | GY | 14 | 12,402 | 99 | 2 | 22 | null | * | * | * | * | * | * | 0 | N | 0 | P3D |
70486 | 26 | 30 | 12,502 | 01 | 4 | 23 | ME | 491 | 154508 | 19522.44 | 13 | 3462 | 491 | 14,455.75 | N | 0 | I2A |
36245 | null | 77 | 5,302 | 99 | 2 | 22 | null | 28 | 102575.28 | 5801.64 | * | * | 28 | 4,007.85 | N | 0 | I4B |
97113 | GP | 65 | 12,102 | 01 | 1 | 11 | 97 | 15 | 1125 | 458.65 | * | * | 15 | 316.55 | N | 0 | P6C |
94726 | 26 | 29 | 1,112 | 70 | 5 | 22 | null | 199 | 11155 | 2387.64 | * | * | 199 | 1,897.18 | N | 0 | T2D |
93000 | XE | 21 | 882 | 97 | 5 | 11 | null | 22 | 1561 | 285.71 | * | * | 22 | 224.35 | N | 0 | T2A |
99397 | GY | 50 | 1,112 | 64 | 1 | 11 | 25 | * | * | * | * | * | * | 0 | N | 0 | M1B |
36245 | LT | 11 | 11,502 | 00 | 2 | 22 | null | * | * | * | * | * | * | 697.12 | N | 0 | I4B |
73030 | 26 | 30 | 8,202 | 01 | 4 | 13 | LT | 49 | 7350 | 458.15 | * | * | 49 | 367.99 | N | 0 | I1B |
97116 | GP | 65 | 882 | 18 | 1 | 12 | 59 | * | * | * | * | * | * | 96.5 | N | 0 | P6C |
99233 | FS | 82 | 10,212 | 01 | 1 | 21 | null | 85 | 37179 | 10142.2 | * | * | 85 | 7,989.51 | N | 0 | M2B |
99214 | null | 78 | 6,302 | 00 | 1 | 19 | null | 22 | 7750 | 2044.9 | * | * | 22 | 1,511.3 | N | 0 | M1B |
01470 | QX | 43 | 12,402 | 99 | 7 | 21 | QS | 88 | 52203.6 | 6049.13 | * | * | 88 | 4,748.34 | N | 0 | P0 |
43762 | null | 11 | 1,182 | 18 | 2 | 32 | null | 86 | 46374.24 | 21149.05 | * | * | 86 | 15,103.42 | N | 0 | P6C |
34705 | null | 77 | 5,302 | 99 | 2 | 22 | null | * | * | * | * | * | * | 4,592.24 | N | 0 | P2B |
77300 | 26 | 92 | 1,182 | 26 | 6 | 22 | 59 | * | * | * | * | * | * | 170.97 | Y | 0 | P7A |
99222 | FS | 82 | 14,212 | 01 | 1 | 21 | null | * | * | * | * | * | * | 440.36 | N | 0 | M2A |
70450 | 26 | 94 | 1,112 | 69 | 4 | 21 | 51 | * | * | * | * | * | * | 30.94 | N | 0 | I2A |
01922 | QX | 43 | 2,402 | 99 | 7 | 21 | QS | * | * | * | * | * | * | 409.33 | N | 0 | P0 |
45380 | null | 77 | 9,102 | 99 | 2 | 22 | null | * | * | * | * | * | * | 645.6 | N | 0 | P8D |
99310 | null | 08 | 1,112 | 63 | 1 | 32 | null | 36 | 13063.68 | 5743.64 | * | * | 36 | 4,608.5 | N | 0 | M4B |
95971 | null | 34 | 14,212 | 01 | 5 | 22 | null | * | * | * | * | * | * | 66.34 | N | 0 | T2D |
99291 | Q0 | 81 | 12,202 | 01 | 1 | 21 | GC | 19 | 11666 | 4479.06 | * | * | 19 | 3,511.58 | N | 0 | M2C |
64421 | XU | 43 | 5,402 | 00 | 2 | 11 | LT | 57 | 25650 | 680.24 | 35 | 15750 | 57 | 533.5 | N | 0 | P6C |
99214 | GC | 92 | 1,182 | 26 | 1 | 22 | null | 114 | 49020 | 11687.2 | * | * | 114 | 9,153.34 | N | 0 | M1B |
99215 | GV | 08 | 8,202 | 01 | 1 | 19 | null | * | * | * | * | * | * | 115.68 | N | 0 | M1B |
73560 | RT | 20 | 882 | E4 | 4 | 11 | null | 24 | 2387.66 | 890.64 | * | * | 24 | 675.87 | N | 0 | I1B |
73590 | 26 | 30 | 1,212 | 01 | 4 | 13 | LT | 14 | 280.4 | 103.74 | * | * | 14 | 62.5 | N | 0 | I1B |
99403 | null | 01 | 1,112 | 05 | 1 | 11 | null | * | * | * | * | * | * | 0 | N | 0 | M1B |
99215 | 24 | 50 | 11,302 | 00 | 1 | 22 | 25 | * | * | * | * | * | * | 188.92 | N | 0 | M1B |
69209 | RT | 97 | 14,412 | 01 | 2 | 11 | LT | * | * | * | * | * | * | 0 | N | 0 | P6C |
73030 | 26 | 30 | 13,202 | 01 | 4 | 13 | LT | * | * | * | * | * | * | 72.72 | N | 0 | I1B |
73522 | 26 | 30 | 9,102 | 99 | 4 | 11 | GW | 11 | 352 | 141.4 | * | * | 11 | 110.8 | N | 0 | P6B |
36465 | RT | C3 | 14,212 | 01 | 2 | 11 | null | * | * | * | * | * | * | 2,490.84 | Y | 0 | P1G |
49320 | AS | 97 | 2,402 | 02 | 8 | 21 | 59 | * | * | * | * | * | * | 19.52 | N | 0 | P5E |
99307 | 25 | 50 | 15,202 | 00 | 1 | 31 | GV | * | * | * | * | * | * | 51.24 | N | 0 | M4B |
36465 | null | 02 | 3,602 | 21 | 2 | 11 | null | * | * | * | * | * | * | 3,140.1 | Y | 0 | P1G |
71260 | 51 | 92 | 6,302 | 00 | 4 | 11 | null | * | * | * | * | * | * | 85.64 | N | 0 | I2B |
36475 | 53 | 94 | 9,102 | 99 | 2 | 11 | null | * | * | * | * | * | * | 0 | N | 0 | P1G |
76881 | null | 97 | 8,202 | 01 | 4 | 11 | null | * | * | * | * | * | * | 147.96 | Y | 0 | I3F |
00811 | QK | 05 | 6,102 | 99 | 7 | 22 | QS | 978 | 1018465.72 | 62671.17 | 35 | 44614.38 | 978 | 47,274.8 | N | 0 | P0 |
73090 | 26 | 20 | 4,412 | 99 | 4 | 22 | RT | * | * | * | * | * | * | 41.99 | N | 0 | I1B |
85049 | null | 08 | 11,302 | AX | 5 | 11 | null | 18 | 236 | 76.16 | * | * | 18 | 74.63 | N | 0 | T1D |
11442 | 51 | 07 | 4,112 | 01 | 2 | 11 | null | 95 | 43416.73 | 9294.76 | * | * | 95 | 7,306.98 | N | 0 | P5A |
A6222 | GW | 54 | 17,013 | 14 | S | 12 | A3 | 96 | 299.52 | 272.64 | * | * | 96 | 213.74 | N | 0 | D1A |
73630 | TC | 44 | 2,302 | 99 | 4 | 11 | LT | * | * | * | * | * | * | 40.34 | N | 0 | I1B |
81432 | 90 | 69 | 12,302 | AX | 5 | 81 | null | 12 | 21646.6 | 4753.35 | * | * | 12 | 4,658.29 | N | 0 | T1H |
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