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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
87086 | GV | 69 | 1,112 | AX | 5 | 81 | null | * | * | * | * | * | * | 31.64 | N | 0 | T1F |
G6012 | null | 92 | 4,412 | 18 | 6 | 11 | null | 579 | 419716.66 | 136561.32 | 15 | 10772.57 | 579 | 106,321.92 | N | 0 | P7A |
44369 | 51 | 10 | 9,102 | 99 | 2 | 21 | null | * | * | * | * | * | * | 196.09 | N | 0 | P8I |
A4413 | null | 54 | 18,003 | 19 | P | 12 | null | 920 | 13473.53 | 6010.6 | 100 | 1708.28 | 920 | 4,511.12 | N | 0 | D1F |
J9171 | null | 82 | 12,402 | 01 | 1 | 11 | null | 5692 | 172084.1 | 3853.03 | * | * | 5692 | 3,020.8 | Y | 0 | O1E |
43264 | 51 | 10 | 2,402 | 99 | 2 | 21 | null | 170 | 171972.5 | 7042.45 | * | * | 170 | 5,486.72 | N | 0 | P8B |
99215 | 95 | 11 | 1,112 | 06 | 1 | 11 | 25 | * | * | * | * | * | * | 1,189.29 | N | 0 | M1B |
99233 | FS | C3 | 4,412 | 99 | 1 | 21 | null | 792 | 192236.52 | 86889.44 | 44 | 10918 | 792 | 68,763.9 | N | 0 | M2B |
99214 | null | 18 | 4,412 | 20 | 1 | 11 | null | 1953 | 376021.84 | 229144.32 | 77 | 14217.82 | 1953 | 155,643.28 | N | 0 | M1B |
J7328 | JZ | 20 | 8,202 | 01 | 1 | 11 | null | 18648 | 58497.6 | 11009.63 | 672 | 1848 | 18648 | 8,631.55 | Y | 0 | O1E |
81002 | 59 | 11 | 10,112 | AX | 5 | 11 | null | 54 | 374 | 153.12 | * | * | 54 | 146.63 | N | 0 | T1C |
99205 | null | 11 | 8,102 | 00 | 1 | 11 | null | 1864 | 704947.58 | 332424.32 | 260 | 91972.23 | 1864 | 227,301.57 | N | 0 | M1A |
45378 | null | 02 | 3,102 | 00 | 2 | 22 | null | 272 | 256839.74 | 42145.76 | 37 | 31933.82 | 272 | 29,479.02 | N | 0 | P8D |
73030 | 26 | 30 | 5,302 | 01 | 4 | 21 | RT | 566 | 26390.07 | 4984.56 | 14 | 503 | 566 | 3,904.1 | N | 0 | I1B |
99215 | 25 | 25 | 4,412 | 31 | 1 | 11 | null | 46 | 16971.73 | 8200.8 | * | * | 46 | 6,213.82 | N | 0 | M1B |
17262 | 51 | 97 | 14,212 | 99 | 2 | 11 | null | 153 | 84503.28 | 12536.16 | * | * | 153 | 9,514.06 | N | 0 | P5A |
99215 | 95 | 90 | 15,202 | 00 | 1 | 19 | null | 119 | 36895 | 16251.6 | * | * | 119 | 12,416.11 | N | 0 | M1B |
E0443 | null | 54 | 18,003 | 19 | P | 12 | null | 86 | 6665.83 | 0 | 86 | 6665.83 | 86 | 0 | N | 0 | D1C |
87427 | GV | 69 | 9,102 | AX | 5 | 81 | null | * | * | * | * | * | * | 58.7 | N | 0 | T1H |
01941 | QZ | 43 | 4,412 | 99 | 7 | 22 | QS | 36 | 67402.5 | 5096.02 | * | * | 36 | 4,006.16 | N | 0 | P5E |
L3670 | RT | 20 | 17,013 | 23 | P | 12 | KX | 88 | 28141.74 | 9847.95 | * | * | 88 | 7,627.64 | N | 0 | D1F |
00732 | QZ | 43 | 12,502 | 99 | 7 | 22 | QS | 24 | 23119.2 | 4253.72 | * | * | 24 | 3,246.81 | N | 0 | P0 |
36415 | GA | 97 | 2,402 | AX | 5 | 11 | null | 124 | 1454.25 | 986.53 | * | * | 124 | 936.01 | N | 0 | T1A |
01402 | AA | 05 | 4,112 | 01 | 7 | 24 | X4 | 99 | 314793 | 28758.2 | * | * | 99 | 22,659.2 | N | 0 | P0 |
J9181 | null | 83 | 12,202 | 01 | 1 | 11 | null | 5802 | 37558.13 | 4524.06 | 173 | 800 | 5802 | 3,546.67 | N | 0 | O1D |
J0665 | null | 97 | 8,202 | 99 | 1 | 11 | null | 166 | 105 | 2.79 | 11 | 7.5 | 166 | 2.4 | N | 0 | O1E |
93283 | null | 06 | 882 | 99 | 1 | 11 | null | 142 | 32529.97 | 13468.76 | * | * | 142 | 9,763.87 | N | 0 | T2D |
G8431 | null | 50 | 12,502 | 99 | 1 | 31 | null | 2399 | 0 | 0 | 2399 | 0 | 2399 | 0 | N | 0 | M5D |
10005 | null | 02 | 12,402 | 99 | 2 | 22 | null | 42 | 17766 | 3049.8 | * | * | 42 | 2,339.05 | N | 0 | P6C |
G9903 | null | 50 | 3,302 | 01 | 1 | 13 | null | 69 | 0.57 | 0 | 69 | 0.57 | 69 | 0 | N | 0 | Z2 |
86765 | null | 69 | 6,302 | AX | 5 | 81 | null | 66 | 6850.63 | 656.88 | 15 | 1623.46 | 66 | 632.89 | N | 0 | T1H |
G0316 | null | C6 | 12,502 | 99 | 1 | 21 | null | 329 | 25368 | 9573.8 | * | * | 329 | 7,530.6 | N | 0 | Y1 |
99347 | null | 50 | 9,102 | 99 | 1 | 11 | null | 68 | 5780.67 | 0 | 68 | 5780.67 | 68 | 0 | N | 0 | M4A |
29827 | LT | 49 | 2,302 | 01 | F | 24 | null | 16 | 255112.71 | 55981.44 | * | * | 16 | 43,670 | N | 0 | P8A |
85610 | GA | 69 | 6,102 | AX | 5 | 81 | null | 1308 | 50228.08 | 158.73 | 1271 | 48738.6 | 1308 | 151.2 | N | 0 | T1H |
99214 | null | 06 | 2,402 | 99 | 1 | 11 | null | 36435 | 11636028.67 | 4647489.02 | 465 | 143954.46 | 36435 | 3,191,456.52 | N | 0 | M1B |
J1030 | null | 20 | 11,302 | 00 | 1 | 11 | null | 6999.5 | 160258.28 | 51787.6 | 324 | 7939.66 | 6999.5 | 38,120.75 | N | 0 | O1E |
87798 | 91 | 69 | 12,402 | AX | 5 | 81 | null | 61 | 13298 | 666.71 | 42 | 9156 | 61 | 653.41 | N | 0 | T1H |
00534 | AA | 05 | 1,312 | 00 | 7 | 22 | P4 | * | * | * | * | * | * | 1,132.88 | N | 0 | P0 |
0521F | null | 50 | 4,312 | 00 | 1 | 32 | null | 286 | 0 | 0 | 286 | 0 | 286 | 0 | N | 0 | Z2 |
80307 | null | 93 | 8,102 | AX | 5 | 11 | null | 807 | 88770 | 49463.44 | 11 | 1210 | 807 | 48,476.4 | N | 0 | T2D |
74170 | TC | 47 | 4,412 | 11 | 4 | 49 | null | 72 | 151557 | 13210.56 | * | * | 72 | 9,653.11 | N | 0 | I2B |
99214 | 24 | 90 | 12,202 | 01 | 1 | 19 | 25 | 14 | 4042.5 | 1515.92 | * | * | 14 | 1,173.12 | N | 0 | M1B |
28122 | null | 48 | 9,102 | 04 | 2 | 21 | null | * | * | * | * | * | * | 380.59 | N | 0 | P5B |
99203 | 95 | 50 | 12,102 | 01 | 1 | 20 | 25 | * | * | * | * | * | * | 150.97 | N | 0 | M1A |
72197 | 26 | 30 | 882 | B7 | 4 | 22 | null | 32 | 12156.5 | 3200 | * | * | 32 | 2,434.56 | Y | 0 | I2D |
82785 | GA | 69 | 3,102 | AX | 5 | 81 | null | 142 | 16281.61 | 2189.18 | * | * | 142 | 2,075.89 | N | 0 | T1H |
99215 | 95 | 16 | 1,112 | 09 | 1 | 22 | null | 57 | 52712 | 9115.7 | * | * | 57 | 7,267.88 | N | 0 | M1B |
71100 | RT | 08 | 12,502 | 99 | 4 | 11 | null | 19 | 2097 | 590.98 | * | * | 19 | 409.84 | N | 0 | I1B |
72197 | 26 | 30 | 9,102 | 99 | 4 | 22 | ME | 157 | 79409 | 13956.03 | 24 | 12383 | 157 | 10,422.74 | Y | 0 | I2D |
87076 | null | 69 | 6,102 | AX | 5 | 81 | null | 1316 | 68937.29 | 10243.15 | 48 | 2868.96 | 1316 | 9,984.26 | N | 0 | T1F |
73630 | TC | 63 | 882 | B8 | 4 | 32 | RT | * | * | * | * | * | * | 73.32 | N | 0 | I1B |
93970 | 26 | 06 | 8,202 | 99 | 5 | 22 | 59 | * | * | * | * | * | * | 104.56 | N | 0 | I3F |
99215 | 95 | 89 | 4,212 | 05 | 1 | 2 | null | 20 | 4352 | 1909.44 | * | * | 20 | 1,532 | N | 0 | M1B |
G0008 | GV | 11 | 9,102 | 00 | V | 13 | null | * | * | * | * | * | * | 181.44 | N | 0 | O1G |
93248 | null | 21 | 14,212 | 01 | 1 | 19 | null | 326 | 35608 | 9009.99 | * | * | 326 | 6,737.1 | N | 0 | T2D |
99233 | 25 | 29 | 12,502 | 99 | 1 | 21 | FS | 32 | 7308 | 3738.45 | * | * | 32 | 2,963.71 | N | 0 | M2B |
83935 | null | 69 | 10,312 | AX | 5 | 81 | null | 829 | 28225.34 | 5537.84 | 17 | 784.26 | 829 | 5,395.22 | N | 0 | T1H |
80198 | 90 | 69 | 5,102 | AX | 5 | 81 | null | * | * | * | * | * | * | 69.3 | N | 0 | T1H |
20611 | 50 | 72 | 13,202 | 02 | 1 | 11 | 59 | 18 | 11695.6 | 1780.15 | * | * | 18 | 1,395.65 | N | 0 | P4C |
01924 | QZ | 43 | 4,412 | 99 | 7 | 22 | QS | 22 | 75729.2 | 5147.63 | * | * | 22 | 4,073.37 | N | 0 | P0 |
76937 | 26 | 97 | 14,312 | 40 | 4 | 21 | XP | * | * | * | * | * | * | 9.47 | N | 0 | I3F |
11300 | null | 97 | 2,302 | 99 | 2 | 11 | null | 178 | 43936.11 | 13385.63 | 20 | 4570.15 | 178 | 8,674.18 | N | 0 | P6A |
83550 | null | 69 | 4,212 | AX | 5 | 81 | null | 6185 | 237492.74 | 52352.6 | 195 | 8777.33 | 6185 | 51,304.63 | N | 0 | T1H |
99215 | null | 25 | 5,202 | 00 | 1 | 11 | null | 276 | 70537 | 45516.71 | * | * | 276 | 32,601.15 | N | 0 | M1B |
84154 | 59 | 11 | 2,302 | AX | 5 | 11 | null | 17 | 459 | 220.68 | * | * | 17 | 216.24 | N | 0 | T1H |
74177 | 26 | 30 | 5,402 | 00 | 4 | 22 | GC | 606 | 145929.2 | 49843.36 | * | * | 606 | 35,201.95 | Y | 0 | I2B |
3008F | null | 06 | 14,212 | 99 | 1 | 11 | null | 16980 | 0.15 | 0 | 16980 | 0.15 | 16980 | 0 | N | 0 | Z2 |
93010 | 77 | 21 | 12,302 | 01 | 5 | 51 | null | * | * | * | * | * | * | 6.86 | N | 0 | T2A |
99215 | null | 39 | 1,182 | 18 | 1 | 19 | null | 1529 | 711236 | 232630.2 | 13 | 6028 | 1529 | 179,890.56 | N | 0 | M1B |
E2213 | NU | 54 | 18,003 | 34 | P | 12 | RB | 49 | 5405.92 | 1957 | * | * | 49 | 1,534.32 | N | 0 | D1D |
76705 | 26 | 30 | 1,112 | 05 | 4 | 22 | null | 1408 | 366833 | 44475.78 | 19 | 4899 | 1408 | 27,950.7 | N | 0 | I3B |
G0416 | 26 | 22 | 12,402 | 99 | 5 | 11 | Q6 | 26 | 6500 | 4834.7 | * | * | 26 | 3,858.44 | N | 0 | T1G |
31276 | SG | 49 | 2,402 | 01 | F | 24 | LT | 16 | 77702 | 19595.1 | * | * | 16 | 15,362.57 | N | 0 | P8I |
90836 | null | 01 | 1,112 | 07 | T | 11 | null | 261 | 46119.73 | 16949.32 | 82 | 12129.23 | 11 | 12,916.07 | N | 0 | M5B |
93010 | null | 11 | 2,202 | 00 | 5 | 51 | null | * | * | * | * | * | * | 12.12 | N | 0 | T2A |
76536 | null | 04 | 1,182 | 18 | 4 | 11 | null | 71 | 20873 | 9045.21 | * | * | 71 | 6,526.31 | N | 0 | I3F |
00790 | QK | 05 | 12,502 | 01 | 7 | 22 | X4 | 403 | 986189.54 | 67084.79 | 20 | 52759.24 | 403 | 52,586.41 | N | 0 | P0 |
84075 | AY | 69 | 1,112 | AX | 5 | 81 | null | 1251 | 78813 | 5687.64 | 153 | 9639 | 1251 | 5,577.84 | N | 0 | T1H |
93976 | TC | 30 | 1,112 | 07 | 5 | 11 | null | 45 | 23047 | 6153.42 | * | * | 45 | 4,151.41 | N | 0 | I3F |
73140 | LT | 50 | 5,102 | 00 | 4 | 11 | null | 41 | 4037 | 1227.95 | * | * | 41 | 939.92 | N | 0 | I1B |
G8915 | null | 49 | 882 | 76 | F | 24 | null | 23 | 0.23 | 0 | 23 | 0.23 | 23 | 0 | N | 0 | M5B |
00541 | AA | 05 | 8,102 | 00 | 7 | 21 | P2 | * | * | * | * | * | * | 754.77 | N | 0 | P0 |
93308 | 26 | C3 | 6,302 | 00 | 5 | 21 | null | 804 | 279027.35 | 18289.11 | 41 | 14914.1 | 804 | 14,353.55 | N | 0 | I3C |
99231 | null | 83 | 8,202 | 99 | 1 | 21 | null | 343 | 24060.08 | 16257.74 | 11 | 843.62 | 343 | 12,663.11 | N | 0 | M2B |
72070 | 26 | 30 | 7,102 | 13 | 4 | 11 | null | 479 | 18830.15 | 4230.9 | 22 | 677 | 479 | 2,972.35 | N | 0 | I1B |
1125F | null | 90 | 13,282 | 99 | 1 | 22 | null | 276 | 2.76 | 0 | 276 | 2.76 | 276 | 0 | N | 0 | Z2 |
J9173 | JW | 82 | 12,202 | 01 | 1 | 11 | null | 82 | 17418 | 6201.56 | * | * | 82 | 4,862.04 | Y | 0 | O1E |
76377 | 26 | 30 | 8,202 | 99 | 4 | 21 | ME | 20 | 2580 | 706.42 | * | * | 20 | 503.49 | N | 0 | I4B |
96127 | 95 | 26 | 6,102 | 16 | 1 | 31 | null | * | * | * | * | * | * | 0 | N | 0 | P5E |
E1012 | NU | 54 | 19,003 | 03 | P | 12 | BP | 254 | 1179461.46 | 302618.3 | 21 | 116762.72 | 254 | 235,660.99 | N | 0 | D1D |
L5650 | LT | 55 | 16,013 | 10 | P | 12 | K3 | * | * | * | * | * | * | 0 | N | 0 | D1F |
K0835 | RR | 54 | 19,003 | 05 | R | 12 | KX | * | * | * | * | * | * | 0 | N | 0 | D1D |
64493 | SG | 49 | 2,402 | 01 | F | 24 | LT | 169 | 245459.17 | 47408.15 | * | * | 169 | 37,010.16 | N | 0 | P6B |
76700 | 26 | 47 | 1,312 | C5 | 4 | 12 | null | * | * | * | * | * | * | 345.2 | N | 0 | I3B |
73502 | null | 30 | 882 | 97 | 4 | 11 | null | 30 | 3524 | 1327.58 | * | * | 30 | 917.82 | N | 0 | P6B |
91320 | GW | 73 | 4,212 | 05 | V | 60 | null | 18 | 2841.4 | 2228.7 | * | * | 18 | 2,184.16 | N | 0 | O1G |
92134 | null | 41 | 2,402 | 99 | 1 | 50 | null | * | * | * | * | * | * | 226.24 | N | 0 | T2D |
E0156 | RR | 54 | 19,003 | 05 | R | 12 | KX | 355 | 5363.13 | 594.89 | 72 | 1412.28 | 355 | 410.97 | N | 0 | D1E |
99215 | 25 | 97 | 1,112 | 09 | 1 | 11 | null | 97 | 51072 | 16340.81 | * | * | 97 | 11,805.71 | N | 0 | M1B |
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