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
92012
24
18
11,202
01
1
11
57
*
*
*
*
*
*
267.56
N
0
M5C
00942
QX
43
14,112
99
7
22
QS
*
*
*
*
*
*
118.81
N
0
P0
61783
XU
20
11,302
00
2
22
GC
*
*
*
*
*
*
181.13
N
0
I4B
20552
KX
48
13,202
02
2
11
RT
*
*
*
*
*
*
0
N
0
P6B
11102
79
07
1,112
75
2
22
XS
11
574.64
216.15
*
*
11
173.47
N
0
P6C
76870
null
47
3,102
00
4
32
null
*
*
*
*
*
*
547.82
N
0
I3F
83520
90
69
14,212
AX
5
81
null
3122
465574.28
48113.67
320
33704.33
3122
46,999.01
N
0
T1H
00952
QK
05
14,212
01
7
22
QS
191
150218.6
19095.54
*
*
191
14,695.86
N
0
P0
99316
null
08
15,202
00
1
31
null
663
134969.73
80386.72
31
6267.21
663
58,273.73
N
0
M4B
33533
80
02
1,112
68
8
21
null
59
70800
16194.08
*
*
59
12,518.58
N
0
P2A
71250
null
30
13,292
04
4
11
null
1062
985197.14
159299.49
103
103638.52
1062
116,559.77
N
0
I2B
61510
null
14
12,502
01
2
21
null
42
528140
85983.51
*
*
42
66,177.97
N
0
P1G
99309
null
08
11,302
00
1
31
null
17988
3582130.58
1814200.96
816
169430.28
17988
1,394,459.45
N
0
M4B
99306
25
02
13,202
02
1
32
null
79
27909.15
13029
17
6575.05
79
10,218.84
N
0
M4B
22853
null
14
4,112
01
2
21
null
1295
1039761
288260.4
167
123139.5
1295
227,039.66
N
0
P3D
11426
59
07
12,402
01
2
11
51
*
*
*
*
*
*
294.52
N
0
P5A
64490
LT
25
10,212
01
2
24
null
75
89770.72
7420.73
*
*
75
5,787.61
N
0
P6B
1160F
null
11
12,502
01
1
11
null
87
0.1
0
87
0.1
87
0
N
0
Z2
L8430
K3
55
17,013
15
P
12
RT
156
5796.4
3582.48
24
252.4
156
2,808.6
N
0
D1F
99442
GT
97
3,102
00
1
10
null
*
*
*
*
*
*
19.6
N
0
M5D
77427
CR
92
8,102
00
6
19
null
303
122774
55139.94
*
*
303
41,312.67
N
0
P7A
99205
null
16
1,112
05
1
11
null
43
35964.02
8507.36
*
*
43
5,897.63
N
0
M1A
71046
26
94
1,182
26
4
22
X5
113
4886
1192.5
*
*
113
829.43
N
0
I1A
73721
26
30
882
G6
4
11
LT
*
*
*
*
*
*
214.12
N
0
I2D
12034
59
07
8,202
01
2
11
51
*
*
*
*
*
*
551.82
N
0
P6A
00104
QY
05
1,112
05
T
22
null
40
39504
2699.22
*
*
40
2,145.39
N
0
P0
37224
LT
77
1,112
54
2
21
null
*
*
*
*
*
*
2,251.34
N
0
P2F
96372
XS
11
1,112
62
1
11
null
146
7810.66
2108.61
*
*
146
1,619.98
N
0
P6C
99306
null
08
10,112
00
1
31
null
1769
387552.09
274025.42
170
35429.68
1769
212,896.1
N
0
M4B
99345
null
50
9,102
04
1
13
null
120
37420.22
20778.83
*
*
120
15,779.84
N
0
M4A
99204
GW
50
11,202
01
1
11
null
19
6155.38
2161.28
*
*
19
1,595.88
N
0
M1A
99213
null
83
7,202
99
1
19
null
236
44639
14651.28
*
*
236
10,464.33
N
0
M1B
99212
null
83
12,402
99
1
19
null
15
2916
566.25
*
*
15
358.79
N
0
M1B
63650
76
49
2,302
12
F
24
null
23
295032
112144.89
*
*
23
87,921.77
N
0
P1G
73501
TC
63
10,212
99
4
31
RT
*
*
*
*
*
*
67.56
N
0
P6B
71046
26
94
14,212
99
4
23
77
*
*
*
*
*
*
25.85
N
0
I1A
68700
50
18
1,182
26
2
19
51
*
*
*
*
*
*
1,996.85
N
0
P4E
36415
null
07
12,202
AX
5
11
null
100
1821.2
755.61
*
*
100
721.25
N
0
T1A
93041
59
72
9,102
99
5
11
null
89
3115
520.08
*
*
89
403.68
N
0
T2A
77001
26
30
12,202
01
4
22
XS
*
*
*
*
*
*
93.43
N
0
I4B
99212
95
37
1,182
18
1
11
null
31
5472
1566.8
*
*
31
1,007.36
N
0
M1B
E0466
RR
A6
18,003
44
R
12
KX
1267
2328919.13
1489422.49
84
149007.96
1267
1,152,578.28
N
0
D1E
72100
TC
35
1,182
18
4
11
null
*
*
*
*
*
*
0
N
0
I1B
76519
TC
18
3,602
21
4
11
null
141
37506
5189.56
*
*
141
3,800.32
N
0
I3A
L3670
RT
A6
17,013
14
P
12
null
27
5175.08
2476.85
*
*
27
1,941.82
N
0
D1F
A4216
null
97
2,202
00
P
11
null
18
17.5
0
18
17.5
18
0
N
0
D1F
75635
null
C3
11,302
00
4
11
null
57
78375
16543.11
*
*
57
12,610.02
N
0
I2B
97035
GO
67
2,402
02
1
11
null
214
7462.89
2490.02
*
*
214
1,848.96
N
0
P6C
81002
null
34
9,102
AX
5
11
null
52946
768318.08
175815.8
2419
35543.28
52946
171,567.95
N
0
T1C
G8420
null
26
3,102
00
1
11
null
14
60.02
0
14
60.02
14
0
N
0
M5D
G0179
null
11
15,202
00
1
11
null
7644
633043.33
289342.94
327
25849.88
7644
209,053.06
N
0
Y1
99152
null
77
8,202
01
1
22
null
203
17992
2464.18
19
975
203
1,924.92
N
0
P0
99497
null
50
6,302
00
1
11
null
135
28399.76
8286.51
12
2326.5
135
5,503.56
N
0
P5E
11604
null
07
882
99
2
11
null
22
13769.74
6463.93
*
*
22
5,148.81
N
0
P5A
63053
null
20
4,112
01
2
21
null
142
94241.42
31283.22
*
*
142
24,592.82
N
0
P3D
73090
26
30
11,202
01
4
22
LT
211
10773
1368.73
29
1098
211
998.99
N
0
I1B
87811
QW
97
3,602
AX
5
20
null
225
17195
5875.96
83
6490
225
5,730.09
N
0
T1H
12042
null
50
11,502
00
2
11
null
19
10913.36
4044.96
*
*
19
3,054.63
N
0
P6A
80053
null
07
2,402
AX
5
11
null
77
2218.5
781.44
*
*
77
728
N
0
T1B
11721
null
48
1,112
51
2
11
null
752
48267.09
38304.83
*
*
752
27,571.15
N
0
P6A
26055
F2
20
12,302
99
2
24
59
*
*
*
*
*
*
120.17
N
0
P5B
37225
79
77
1,182
18
2
21
RT
*
*
*
*
*
*
478.96
N
0
P2F
89050
null
69
15,202
AX
5
81
null
65
2389.42
287.92
*
*
65
282.42
N
0
T1H
92014
null
18
13,282
99
1
11
null
94086
19475188.79
11178114.54
3164
664258.29
94086
7,383,515.06
N
0
M5C
84165
26
22
8,202
00
5
22
null
16686
1021594
286087.85
433
27094
16686
210,402.68
N
0
T1H
87449
null
69
1,182
AX
5
81
null
11194
1361072.77
93122.61
3415
459446.9
11194
90,727.26
N
0
T1H
83550
90
69
5,202
AX
5
81
null
1997
98056.91
16125.3
152
7289.09
1997
15,804.26
N
0
T1H
1159F
null
08
6,102
99
1
11
null
5134
27.81
0
5134
27.81
5134
0
N
0
Z2
87147
null
69
12,202
AX
5
81
null
157
2499.6
757.44
*
*
157
734.36
N
0
T1H
93294
null
21
11,302
00
1
11
null
11214
943314.65
323615.76
243
21160.24
11214
225,574.94
N
0
T2D
3050F
null
06
6,302
00
1
22
null
57
0.03
0
57
0.03
57
0
N
0
Z2
27658
LT
49
1,112
99
F
24
null
*
*
*
*
*
*
5,911.09
N
0
P5B
72202
26
30
4,112
01
4
21
null
*
*
*
*
*
*
43.78
N
0
I1B
99232
25
11
3,202
01
1
21
null
138
33035.62
10067.6
*
*
138
8,009.5
N
0
M2B
3725F
null
11
7,202
99
1
11
null
1823
0.02
0
1823
0.02
1823
0
N
0
Z2
87468
90
69
13,102
AX
5
81
null
*
*
*
*
*
*
171.95
N
0
T1H
51798
null
97
13,282
99
2
11
null
3217
168595.26
32246.5
71
4187.45
3217
23,367.32
N
0
P6C
97010
GP
65
12,302
01
1
11
null
22936
575618.32
0
22936
575618.32
22936
0
N
0
P6C
84443
GA
69
3,602
AX
5
81
null
37
2722
184.8
26
1856
37
181.06
N
0
T1H
75571
26
30
15,202
00
4
22
X5
731
221425
13039.11
258
69510
731
9,186.6
N
0
I2B
G8755
null
06
7,302
00
1
11
null
537
0
0
537
0
537
0
N
0
M5B
97605
XU
20
11,202
01
1
22
null
*
*
*
*
*
*
19.35
N
0
P6C
3060F
null
50
3,102
00
1
22
null
11
0.06
0
11
0.06
11
0
N
0
Z2
81003
null
97
5,102
AX
5
11
null
353
4145.46
641.25
68
893
353
607.4
N
0
T1C
E0971
NU
54
18,003
44
P
12
KU
447
72097.28
24483.42
19
2308.52
447
19,022.03
N
0
D1D
80307
null
11
3,502
AX
5
11
null
502
50200
30324.32
14
1400
502
29,290.01
N
0
T2D
99232
null
11
12,402
01
1
22
null
4357
1039378.77
347612.11
314
80428.73
4357
269,364.28
N
0
M2B
U0002
null
50
10,312
AX
5
11
null
87
5496
256.55
82
4976
87
251.4
N
0
T1H
00145
QZ
43
4,412
99
7
22
QS
30
59584.65
6047.53
*
*
30
4,754.78
N
0
P0
15004
59
48
9,102
99
2
21
null
70
31500
18353.31
*
*
70
14,646.63
N
0
P1G
00142
QX
43
4,112
01
7
11
QS
*
*
*
*
*
*
354.94
N
0
P0
22830
59
20
4,412
28
2
21
51
24
58045.76
9559.22
*
*
24
7,533.74
N
0
P3D
73140
RT
08
5,302
99
4
11
null
16
1393
505.5
*
*
16
315.86
N
0
I1B
66180
LT
49
4,412
31
F
24
null
29
220591
73853.14
*
*
29
57,546.46
N
0
P4E
99232
null
C6
1,112
68
1
22
null
116
54826
6118.7
40
20000
116
4,601.73
N
0
M2B
E2103
NU
A5
16,013
31
P
12
CG
537
505375.66
116245.42
86
76690.12
537
89,594.08
N
0
D1E
99233
FS
C3
10,212
99
1
21
null
356
92457
38838.62
20
5168
356
30,512.14
N
0
M2B
99212
25
11
882
21
1
11
null
*
*
*
*
*
*
153.21
N
0
M1B
99439
SA
50
11,402
16
1
11
null
*
*
*
*
*
*
60.94
N
0
M5D
64636
RT
25
12,302
01
2
24
null
134
32771
7663.21
11
2338
134
5,792.26
N
0
P1G