pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	pbp_vbid_group_id	pbp_b19b_package_type	pbp_b19b_tm_vbid	pbp_b19b_states_ehc_vbd	pbp_b19b_all_dis_yn	pbp_b19b_cmb_dis_yn	pbp_b19b_lis_vbid	pbp_b19b_enr_tar_vbid	pbp_b19b_enr_eng_vbid	pbp_b19b_states_ehc_uf	pbp_b19b_states_uf_other1	pbp_b19b_states_uf_other2	pbp_b19b_states_uf_other3	pbp_b19b_states_uf_other4	pbp_b19b_states_uf_other5	pbp_b19b_states_uf_all_yn	pbp_b19b_states_uf_cmb_yn	pbp_b19b_mmp_yn	pbp_b19b_mmp_ehc	pbp_b19b_add_prereq_yn	pbp_b19b_add_prereq	pbp_b19b_add_nmc_bendesc_cats	pbp_b19b_add_apply_yn	pbp_b19b_add_exempt_yn	pbp_b19b_add_exempt_nmc_cats	pbp_b19b_reim_yn	pbp_b19b_reim_all_cats_yn	pbp_b19b_reim_nmc_bendesc_cats	pbp_b19b_agg_yn	pbp_b19b_agg_amt
H0028	007	0	1	01	01	H0028_007_0	6	1	1	10				01111	383	268											2		13d;		1	13d;	2			1	50.00
H0028	007	0	1	01	01	H0028_007_0	6	2	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		1	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;	2			1	1000.00
H0028	013	0	1	01	01	H0028_013_0	3	1	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H0028	014	0	1	01	01	H0028_014_0	3	1	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H0028	015	0	1	01	01	H0028_015_0	4	1	1	10				01111	4959	3471											2		13d;		1	13d;	2			1	50.00
H0028	015	0	1	01	01	H0028_015_0	4	2	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;		1	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	2			1	500.00
H0028	018	0	1	01	01	H0028_018_0	4	1	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H0028	034	0	1	01	01	H0028_034_0	2	1	1	10				01111	378	265											2		13d;		2		2			1	50.00
H0028	036	0	1	01	01	H0028_036_0	2	1	1	10				01111	3232	2262											2		13d;		2		2			1	50.00
H0028	044	0	1	01	01	H0028_044_0	2	1	1	10				01111	193	135											2		13d;		2		2			1	50.00
H0028	045	0	1	01	01	H0028_045_0	2	1	1	10				01111	184	129											2		13d;		2		2			1	50.00
H0104	012	0	1	04	01	H0104_012_0	7	1	3																		2		13c;	1	1	13c;	2			2	
H0104	014	0	1	04	01	H0104_014_0	6	1	3																		2		13c;	1	1	13c;	2			2	
H0104	015	0	1	04	01	H0104_015_0	3	1	3																		2		13c;	1	1	13c;	2			2	
H0169	001	0	1	01	01	H0169_001_0	2	1	1	10				01111	18253	17332											2		13d;		1	13d;	2			2	
H0169	002	0	1	01	01	H0169_002_0	3	1	1	10				01111	23439	22212											2		13d;		1	13d;	2			2	
H0169	003	0	1	01	01	H0169_003_0	2	1	1	10				01111	11078	10552											2		13d;		1	13d;	2			2	
H0169	004	0	1	02	01	H0169_004_0	3	1	1	10				01111	3857	3678											2		13d;	2	1	13d;	2			2	
H0174	006	0	1	01	01	H0174_006_0	5	1	3																		2		13i;		1	13i;	2			1	600.00
H0251	002	0	1	01	01	H0251_002_0	3	1	1	10				01111	72948	68587											2		13d;		1	13d;	2			2	
H0251	004	0	1	01	01	H0251_004_0	3	1	1	10				01111	1309	1258											2		13d;		1	13d;	2			2	
H0271	013	0	1	04	01	H0271_013_0	6	1	1	10				01111	3993	3753											2		13d;	2	2		2			2	
H0271	016	0	1	04	01	H0271_016_0	3	1	1	10				01111	1096	1043											2		13d;	2	1	13d;	2			2	
H0321	002	0	1	01	01	H0321_002_0	2	1	1	10				01111	61793	56651											2		13d;		2		2			2	
H0321	004	0	1	01	01	H0321_004_0	3	1	1	10				01111	6159	5859											2		13d;		2		2			2	
H0351	038	0	1	01	01	H0351_038_0	6	1	3																		1	001	14c;		2		2			2	
H0351	038	0	1	01	01	H0351_038_0	6	2	2								01111111111000	ESRD					2	2			1	001	14c;		2		2			2	
H0351	038	0	1	01	01	H0351_038_0	6	3	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H0351	053	0	1	01	01	H0351_053_0	5	1	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H0351	054	0	1	01	01	H0351_054_0	4	1	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H0354	001	0	1	01	01	H0354_001_0	5	1	3																		1	001	13i;		2		2			2	
H0354	024	0	1	01	01	H0354_024_0	5	1	3																		1	001	13i;		2		2			2	
H0354	027	0	1	01	01	H0354_027_0	5	1	3																		1	001	13i;		2		2			2	
H0354	028	0	1	01	01	H0354_028_0	4	1	3																		1	001	13i;		2		2			2	
H0363	001	0	1	01	01	H0363_001_0	5	1	2								00000000011100	Behavioral health diagnosis	Documented chronic pain				2	2			2		14c;		2		2			2	
H0363	001	0	1	01	01	H0363_001_0	5	2	3																		2		13i-O;		2		2			2	
H0422	001	0	1	02	01	H0422_001_0	7	1	2								00010000000000										2		13c;	2	2		2			2	
H0422	002	0	1	02	01	H0422_002_0	7	1	2								00010000000000										2		13c;	2	2		2			2	
H0423	001	0	1	01	01	H0423_001_0	8	1	3																		2		13i;		1	13i;	2			1	64.00
H0432	009	0	1	01	01	H0432_009_0	4	1	1	10				01111	24519	23048											2		13d;		1	13d;	2			2	
H0439	002	0	1	01	01	H0439_002_0	6	1	3																		1	001	13i;		2		2			2	
H0439	003	1	1	01	01	H0439_003_1	6	1	3																		1	001	13i;		2		2			2	
H0439	003	2	1	01	01	H0439_003_2	6	1	3																		1	001	13i;		2		2			2	
H0439	006	0	1	02	01	H0439_006_0	6	1	3																		1	001	13i;	2	2		2			2	
H0439	007	0	1	01	01	H0439_007_0	6	1	3																		1	001	13i;		2		2			2	
H0439	008	0	1	01	01	H0439_008_0	6	1	3																		1	001	13i;		2		2			2	
H0439	009	0	1	01	01	H0439_009_0	6	1	3																		1	001	13i;		2		2			2	
H0439	010	0	1	01	01	H0439_010_0	6	1	3																		1	001	13i;		2		2			2	
H0439	011	0	1	01	01	H0439_011_0	6	1	3																		1	001	13i;		2		2			2	
H0482	001	0	1	01	01	H0482_001_0	4	1	3																		2		13i;		2		2			2	
H0482	002	0	1	01	01	H0482_002_0	3	1	3																		2		13i;		2		2			2	
H0504	031	0	1	01	01	H0504_031_0	6	1	3																		2		13i-O;		1	13i-O;	2			2	
H0504	037	0	1	01	01	H0504_037_0	6	1	3																		2		13i-O;		1	13i-O;	2			2	
H0504	041	0	1	01	01	H0504_041_0	6	1	3																		2		13i-O;		1	13i-O;	2			2	
H0504	042	0	1	01	01	H0504_042_0	6	1	3																		2		13i-O;		1	13i-O;	2			2	
H0504	046	0	1	01	01	H0504_046_0	7	1	3																		2		13i-O;		1	13i-O;	2			2	
H0504	047	0	1	01	01	H0504_047_0	7	1	3																		2		13i-O;		1	13i-O;	2			2	
H0544	002	0	1	01	01	H0544_002_0	6	1	3																		2		13i;		2		2			2	
H0544	003	0	1	01	01	H0544_003_0	5	1	3																		2		13i;		2		2			2	
H0544	004	0	1	01	01	H0544_004_0	6	1	3																		2		13i;		2		2			2	
H0544	007	0	1	01	01	H0544_007_0	6	1	3																		2		13i;		2		2			2	
H0544	008	0	1	01	01	H0544_008_0	6	1	3																		2		13i;		2		2			2	
H0544	010	0	1	01	01	H0544_010_0	5	1	3																		2		13i;		2		2			2	
H0544	013	0	1	01	01	H0544_013_0	5	1	3																		2		13i;		2		2			2	
H0544	014	0	1	01	01	H0544_014_0	5	1	3																		2		13i;		2		2			2	
H0544	015	0	1	01	01	H0544_015_0	5	1	3																		2		13i;		2		2			2	
H0544	019	0	1	01	01	H0544_019_0	5	1	3																		2		13i;		2		2			2	
H0544	020	0	1	01	01	H0544_020_0	5	1	3																		2		13i;		2		2			2	
H0544	027	0	1	01	01	H0544_027_0	5	1	3																		2		13i;		2		2			2	
H0544	031	0	1	01	01	H0544_031_0	5	1	3																		2		13i;		2		2			2	
H0544	032	0	1	01	01	H0544_032_0	5	1	3																		2		13i;		2		2			2	
H0544	036	0	1	01	01	H0544_036_0	5	1	3																		2		13i;		2		2			2	
H0544	038	0	1	01	01	H0544_038_0	5	1	3																		2		13i;		2		2			2	
H0544	058	0	1	01	01	H0544_058_0	5	1	3																		2		13i;		2		2			2	
H0544	059	0	1	01	01	H0544_059_0	5	1	3																		2		13i;		2		2			2	
H0544	066	0	1	01	01	H0544_066_0	5	1	3																		2		13i;		2		2			2	
H0544	067	0	1	01	01	H0544_067_0	5	1	3																		2		13i;		2		2			2	
H0544	070	0	1	01	01	H0544_070_0	5	1	3																		2		13i;		2		2			2	
H0544	071	0	1	01	01	H0544_071_0	5	1	3																		2		13i;		2		2			2	
H0544	072	0	1	01	01	H0544_072_0	5	1	3																		2		13i;		2		2			2	
H0544	081	0	1	01	01	H0544_081_0	5	1	3																		2		13i;		2		2			2	
H0544	094	0	1	01	01	H0544_094_0	5	1	3																		2		13i;		2		2			2	
H0544	095	0	1	01	01	H0544_095_0	5	1	3																		2		13i;		2		2			2	
H0544	101	0	1	01	01	H0544_101_0	5	1	3																		2		13i;		2		2			2	
H0544	102	0	1	01	01	H0544_102_0	5	1	3																		2		13i;		2		2			2	
H0544	106	0	1	01	01	H0544_106_0	5	1	3																		2		13i;		2		2			2	
H0544	110	0	1	01	01	H0544_110_0	5	1	3																		2		13i;		2		2			2	
H0544	117	1	1	01	01	H0544_117_1	6	1	3																		2		13i;		2		2			2	
H0544	117	2	1	01	01	H0544_117_2	6	1	3																		2		13i;		2		2			2	
H0544	118	1	1	01	01	H0544_118_1	6	1	3																		2		13i;		2		2			2	
H0544	118	2	1	01	01	H0544_118_2	6	1	3																		2		13i;		2		2			2	
H0544	119	1	1	01	01	H0544_119_1	6	1	3																		2		13i;		2		2			2	
H0544	119	2	1	01	01	H0544_119_2	6	1	3																		2		13i;		2		2			2	
H0544	120	1	1	01	01	H0544_120_1	6	1	3																		2		13i;		2		2			2	
H0544	120	2	1	01	01	H0544_120_2	6	1	3																		2		13i;		2		2			2	
H0544	121	1	1	01	01	H0544_121_1	6	1	3																		2		13i;		2		2			2	
H0544	121	2	1	01	01	H0544_121_2	6	1	3																		2		13i;		2		2			2	
H0544	122	1	1	01	01	H0544_122_1	6	1	3																		2		13i;		2		2			2	
H0544	122	2	1	01	01	H0544_122_2	6	1	3																		2		13i;		2		2			2	
H0544	122	3	1	01	01	H0544_122_3	6	1	3																		2		13i;		2		2			2	
H0545	001	0	1	01	01	H0545_001_0	7	1	2								00110000001000	CVA with Hemiparesis					2	2			1	001	13c;14c;		2		2			2	
H0624	001	0	1	01	01	H0624_001_0	2	1	1	10				01111	20608	19150											2		13d;		1	13d;	2			2	
H0672	001	0	1	01	01	H0672_001_0	6	1	3																		1	001	13i;		2		2			2	
H0672	002	0	1	01	01	H0672_002_0	6	1	3																		1	001	13i;		2		2			2	
H0672	003	0	1	01	01	H0672_003_0	6	1	3																		1	001	13i;		2		2			2	
H0672	004	0	1	01	01	H0672_004_0	6	1	3																		1	001	13i;		2		2			2	
H0672	005	0	1	01	01	H0672_005_0	6	1	3																		1	001	13i;		2		2			2	
H0672	006	0	1	01	01	H0672_006_0	6	1	3																		1	001	13i;		2		2			2	
H0798	001	0	1	01	01	H0798_001_0	4	1	3																		2		13i;		2		2			2	
H0838	020	0	1	01	01	H0838_020_0	7	1	3																		1	001	13i;		2		2			1	30.00
H0838	024	0	1	01	01	H0838_024_0	8	1	3																		1	001	13i;		2		2			1	30.00
H0838	029	0	1	01	01	H0838_029_0	7	1	3																		1	001	13i;		2		2			1	30.00
H0838	033	0	1	01	01	H0838_033_0	7	1	3																		1	001	13i;		2		2			1	30.00
H0838	040	1	1	01	01	H0838_040_1	8	1	3																		1	001	13i;		2		2			1	30.00
H0838	040	2	1	01	01	H0838_040_2	8	1	3																		1	001	13i;		2		2			1	30.00
H0838	044	0	1	01	01	H0838_044_0	9	1	3																		1	001	13i;		2		2			1	30.00
H0838	045	0	1	01	01	H0838_045_0	7	1	3																		1	001	13i;		2		2			1	30.00
H0907	001	0	1	01	01	H0907_001_0	5	1	3																		2		13i;13i-O;		2		2			2	
H1016	023	0	1	01	01	H1016_023_0	4	1	3																		1	001	13b;13c;13i;		2		2			2	
H1016	024	0	1	01	01	H1016_024_0	4	1	3																		1	001	13b;13c;13i;		2		2			2	
H1019	001	0	1	01	01	H1019_001_0	5	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1019	006	0	1	01	01	H1019_006_0	4	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1019	023	0	1	01	01	H1019_023_0	3	1	1	10				01111	3215	2251											2		13d;		2		2			1	50.00
H1019	023	0	1	01	01	H1019_023_0	3	2	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1019	026	0	1	01	01	H1019_026_0	4	1	1	10				01111	4572	3200											2		13d;		2		2			1	25.00
H1019	026	0	1	01	01	H1019_026_0	4	2	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1019	057	0	1	02	01	H1019_057_0	5	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;	2	2		2			1	500.00
H1019	069	0	1	01	01	H1019_069_0	3	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1019	073	0	1	01	01	H1019_073_0	3	1	1	10				01111	379	265											2		13d;		2		2			1	25.00
H1019	073	0	1	01	01	H1019_073_0	3	2	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1019	098	0	1	01	01	H1019_098_0	3	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1019	102	0	1	01	01	H1019_102_0	4	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1019	103	1	1	01	01	H1019_103_1	4	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1019	103	2	1	01	01	H1019_103_2	5	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1019	105	0	1	01	01	H1019_105_0	4	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1019	106	0	1	01	01	H1019_106_0	4	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1019	107	0	1	01	01	H1019_107_0	4	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1019	108	0	1	01	01	H1019_108_0	4	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1019	109	0	1	01	01	H1019_109_0	4	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1032	124	0	1	01	01	H1032_124_0	5	1	3																		2		13b;13d;13i;14c;		1	13b;13d;13i;14c;	2			1	200.00
H1032	170	0	1	01	01	H1032_170_0	5	1	3																		2		13b;13d;13i;14c;		1	13b;13d;13i;14c;	2			1	200.00
H1032	175	0	1	01	01	H1032_175_0	5	1	3																		2		13b;13d;13i;14c;		1	13b;13d;13i;14c;	2			1	200.00
H1032	176	0	1	01	01	H1032_176_0	5	1	3																		2		13b;13d;13i;14c;		1	13b;13d;13i;14c;	2			1	200.00
H1032	197	0	1	01	01	H1032_197_0	4	1	3																		2		13i;		1	13i;	2			2	
H1032	202	0	1	01	01	H1032_202_0	4	1	3																		2		13i;		1	13i;	2			2	
H1032	206	0	1	01	01	H1032_206_0	4	1	3																		2		13i;		1	13i;	2			2	
H1032	213	0	1	01	01	H1032_213_0	4	1	3																		2		13i;		1	13i;	2			2	
H1032	214	0	1	01	01	H1032_214_0	4	1	3																		2		13i;		1	13i;	2			2	
H1032	217	0	1	01	01	H1032_217_0	4	1	3																		2		13i;		1	13i;	2			2	
H1035	022	0	1	01	01	H1035_022_0	8	1	3																		1	001	10b;13b;13i;14c;		1	10b;13b;13i;14c;	2			2	
H1035	023	0	1	01	01	H1035_023_0	8	1	3																		1	001	10b;13b;13i;14c;		1	10b;13b;13i;14c;	2			2	
H1035	024	0	1	01	01	H1035_024_0	8	1	3																		1	001	10b;13b;13i;14c;		1	10b;13b;13i;14c;	2			2	
H1035	025	0	1	01	01	H1035_025_0	8	1	3																		1	001	10b;13b;13i;14c;		1	10b;13b;13i;14c;	2			2	
H1035	026	0	1	01	01	H1035_026_0	9	1	3																		1	001	10b;13b;13i;14c;		1	10b;13b;13i;14c;	2			2	
H1035	033	0	1	01	01	H1035_033_0	8	1	3																		1	001	10b;13b;13i;14c;		1	10b;13b;13i;14c;	2			2	
H1035	034	0	1	01	01	H1035_034_0	9	1	3																		1	001	10b;13b;13i;14c;		1	10b;13b;13i;14c;	2			2	
H1035	043	0	1	01	01	H1035_043_0	9	1	3																		1	001	13i;		1	13i;	2			2	
H1035	045	0	1	01	01	H1035_045_0	8	1	3																		1	001	10b;13b;13i;14c;		1	10b;13b;13i;14c;	2			2	
H1036	054	0	1	01	01	H1036_054_0	3	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1036	062	0	1	01	01	H1036_062_0	4	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1036	065	0	1	01	01	H1036_065_0	4	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1036	077	0	1	01	01	H1036_077_0	3	1	1	10				01111	6383	4468											2		13d;		2		2			1	50.00
H1036	102	0	1	01	01	H1036_102_0	5	1	1	10				01111	4088	2862											2		13d;		2		2			1	50.00
H1036	102	0	1	01	01	H1036_102_0	5	2	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1036	103	0	1	01	01	H1036_103_0	3	1	1	10				01111	4983	3488											2		13d;		2		2			1	50.00
H1036	104	0	1	01	01	H1036_104_0	3	1	1	10				01111	2600	1820											2		13d;		2		2			1	50.00
H1036	137	0	1	01	01	H1036_137_0	2	1	3																		1	001	13c;		2		2			2	
H1036	156	0	1	01	01	H1036_156_0	3	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1036	167	0	1	01	01	H1036_167_0	2	1	1	10				01111	5175	3623											2		13d;		1	13d;	2			1	75.00
H1036	167	0	1	01	01	H1036_167_0	2	2	3																		1	001	13c;		1	13c;	2			2	
H1036	168	0	1	01	01	H1036_168_0	2	1	1	10				01111	4081	2857											2		13d;		1	13d;	2			1	75.00
H1036	168	0	1	01	01	H1036_168_0	2	2	3																		1	001	13c;		1	13c;	2			2	
H1036	175	0	1	01	01	H1036_175_0	3	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1036	209	0	1	01	01	H1036_209_0	3	1	1	10				01111	1163	814											2		13d;		2		2			1	25.00
H1036	209	0	1	01	01	H1036_209_0	3	2	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1036	210	0	1	01	01	H1036_210_0	3	1	1	10				01111	1180	826											2		13d;		2		2			1	25.00
H1036	210	0	1	01	01	H1036_210_0	3	2	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1036	213	0	1	01	01	H1036_213_0	4	1	1	10				01111	1819	1273											2		13d;		2		2			1	50.00
H1036	213	0	1	01	01	H1036_213_0	4	2	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1036	214	0	1	01	01	H1036_214_0	3	1	1	10				01111	825	578											2		13d;		2		2			1	25.00
H1036	214	0	1	01	01	H1036_214_0	3	2	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1036	222	0	1	01	01	H1036_222_0	2	1	1	10				01111	5515	3861											2		13d;		1	13d;	2			1	50.00
H1036	230	0	1	01	01	H1036_230_0	4	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1036	231	0	1	01	01	H1036_231_0	6	1	1	10				01111	409	286											2		13d;		2		2			1	50.00
H1036	231	0	1	01	01	H1036_231_0	6	2	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1036	233	0	1	01	01	H1036_233_0	2	1	3																		1	001	13c;		2		2			2	
H1036	235	0	1	01	01	H1036_235_0	4	1	1	10				01111	358	251											2		13d;		1	13d;	2			1	50.00
H1036	243	0	1	01	01	H1036_243_0	3	1	1	10				01111	825	578											2		13d;		2		2			1	25.00
H1036	243	0	1	01	01	H1036_243_0	3	2	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1036	245	0	1	01	01	H1036_245_0	2	1	1	10				01111	1560	1092											2		13d;		2		2			1	25.00
H1036	261	0	1	01	01	H1036_261_0	3	1	1	10				01111	109	76											2		13d;		2		2			1	25.00
H1036	261	0	1	01	01	H1036_261_0	3	2	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1036	262	0	1	01	01	H1036_262_0	2	1	1	10				01111	358	251											2		13d;		2		2			1	25.00
H1036	276	0	1	01	01	H1036_276_0	3	1	1	10				01111	424	297											2		13d;		1	13d;	2			1	75.00
H1036	276	0	1	01	01	H1036_276_0	3	2	3																		1	001	13c;		1	13c;	2			2	
H1036	280	0	1	01	01	H1036_280_0	2	1	1	10				01111	0	0											2		13d;		2		2			1	50.00
H1036	281	0	1	01	01	H1036_281_0	2	1	1	10				01111	0	0											2		13d;		2		2			1	50.00
H1036	282	0	1	01	01	H1036_282_0	2	1	1	10				01111	4	3											2		13d;		2		2			1	50.00
H1036	283	0	1	01	01	H1036_283_0	5	1	1	10				01111	5	4											2		13d;		2		2			1	25.00
H1036	283	0	1	01	01	H1036_283_0	5	2	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	1000.00
H1036	284	0	1	01	01	H1036_284_0	2	1	1	10				01111	200	140											2		13d;		2		2			1	25.00
H1036	285	0	1	01	01	H1036_285_0	3	1	1	10				01111	115	81											2		13d;		2		2			1	25.00
H1036	285	0	1	01	01	H1036_285_0	3	2	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H1036	291	0	1	01	01	H1036_291_0	3	1	3																		1	001	13c;		2		2			2	
H1045	039	0	1	01	01	H1045_039_0	2	1	1	10				01111	20568	18678											2		13d;		1	13d;	2			2	
H1045	053	0	1	01	01	H1045_053_0	3	1	1	10				01111	925	887											2		13d;		1	13d;	2			2	
H1290	001	0	1	01	01	H1290_001_0	7	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	002	0	1	01	01	H1290_002_0	7	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	003	0	1	01	01	H1290_003_0	7	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	004	0	1	01	01	H1290_004_0	7	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	005	0	1	01	01	H1290_005_0	8	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	006	0	1	01	01	H1290_006_0	7	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	007	0	1	01	01	H1290_007_0	7	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	008	0	1	01	01	H1290_008_0	7	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	009	0	1	01	01	H1290_009_0	7	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	010	0	1	01	01	H1290_010_0	7	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	019	0	1	01	01	H1290_019_0	8	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	020	0	1	01	01	H1290_020_0	8	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	021	0	1	01	01	H1290_021_0	8	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	022	0	1	01	01	H1290_022_0	8	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	023	0	1	01	01	H1290_023_0	8	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	024	0	1	01	01	H1290_024_0	8	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	025	0	1	01	01	H1290_025_0	7	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	026	0	1	01	01	H1290_026_0	7	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	027	0	1	01	01	H1290_027_0	7	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	028	0	1	01	01	H1290_028_0	8	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	029	0	1	01	01	H1290_029_0	7	1	3																		2		13i-O;		2		1	1		1	240.00
H1290	030	0	1	01	01	H1290_030_0	7	1	3																		2		13i-O;		2		1	1		1	240.00
H1304	001	0	1	04	01	H1304_001_0	5	1	2								01000000000000										2		7f;	1	2		2			2	
H1304	001	0	1	04	01	H1304_001_0	5	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H1304	001	0	1	04	01	H1304_001_0	5	3	3																		1	001	13i;13i-O;	1	2		2			2	
H1304	004	0	1	04	01	H1304_004_0	8	1	2								01000000000000										2		7f;	1	2		2			2	
H1304	004	0	1	04	01	H1304_004_0	8	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H1304	004	0	1	04	01	H1304_004_0	8	3	3																		1	001	13i;13i-O;	1	2		2			2	
H1304	011	1	1	04	01	H1304_011_1	7	1	2								01000000000000										2		7f;	1	2		2			2	
H1304	011	1	1	04	01	H1304_011_1	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H1304	011	1	1	04	01	H1304_011_1	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H1304	011	2	1	04	01	H1304_011_2	8	1	2								01000000000000										2		7f;	1	2		2			2	
H1304	011	2	1	04	01	H1304_011_2	8	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H1304	011	2	1	04	01	H1304_011_2	8	3	3																		1	001	13i;13i-O;	1	2		2			2	
H1304	012	1	1	04	01	H1304_012_1	7	1	2								01000000000000										2		7f;	1	2		2			2	
H1304	012	1	1	04	01	H1304_012_1	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H1304	012	1	1	04	01	H1304_012_1	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H1304	012	2	1	04	01	H1304_012_2	7	1	2								01000000000000										2		7f;	1	2		2			2	
H1304	012	2	1	04	01	H1304_012_2	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H1304	012	2	1	04	01	H1304_012_2	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H1304	803	0	1	04	01	H1304_803_0	2	1	2								01000000000000										2		7f;	1	2		2			2	
H1304	803	0	1	04	01	H1304_803_0	2	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H1304	803	0	1	04	01	H1304_803_0	2	3	3																		1	001	13i;13i-O;	1	2		2			2	
H1304	804	0	1	04	01	H1304_804_0	2	1	2								01000000000000										2		7f;	1	2		2			2	
H1304	804	0	1	04	01	H1304_804_0	2	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H1304	804	0	1	04	01	H1304_804_0	2	3	3																		1	001	13i;13i-O;	1	2		2			2	
H1304	805	0	1	04	01	H1304_805_0	2	1	2								01000000000000										2		7f;	1	2		2			2	
H1304	805	0	1	04	01	H1304_805_0	2	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H1304	805	0	1	04	01	H1304_805_0	2	3	3																		1	001	13i;13i-O;	1	2		2			2	
H1304	806	0	1	04	01	H1304_806_0	2	1	2								01000000000000										2		7f;	1	2		2			2	
H1304	806	0	1	04	01	H1304_806_0	2	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H1304	806	0	1	04	01	H1304_806_0	2	3	3																		1	001	13i;13i-O;	1	2		2			2	
H1352	001	0	1	01	01	H1352_001_0	12	1	3																		1	001	13c;		2		2			2	
H1352	002	0	1	01	01	H1352_002_0	10	1	3																		1	001	13c;		2		2			2	
H1352	003	0	1	01	01	H1352_003_0	12	1	3																		1	001	13i;		2		2			2	
H1352	003	0	1	01	01	H1352_003_0	12	2	2								01110110000000						2	2			1	001	13c;14c;		2		2			2	
H1353	002	0	1	01	01	H1353_002_0	4	1	3																		2		13i;		1	13i;	2			1	600.00
H1353	004	0	1	01	01	H1353_004_0	4	1	3																		2		13i;		1	13i;	2			1	900.00
H1360	001	0	1	01	01	H1360_001_0	3	1	1	10				01111	2677	2454											2		13d;		1	13d;	2			2	
H1365	001	0	1	04	01	H1365_001_0	9	1	2								00000000001100	Opiate Use DIsorder	Chronic Pain Syndrome				2	2			1	001	13a;14c;	1	2		1	1		1	200.00
H1365	001	0	1	04	01	H1365_001_0	9	2	2								01000000001000	Chronic Kidney Disease					2	2			1	001	14c;	1	2		2			2	
H1365	001	0	1	04	01	H1365_001_0	9	3	2								00000000001100	History of Falls	Hip Fracture				2	2			1	001	14c;	1	2		1	1		1	250.00
H1365	001	0	1	04	01	H1365_001_0	9	4	3																		1	001	13i;	1	2		2			2	
H1365	002	0	1	04	01	H1365_002_0	9	1	2								00000000001100	Opiate Use DIsorder	Chronic Pain Syndrome				2	2			1	001	13a;14c;	1	2		1	1		1	200.00
H1365	002	0	1	04	01	H1365_002_0	9	2	2								01000000001000	Chronic Kidney Disease					2	2			1	001	14c;	1	2		2			2	
H1365	002	0	1	04	01	H1365_002_0	9	3	2								00000000001100	History of Falls	Hip Fracture				2	2			1	001	14c;	1	2		1	1		1	250.00
H1365	002	0	1	04	01	H1365_002_0	9	4	3																		1	001	13i;	1	2		2			2	
H1415	013	0	1	01	01	H1415_013_0	4	1	3																		1	001	13i;		2		2			2	
H1415	021	0	1	02	01	H1415_021_0	6	1	3																		1	001	13i;	2	2		2			2	
H1415	024	0	1	01	01	H1415_024_0	6	1	3																		1	001	13i;		2		2			2	
H1416	009	0	1	02	01	H1416_009_0	4	1	3																		2		13i;	2	1	13i;	2			2	
H1416	023	0	1	01	01	H1416_023_0	4	1	3																		2		13i;		1	13i;	2			2	
H1416	034	0	1	01	01	H1416_034_0	4	1	3																		2		13i;		1	13i;	2			2	
H1416	035	0	1	01	01	H1416_035_0	4	1	3																		2		13i;		1	13i;	2			2	
H1416	044	0	1	01	01	H1416_044_0	5	1	3																		2		13i;		1	13i;	2			1	600.00
H1416	048	0	1	01	01	H1416_048_0	4	1	3																		2		13i;		1	13i;	2			2	
H1423	001	0	1	01	01	H1423_001_0	5	1	3																		2		13i;		2		2			2	
H1423	002	0	1	01	01	H1423_002_0	5	1	3																		2		13i;		2		2			2	
H1423	003	0	1	01	01	H1423_003_0	5	1	3																		2		13i;		2		2			2	
H1423	004	0	1	01	01	H1423_004_0	5	1	3																		2		13i;		2		2			2	
H1423	005	0	1	01	01	H1423_005_0	5	1	3																		2		13i;		2		2			2	
H1468	017	0	1	01	01	H1468_017_0	4	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	1000.00
H1468	019	0	1	01	01	H1468_019_0	6	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	1000.00
H1608	027	0	1	04	01	H1608_027_0	3	1	1	01	0001000000				6088	3044											1	001	13b;13c;	1	2		2			2	
H1608	029	0	1	04	01	H1608_029_0	4	1	3																		1	001	14c;	1	2		2			2	
H1609	017	0	1	01	01	H1609_017_0	7	1	3																		2		13i;		1	13i;	2			2	
H1609	043	0	1	01	01	H1609_043_0	4	1	3																		2		13i;		1	13i;	2			2	
H1609	046	0	1	01	01	H1609_046_0	4	1	3																		2		13i;		1	13i;	2			2	
H1609	048	0	1	01	01	H1609_048_0	4	1	3																		2		13i;		1	13i;	2			2	
H1644	001	0	1	01	01	H1644_001_0	5	1	2								00000000011100	Behavioral health diagnosis	Documented chronic pain				2	2			2		14c;		2		2			2	
H1644	001	0	1	01	01	H1644_001_0	5	2	3																		2		13i-O;		2		2			2	
H1664	001	0	1	01	01	H1664_001_0	3	1	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H1664	002	0	1	01	01	H1664_002_0	3	1	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H1664	004	0	1	01	01	H1664_004_0	3	1	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H1664	005	0	1	01	01	H1664_005_0	3	1	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H1664	007	0	1	01	01	H1664_007_0	2	1	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H1664	009	0	1	01	01	H1664_009_0	2	1	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H1664	011	0	1	01	01	H1664_011_0	2	1	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H1732	001	0	1	01	01	H1732_001_0	6	1	3																		2		13i-O;		2		2			2	
H1732	002	0	1	01	01	H1732_002_0	6	1	3																		2		13i;		2		2			2	
H1732	003	0	1	01	01	H1732_003_0	6	1	3																		2		13i;13i-O;		2		2			2	
H1732	004	0	1	01	01	H1732_004_0	6	1	3																		2		13i;13i-O;		2		2			2	
H1774	001	0	1	04	01	H1774_001_0	4	1	3																		2		13i;	1	2		2			2	
H1889	002	1	1	04	01	H1889_002_1	2	1	1	10				01111	49187	46088											2		13d;	2	1	13d;	2			2	
H1889	002	2	1	04	01	H1889_002_2	2	1	1	10				01111	49187	46088											2		13d;	2	1	13d;	2			2	
H1947	001	0	1	01	01	H1947_001_0	5	1	3																		2		13i;13i-O;		2		2			2	
H1951	032	0	1	01	01	H1951_032_0	2	1	1	10				01111	4643	3250											2		13d;		1	13d;	2			1	75.00
H1951	033	0	1	01	01	H1951_033_0	3	1	1	10				01111	7022	4915											2		13d;		1	13d;	2			1	75.00
H1951	034	0	1	01	01	H1951_034_0	2	1	1	10				01111	1686	1180											2		13d;		1	13d;	2			1	50.00
H1951	038	0	1	01	01	H1951_038_0	2	1	3																		1	001	13c;		2		2			2	
H1951	039	0	1	01	01	H1951_039_0	3	1	3																		1	001	13c;		2		2			2	
H1951	041	0	1	01	01	H1951_041_0	2	1	1	10				01111	11480	8036											2		13d;		1	13d;	2			1	50.00
H1961	003	0	1	01	01	H1961_003_0	3	1	2								00000000010000										2		14c;		1	14c;	2			2	
H1961	014	1	1	01	01	H1961_014_1	6	1	2								00000000010000										2		14c;		1	14c;	2			2	
H1961	014	2	1	01	01	H1961_014_2	6	1	2								00000000010000										2		14c;		1	14c;	2			2	
H1961	014	3	1	01	01	H1961_014_3	6	1	2								00000000010000										2		14c;		1	14c;	2			2	
H1961	014	4	1	01	01	H1961_014_4	6	1	2								00000000010000										2		14c;		1	14c;	2			2	
H1961	017	0	1	01	01	H1961_017_0	6	1	2								00000000010000										2		14c;		1	14c;	2			2	
H1961	019	0	1	01	01	H1961_019_0	3	1	1	10				01111	3456	3305											2		13d;		1	13d;	2			2	
H1961	019	0	1	01	01	H1961_019_0	3	2	2								00000000010000										2		14c;		1	14c;	2			2	
H1969	002	0	1	01	01	H1969_002_0	7	1	2								01000000000000										2		7f;		2		2			2	
H1969	002	0	1	01	01	H1969_002_0	7	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H1969	002	0	1	01	01	H1969_002_0	7	3	3																		1	001	13i;13i-O;		2		2			2	
H1969	004	0	1	01	01	H1969_004_0	7	1	2								01000000000000										2		7f;		2		2			2	
H1969	004	0	1	01	01	H1969_004_0	7	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H1969	004	0	1	01	01	H1969_004_0	7	3	3																		1	001	13i;13i-O;		2		2			2	
H1969	006	0	1	01	01	H1969_006_0	5	1	2								01000000000000										2		7f;		2		2			2	
H1969	006	0	1	01	01	H1969_006_0	5	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H1969	006	0	1	01	01	H1969_006_0	5	3	3																		1	001	13i;13i-O;		2		2			2	
H1969	007	3	1	01	01	H1969_007_3	7	1	2								01000000000000										2		7f;		2		2			2	
H1969	007	3	1	01	01	H1969_007_3	7	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H1969	007	3	1	01	01	H1969_007_3	7	3	3																		1	001	13i;13i-O;		2		2			2	
H1969	007	4	1	01	01	H1969_007_4	7	1	2								01000000000000										2		7f;		2		2			2	
H1969	007	4	1	01	01	H1969_007_4	7	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H1969	007	4	1	01	01	H1969_007_4	7	3	3																		1	001	13i;13i-O;		2		2			2	
H1969	008	1	1	01	01	H1969_008_1	7	1	2								01000000000000										2		7f;		2		2			2	
H1969	008	1	1	01	01	H1969_008_1	7	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H1969	008	1	1	01	01	H1969_008_1	7	3	3																		1	001	13i;13i-O;		2		2			2	
H1969	008	2	1	01	01	H1969_008_2	7	1	2								01000000000000										2		7f;		2		2			2	
H1969	008	2	1	01	01	H1969_008_2	7	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H1969	008	2	1	01	01	H1969_008_2	7	3	3																		1	001	13i;13i-O;		2		2			2	
H1997	002	0	1	01	01	H1997_002_0	7	1	2								01000000000000										2		7f;		2		2			2	
H1997	002	0	1	01	01	H1997_002_0	7	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H1997	002	0	1	01	01	H1997_002_0	7	3	3																		1	001	13i;13i-O;		2		2			2	
H1997	008	0	1	01	01	H1997_008_0	5	1	2								01000000000000										2		7f;		2		2			2	
H1997	008	0	1	01	01	H1997_008_0	5	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H1997	008	0	1	01	01	H1997_008_0	5	3	3																		1	001	13i;13i-O;		2		2			2	
H1997	009	0	1	01	01	H1997_009_0	7	1	2								01000000000000										2		7f;		2		2			2	
H1997	009	0	1	01	01	H1997_009_0	7	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H1997	009	0	1	01	01	H1997_009_0	7	3	3																		1	001	13i;13i-O;		2		2			2	
H1997	010	0	1	01	01	H1997_010_0	7	1	2								01000000000000										2		7f;		2		2			2	
H1997	010	0	1	01	01	H1997_010_0	7	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H1997	010	0	1	01	01	H1997_010_0	7	3	3																		1	001	13i;13i-O;		2		2			2	
H1997	011	0	1	01	01	H1997_011_0	7	1	2								01000000000000										2		7f;		2		2			2	
H1997	011	0	1	01	01	H1997_011_0	7	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H1997	011	0	1	01	01	H1997_011_0	7	3	3																		1	001	13i;13i-O;		2		2			2	
H2108	001	0	1	01	01	H2108_001_0	6	1	3																		1	001	13i;		2		2			2	
H2108	022	0	1	01	01	H2108_022_0	6	1	3																		1	001	13i;		2		2			2	
H2108	028	0	1	01	01	H2108_028_0	6	1	3																		1	001	13i;		2		2			2	
H2108	029	0	1	01	01	H2108_029_0	6	1	3																		1	001	13i;		2		2			2	
H2108	030	0	1	01	01	H2108_030_0	6	1	3																		1	001	13i;		2		2			2	
H2108	034	0	1	01	01	H2108_034_0	6	1	3																		1	001	13i;		2		2			2	
H2108	036	0	1	01	01	H2108_036_0	6	1	3																		1	001	13i;		2		2			2	
H2162	002	0	1	01	01	H2162_002_0	4	1	3																		2		13i;		1	13i;	2			1	600.00
H2168	002	0	1	01	01	H2168_002_0	5	1	3																		1	001	13i;		1	13i;	2			2	
H2174	001	0	1	01	01	H2174_001_0	6	1	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H2224	001	0	1	01	01	H2224_001_0	4	1	3																		2		13i;		1	13i;	2			2	
H2224	003	0	1	01	01	H2224_003_0	4	1	3																		2		13i;		1	13i;	2			2	
H2225	001	0	1	01	01	H2225_001_0	9	1	3																		2		13i;		2		2			1	125.00
H2226	001	0	1	01	01	H2226_001_0	3	1	1	10				01111	10914	10259											2		13d;		1	13d;	2			2	
H2226	003	0	1	01	01	H2226_003_0	4	1	1	10				01111	8300	7802											2		13d;		1	13d;	2			2	
H2228	041	0	1	04	01	H2228_041_0	3	1	1	10				01111	20842	19615											2		13d;	2	1	13d;	2			2	
H2228	043	0	1	04	01	H2228_043_0	2	1	1	10				01111	15574	14511											2		13d;	2	1	13d;	2			2	
H2247	001	0	1	01	01	H2247_001_0	3	1	1	10				01111	9032	8306											2		13d;		1	13d;	2			2	
H2247	002	0	1	01	01	H2247_002_0	3	1	1	10				01111	2931	2758											2		13d;		1	13d;	2			2	
H2256	001	1	1	01	01	H2256_001_1	11	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	001	2	1	01	01	H2256_001_2	11	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	001	6	1	01	01	H2256_001_6	11	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	015	1	1	01	01	H2256_015_1	11	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	015	2	1	01	01	H2256_015_2	11	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	015	6	1	01	01	H2256_015_6	11	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	016	1	1	01	01	H2256_016_1	10	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	016	2	1	01	01	H2256_016_2	10	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	018	1	1	01	01	H2256_018_1	11	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	018	7	1	01	01	H2256_018_7	12	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	018	8	1	01	01	H2256_018_8	11	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	019	1	1	01	01	H2256_019_1	10	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	019	7	1	01	01	H2256_019_7	10	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	026	1	1	01	01	H2256_026_1	11	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	026	2	1	01	01	H2256_026_2	11	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	026	3	1	01	01	H2256_026_3	11	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	028	0	1	01	01	H2256_028_0	11	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	033	0	1	01	01	H2256_033_0	11	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	034	0	1	01	01	H2256_034_0	11	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	036	0	1	01	01	H2256_036_0	11	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	039	0	1	01	01	H2256_039_0	10	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	040	0	1	01	01	H2256_040_0	10	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	041	0	1	01	01	H2256_041_0	10	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2256	042	0	1	01	01	H2256_042_0	10	1	2								00110000001100	Pneumonia	Cellulitis				2	2			2		13d;14c;		2		2			2	
H2422	002	0	1	01	01	H2422_002_0	9	1	3																		1	001	13i;14c;		2		2			2	
H2425	001	0	1	01	01	H2425_001_0	7	1	3																		2		13d;13i;		1	13d;13i;	2			2	
H2456	002	0	1	01	01	H2456_002_0	8	1	2								00000000001000	History/Risk of Falls									2		14c;		1	14c;	2			2	
H2456	002	0	1	01	01	H2456_002_0	8	2	2								00000000001000	Nursing Home Certifiable									2		14c;		1	14c;	2			2	
H2456	002	0	1	01	01	H2456_002_0	8	3	3																		2		10b;		1	10b;	2			2	
H2456	002	0	1	01	01	H2456_002_0	8	4	2								00000000011110	Multiple Sclerosis (MS)	Amyotrophic Lateral Sclerosis (ALS)	Paarkinsons			2	2			2		14c;		1	14c;	2			2	
H2458	002	0	1	01	01	H2458_002_0	11	1	3																		1	001	13i;		2		2			2	
H2459	021	1	1	02	01	H2459_021_1	4	1	2								00010000001000	Post Hospitalization					1				2		13c;	2	1	13c;	2			2	
H2459	021	1	1	02	01	H2459_021_1	4	2	3																		2		13a;	2	1	13a;	2			2	
H2459	031	0	1	01	01	H2459_031_0	10	1	3																		2		13b;		2		2			2	
H2459	032	0	1	01	01	H2459_032_0	10	1	3																		2		13b;		2		2			2	
H2486	003	0	1	01	01	H2486_003_0	6	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H2486	006	0	1	01	01	H2486_006_0	4	1	3																		1	001	10b;13i;		2		2			2	
H2486	007	0	1	01	01	H2486_007_0	5	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		1	10b;13b;13i;14c;16a;16b;17a;17b;18b;	2			1	1000.00
H2563	004	0	1	01	01	H2563_004_0	10	1	3																		2		13i;		2		2			2	
H2563	005	1	1	01	01	H2563_005_1	11	1	1	01	1000000000				500	25											1	100	13d;		1	13d;	2			2	
H2563	005	2	1	01	01	H2563_005_2	11	1	1	01	1000000000				500	25											1	100	13d;		1	13d;	2			2	
H2563	008	0	1	01	01	H2563_008_0	8	1	3																		2		13i;		2		2			2	
H2563	009	0	1	01	01	H2563_009_0	9	1	3																		2		13i;		2		2			2	
H2563	014	0	1	01	01	H2563_014_0	7	1	3																		2		13i;		2		2			2	
H2563	015	0	1	01	01	H2563_015_0	9	1	3																		2		13i;		2		2			2	
H2563	016	0	1	01	01	H2563_016_0	10	1	3																		2		13i;		2		2			2	
H2563	017	1	1	01	01	H2563_017_1	11	1	3																		2		13i;		2		2			2	
H2563	017	1	1	01	01	H2563_017_1	11	2	1	01	1000000000				500	25											1	100	13d;		1	13d;	2			2	
H2563	017	2	1	01	01	H2563_017_2	11	1	3																		2		13i;		2		2			2	
H2563	017	2	1	01	01	H2563_017_2	11	2	1	01	1000000000				500	25											1	100	13d;		1	13d;	2			2	
H2582	002	0	1	01	01	H2582_002_0	3	1	1	10				01111	4576	4254											2		13d;		1	13d;	2			2	
H2593	001	0	1	01	01	H2593_001_0	5	1	3																		2		13i;		2		2			2	
H2593	005	0	1	01	01	H2593_005_0	5	1	3																		2		13i;		2		2			2	
H2593	006	0	1	01	01	H2593_006_0	5	1	3																		2		13i;		2		2			2	
H2593	013	0	1	01	01	H2593_013_0	5	1	3																		2		13i;		2		2			2	
H2593	018	0	1	01	01	H2593_018_0	5	1	3																		2		13i;		2		2			2	
H2593	025	0	1	01	01	H2593_025_0	5	1	3																		2		13i;13i-O;		2		2			2	
H2593	028	2	1	01	01	H2593_028_2	5	1	3																		2		13i;13i-O;		2		2			2	
H2593	030	2	1	01	01	H2593_030_2	6	1	3																		2		13i;13i-O;		2		2			2	
H2593	030	4	1	01	01	H2593_030_4	7	1	3																		2		13i;13i-O;		2		2			2	
H2593	031	0	1	02	01	H2593_031_0	5	1	3																		2		13i;13i-O;	2	2		2			2	
H2593	033	0	1	01	01	H2593_033_0	7	1	3																		2		13i;13i-O;		2		2			2	
H2593	034	0	1	01	01	H2593_034_0	6	1	3																		2		13i;13i-O;		2		2			2	
H2593	035	0	1	01	01	H2593_035_0	6	1	3																		2		13i;13i-O;		2		2			2	
H2593	040	0	1	01	01	H2593_040_0	6	1	3																		2		13i;		2		2			2	
H2593	041	0	1	01	01	H2593_041_0	5	1	3																		2		13i;		2		2			2	
H2610	005	0	1	01	01	H2610_005_0	7	1	3																		2		13b;		2		2			1	50.00
H2610	006	0	1	01	01	H2610_006_0	7	1	3																		2		13b;		2		2			1	50.00
H2678	002	0	1	01	01	H2678_002_0	3	1	3																		2		13i;		2		2			2	
H2678	004	0	1	01	01	H2678_004_0	3	1	3																		2		13i;		2		2			2	
H2697	001	0	1	01	01	H2697_001_0	7	1	3																		2		13i-O;		2		1	1		1	240.00
H2697	002	0	1	01	01	H2697_002_0	8	1	3																		2		13i-O;		2		1	1		1	240.00
H2802	044	0	1	01	01	H2802_044_0	3	1	1	10				01111	8672	8152											2		13d;		1	13d;	2			2	
H2853	001	0	1	01	01	H2853_001_0	4	1	3																		2		13i;		2		2			2	
H2853	002	0	1	01	01	H2853_002_0	3	1	3																		2		13i;		2		2			2	
H2915	001	0	1	01	01	H2915_001_0	4	1	3																		1	001	13i;		2		2			2	
H2915	002	0	1	01	01	H2915_002_0	4	1	3																		1	001	13i;		2		2			2	
H2915	003	0	1	01	01	H2915_003_0	3	1	2								01100000000000						2	2			1	001	13d;		2		2			2	
H2915	003	0	1	01	01	H2915_003_0	3	2	3																		1	001	14c;		2		2			2	
H2915	003	0	1	01	01	H2915_003_0	3	3	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H2915	007	0	1	01	01	H2915_007_0	3	1	3																		1	001	13i;		2		2			2	
H2915	015	2	1	01	01	H2915_015_2	3	1	2								01100000000000						2	2			1	001	13d;		2		2			2	
H2915	015	2	1	01	01	H2915_015_2	3	2	3																		1	001	14c;		2		2			2	
H2915	015	2	1	01	01	H2915_015_2	3	3	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H2915	015	3	1	01	01	H2915_015_3	4	1	2								01100000000000						2	2			1	001	13d;		2		2			2	
H2915	015	3	1	01	01	H2915_015_3	4	2	3																		1	001	14c;		2		2			2	
H2915	015	3	1	01	01	H2915_015_3	4	3	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H2960	022	0	1	01	01	H2960_022_0	8	1	3																		2		13i;		2		2			2	
H3113	005	0	1	01	01	H3113_005_0	4	1	1	10				01111	24952	23455											2		13d;		1	13d;	2			2	
H3113	009	0	1	01	01	H3113_009_0	2	1	1	10				01111	29509	27501											2		13d;		1	13d;	2			2	
H3113	010	0	1	01	01	H3113_010_0	2	1	1	10				01111	7784	7320											2		13d;		1	13d;	2			2	
H3113	011	0	1	01	01	H3113_011_0	2	1	1	10				01111	6187	5758											2		13d;		1	13d;	2			2	
H3132	001	0	1	01	01	H3132_001_0	4	1	2								00000000001000	AIDS-Related Neuropathy									2		14c;		2		2			2	
H3146	001	0	1	01	01	H3146_001_0	6	1	2								00000100001000	Hyperlipidemia					2	2			2		10b;13b;		1	10b;13b;	2			2	
H3146	002	0	1	01	01	H3146_002_0	8	1	3																		2		13i;		1	13i;	2			2	
H3146	003	0	1	01	01	H3146_003_0	8	1	3																		2		13i;		1	13i;	2			2	
H3146	004	0	1	01	01	H3146_004_0	3	1	2								00000100001000	Hyperlipidemia					2	2			2		10b;13b;		1	10b;13b;	2			2	
H3146	005	0	1	01	01	H3146_005_0	3	1	2								00000100001000	Hyperlipidemia					2	2			2		10b;13b;		1	10b;13b;	2			2	
H3146	006	0	1	01	01	H3146_006_0	3	1	2								00000100001000	Hyperlipidemia					2	2			2		10b;13b;		1	10b;13b;	2			2	
H3146	007	0	1	01	01	H3146_007_0	3	1	2								00000100001000	Hyperlipidemia					2	2			2		10b;13b;		1	10b;13b;	2			2	
H3146	008	0	1	01	01	H3146_008_0	8	1	3																		2		13i;		1	13i;	2			2	
H3146	009	0	1	01	01	H3146_009_0	8	1	3																		2		13i;		1	13i;	2			2	
H3146	010	0	1	01	01	H3146_010_0	3	1	2								00000100001000	Hyperlipidemia					2	2			2		10b;13b;		1	10b;13b;	2			2	
H3146	011	0	1	01	01	H3146_011_0	3	1	2								00000100001000	Hyperlipidemia					2	2			2		10b;13b;		1	10b;13b;	2			2	
H3146	012	0	1	01	01	H3146_012_0	3	1	2								00000100001000	Hyperlipidemia					2	2			2		10b;13b;		1	10b;13b;	2			2	
H3146	013	0	1	01	01	H3146_013_0	3	1	2								00000100001000	Hyperlipidemia					2	2			2		10b;13b;		1	10b;13b;	2			2	
H3192	007	0	1	01	01	H3192_007_0	5	1	3																		2		13i;		1	13i;	2			2	
H3213	011	0	1	01	01	H3213_011_0	4	1	2								01000100000000						2	2			1	001	10b;		2		2			2	
H3213	012	0	1	01	01	H3213_012_0	3	1	2								01000100000000						2	2			1	001	10b;		2		2			2	
H3213	013	0	1	01	01	H3213_013_0	3	1	2								01000100000000						2	2			1	001	10b;		2		2			2	
H3213	014	0	1	01	01	H3213_014_0	3	1	2								01000100000000						2	2			1	001	10b;		2		2			2	
H3239	001	0	1	01	01	H3239_001_0	10	1	3																		2		13i;		1	13i;	2			2	
H3239	003	0	1	01	01	H3239_003_0	2	1	3																		2		13i;		1	13i;	2			2	
H3240	013	0	1	01	01	H3240_013_0	6	1	3																		2		13i;		2		2			2	
H3240	017	0	1	02	01	H3240_017_0	5	1	3																		2		13i;13i-O;	2	2		2			2	
H3240	024	0	1	02	01	H3240_024_0	6	1	3																		2		13i;	2	2		2			2	
H3288	047	0	1	04	01	H3288_047_0	2	1	2								00000100000000										1	001	10b;13b;	1	1	10b;13b;	2			2	
H3305	007	0	1	02	01	H3305_007_0	5	1	2								00000100000000										2		13b;	2	1	13b;	2			2	
H3305	007	0	1	02	01	H3305_007_0	5	2	2								00001000000000										2		14c;	2	1	14c;	2			1	250.00
H3305	015	0	1	02	01	H3305_015_0	6	1	2								00000100000000										2		13b;	2	1	13b;	2			2	
H3305	015	0	1	02	01	H3305_015_0	6	2	2								00001000000000										2		14c;	2	1	14c;	2			1	250.00
H3305	020	0	1	02	01	H3305_020_0	5	1	2								00000100000000										2		13b;	2	1	13b;	2			2	
H3305	020	0	1	02	01	H3305_020_0	5	2	2								00001000000000										2		14c;	2	1	14c;	2			1	250.00
H3305	021	0	1	02	01	H3305_021_0	6	1	2								00000100000000										2		13b;	2	1	13b;	2			2	
H3305	021	0	1	02	01	H3305_021_0	6	2	2								00001000000000										2		14c;	2	1	14c;	2			1	250.00
H3305	022	0	1	02	01	H3305_022_0	6	1	2								00000100000000										2		13b;	2	1	13b;	2			2	
H3305	022	0	1	02	01	H3305_022_0	6	2	2								00001000000000										2		14c;	2	1	14c;	2			1	250.00
H3305	030	0	1	02	01	H3305_030_0	7	1	2								00000100000000										2		13b;	2	1	13b;	2			2	
H3305	030	0	1	02	01	H3305_030_0	7	2	2								00001000000000										2		14c;	2	1	14c;	2			1	250.00
H3305	032	0	1	02	01	H3305_032_0	6	1	2								00000100000000										2		13b;	2	1	13b;	2			2	
H3305	032	0	1	02	01	H3305_032_0	6	2	2								00001000000000										2		14c;	2	1	14c;	2			1	250.00
H3312	069	0	1	01	01	H3312_069_0	3	1	3																		2		13i;		1	13i;	2			2	
H3312	070	0	1	01	01	H3312_070_0	3	1	3																		2		13i;		1	13i;	2			2	
H3347	002	0	1	01	01	H3347_002_0	3	1	3																		2		13i;		2		2			2	
H3347	007	0	1	01	01	H3347_007_0	3	1	3																		2		13i;		2		2			2	
H3347	009	0	1	01	01	H3347_009_0	4	1	3																		2		13i;		2		2			2	
H3359	021	0	1	01	01	H3359_021_0	12	1	1	10				01110	143100	132811											2		13d;		1	13d;	2			1	145.00
H3359	034	0	1	01	01	H3359_034_0	11	1	3																		2		13i;		1	13i;	2			1	0.00
H3387	010	0	1	01	01	H3387_010_0	4	1	1	10				01111	133344	125806											2		13d;		1	13d;	2			2	
H3388	001	0	1	01	01	H3388_001_0	10	1	3																		1	011	14c;		2		2			2	
H3388	002	0	1	01	01	H3388_002_0	12	1	3																		1	011	14c;		2		2			2	
H3388	004	0	1	01	01	H3388_004_0	13	1	3																		1	011	14c;		2		2			2	
H3388	013	0	1	01	01	H3388_013_0	13	1	3																		1	011	14c;		2		2			2	
H3388	014	0	1	01	01	H3388_014_0	13	1	3																		1	011	14c;		2		2			2	
H3447	011	0	1	01	01	H3447_011_0	6	1	3																		2		13i;13i-O;		2		2			2	
H3447	012	0	1	01	01	H3447_012_0	6	1	3																		2		13i;13i-O;		2		2			2	
H3447	013	0	1	01	01	H3447_013_0	6	1	3																		2		13i;13i-O;		2		2			2	
H3447	018	0	1	01	01	H3447_018_0	5	1	3																		2		13i;13i-O;		2		2			2	
H3447	019	0	1	01	01	H3447_019_0	5	1	3																		2		13i;13i-O;		2		2			2	
H3447	020	0	1	01	01	H3447_020_0	5	1	3																		2		13i;13i-O;		2		2			2	
H3447	021	0	1	01	01	H3447_021_0	5	1	3																		2		13i;13i-O;		2		2			2	
H3447	022	0	1	01	01	H3447_022_0	5	1	3																		2		13i;13i-O;		2		2			2	
H3447	023	0	1	01	01	H3447_023_0	5	1	3																		2		13i;13i-O;		2		2			2	
H3447	024	0	1	01	01	H3447_024_0	5	1	3																		2		13i;13i-O;		2		2			2	
H3447	025	0	1	01	01	H3447_025_0	7	1	3																		2		13i;13i-O;		2		2			2	
H3447	027	0	1	01	01	H3447_027_0	7	1	3																		2		13i;13i-O;		2		2			2	
H3447	028	0	1	01	01	H3447_028_0	6	1	3																		2		13i;13i-O;		2		2			2	
H3447	030	0	1	01	01	H3447_030_0	6	1	3																		2		13i;13i-O;		2		2			2	
H3447	031	0	1	01	01	H3447_031_0	8	1	3																		2		13i;13i-O;		2		2			2	
H3499	005	0	1	01	01	H3499_005_0	3	1	3																		1	001	13i;14c;		2		2			2	
H3499	005	0	1	01	01	H3499_005_0	3	2	2								01111111111000	ESRD					2	2			1	001	13d;		2		2			2	
H3533	001	0	1	01	01	H3533_001_0	3	1	3																		1	001	13c;		2		2			2	
H3533	002	0	1	01	01	H3533_002_0	3	1	1	10				01111	3478	2435											2		13d;		1	13d;	2			1	50.00
H3533	006	0	1	01	01	H3533_006_0	3	1	3																		1	001	13c;		2		2			2	
H3533	013	0	1	01	01	H3533_013_0	3	1	3																		1	001	13c;		2		2			2	
H3533	031	0	1	01	01	H3533_031_0	3	1	1	10				01111	0	0											2		13d;		1	13d;	2			1	50.00
H3533	033	0	1	01	01	H3533_033_0	3	1	3																		1	001	13c;		2		2			2	
H3557	001	0	1	04	01	H3557_001_0	11	1	3																		2		16b;	1	2		2			2	
H3572	001	0	1	01	01	H3572_001_0	4	1	2								00000000001000	AIDS-Related Neuropathy									2		14c;		2		2			2	
H3632	001	0	1	04	01	H3632_001_0	3	1	3																		2		13i;	1	2		2			2	
H3655	032	0	1	01	01	H3655_032_0	5	1	3																		2		13i;13i-O;		2		2			2	
H3655	033	0	1	01	01	H3655_033_0	5	1	3																		2		13i;13i-O;		2		2			2	
H3655	034	0	1	01	01	H3655_034_0	5	1	3																		2		13i;13i-O;		2		2			2	
H3655	038	0	1	01	01	H3655_038_0	5	1	3																		2		13i;13i-O;		2		2			2	
H3655	040	0	1	01	01	H3655_040_0	5	1	3																		2		13i;13i-O;		2		2			2	
H3655	041	0	1	01	01	H3655_041_0	5	1	3																		2		13i;13i-O;		2		2			2	
H3655	042	0	1	01	01	H3655_042_0	5	1	3																		2		13i;13i-O;		2		2			2	
H3660	028	0	1	02	01	H3660_028_0	6	1	2								00000000001111	Hip Replacement	Knee Replacement	Femur Fracture	Falls or History of Falls		2	2			2		14c;	2	2		2			2	
H3660	028	0	1	02	01	H3660_028_0	6	2	2								00000000001000	High A1C (over 8) Levels									2		13c;	2	2		2			2	
H3660	028	0	1	02	01	H3660_028_0	6	3	3																		2		13i;	2	2		2			2	
H3660	029	0	1	02	01	H3660_029_0	6	1	2								00000000001111	Hip Replacement	Knee Replacement	Femur Fracture	Falls or History of Falls		2	2			2		14c;	2	2		2			2	
H3660	029	0	1	02	01	H3660_029_0	6	2	2								00000000001000	High A1C (over 8) Levels									2		13c;	2	2		2			2	
H3660	029	0	1	02	01	H3660_029_0	6	3	3																		2		13i;	2	2		2			2	
H3660	044	0	1	01	01	H3660_044_0	6	1	2								00000000001111	Hip Replacement	Knee Replacement	Femur Fracture	Falls or History of Falls		2	2			2		14c;		2		2			2	
H3660	044	0	1	01	01	H3660_044_0	6	2	2								00000000001000	High A1C (over 8) Levels									2		13c;		2		2			2	
H3660	044	0	1	01	01	H3660_044_0	6	3	3																		2		13i;		2		2			2	
H3660	047	0	1	01	01	H3660_047_0	6	1	2								00000000001111	Hip Replacement	Knee Replacement	Femur Fracture	Falls or History of Falls		2	2			2		14c;		2		2			2	
H3660	047	0	1	01	01	H3660_047_0	6	2	2								00000000001000	High A1C (over 8) Levels									2		13c;		2		2			2	
H3660	047	0	1	01	01	H3660_047_0	6	3	3																		2		13i;		2		2			2	
H3660	048	0	1	02	01	H3660_048_0	6	1	2								00000000001111	Hip Replacement	Knee Replacement	Femur Fracture	Falls or History of Falls		2	2			2		14c;	2	2		2			2	
H3660	048	0	1	02	01	H3660_048_0	6	2	2								00000000001000	High A1C (over 8) Levels									2		13c;	2	2		2			2	
H3660	048	0	1	02	01	H3660_048_0	6	3	3																		2		13i;	2	2		2			2	
H3660	050	0	1	01	01	H3660_050_0	6	1	2								00000000001111	Hip Replacement	Knee Replacement	Femur Fracture	Falls or History of Falls		2	2			2		14c;		2		2			2	
H3660	050	0	1	01	01	H3660_050_0	6	2	2								00000000001000	High A1C (over 8) Levels									2		13c;		2		2			2	
H3660	050	0	1	01	01	H3660_050_0	6	3	3																		2		13i;		2		2			2	
H3660	052	1	1	01	01	H3660_052_1	5	1	2								00000000001111	Hip Replacement	Knee Replacement	Femur Fracture	Falls or History of Falls		2	2			2		14c;		2		2			2	
H3660	052	1	1	01	01	H3660_052_1	5	2	2								00000000001000	High A1C (over 8) Level									2		13c;		2		2			2	
H3660	052	1	1	01	01	H3660_052_1	5	3	3																		2		13i;		2		2			2	
H3660	052	2	1	01	01	H3660_052_2	5	1	2								00000000001111	Hip Replacement	Knee Replacement	Femur Fracture	Falls or History of Falls		2	2			2		14c;		2		2			2	
H3660	052	2	1	01	01	H3660_052_2	5	2	2								00000000001000	High A1C (over 8) Level									2		13c;		2		2			2	
H3660	052	2	1	01	01	H3660_052_2	5	3	3																		2		13i;		2		2			2	
H3660	053	1	1	01	01	H3660_053_1	6	1	2								00000000001111	Hip Replacement	Knee Replacement	Femur Fracture	Falls or History of Falls		2	2			2		14c;		2		2			2	
H3660	053	1	1	01	01	H3660_053_1	6	2	2								00000000001000	High A1C (over 8) Level									2		13c;		2		2			2	
H3660	053	1	1	01	01	H3660_053_1	6	3	3																		2		13i;		2		2			2	
H3660	053	2	1	01	01	H3660_053_2	6	1	2								00000000001111	Hip Replacement	Knee Replacement	Femur Fracture	Falls or History of Falls		2	2			2		14c;		2		2			2	
H3660	053	2	1	01	01	H3660_053_2	6	2	2								00000000001000	High A1C (over 8) Level									2		13c;		2		2			2	
H3660	053	2	1	01	01	H3660_053_2	6	3	3																		2		13i;		2		2			2	
H3660	801	0	1	01	01	H3660_801_0	2	1	2								00000000001111	Hip Replacement	Knee Replacement	Femur Fracture	Falls or History of Falls		2	2			2		14c;		2		2			1	175.00
H3660	801	0	1	01	01	H3660_801_0	2	2	2								00000000001000	High A1C (over 8) Levels									2		13c;		2		2			2	
H3660	805	0	1	02	01	H3660_805_0	2	1	2								00000000001111	Hip Replacement	Knee Replacement	Femur Fracture	Falls or History of Falls		2	2			2		14c;	2	2		2			1	225.00
H3660	805	0	1	02	01	H3660_805_0	2	2	2								00000000001000	High A1C (over 8) Levels									2		13c;	2	2		2			2	
H3706	001	0	1	01	01	H3706_001_0	5	1	2								01110110001000	Blindness					2	2			2		10b;13c;		2		2			2	
H3706	009	0	1	01	01	H3706_009_0	5	1	2								01110110001000	Blindness					2	2			2		10b;13c;		2		2			2	
H3706	018	0	1	01	01	H3706_018_0	6	1	2								01110110001000	Blindness					2	2			2		10b;13c;		2		2			2	
H3706	021	0	1	02	01	H3706_021_0	6	1	2								01110110001000	Blindness					2	2			2		10b;13c;	2	2		2			2	
H3794	002	0	1	01	01	H3794_002_0	2	1	1	10				01111	24927	23493											2		13d;		1	13d;	2			2	
H3815	001	0	1	01	01	H3815_001_0	2	1	3																		2		13i;13i-O;		2		2			2	
H3815	006	0	1	01	01	H3815_006_0	2	1	3																		2		13i-O;		2		2			2	
H3815	007	0	1	01	01	H3815_007_0	2	1	3																		2		13i-O;		2		2			2	
H3815	008	0	1	01	01	H3815_008_0	3	1	3																		2		13i;13i-O;		2		2			2	
H3815	009	0	1	01	01	H3815_009_0	2	1	3																		2		13i;		2		2			2	
H3815	010	0	1	01	01	H3815_010_0	3	1	3																		2		13i;13i-O;		2		2			2	
H3815	011	0	1	01	01	H3815_011_0	2	1	3																		2		13i;13i-O;		2		2			2	
H3815	015	0	1	01	01	H3815_015_0	2	1	3																		2		13i;		2		2			2	
H3815	016	0	1	01	01	H3815_016_0	3	1	3																		2		13i;13i-O;		2		2			2	
H3815	018	0	1	01	01	H3815_018_0	2	1	3																		2		13i;13i-O;		2		2			2	
H3815	025	0	1	01	01	H3815_025_0	2	1	3																		2		13i;13i-O;		2		2			2	
H3815	026	0	1	01	01	H3815_026_0	4	1	3																		2		13i;13i-O;		2		2			2	
H3815	027	0	1	01	01	H3815_027_0	3	1	3																		2		13i;13i-O;		2		2			2	
H3815	028	0	1	01	01	H3815_028_0	2	1	3																		2		13i-O;		2		2			2	
H3815	029	0	1	01	01	H3815_029_0	2	1	3																		2		13i-O;		2		2			2	
H3815	030	0	1	01	01	H3815_030_0	3	1	3																		2		13i;13i-O;		2		2			2	
H3815	031	0	1	01	01	H3815_031_0	2	1	3																		2		13i-O;		2		2			2	
H3817	008	1	1	04	01	H3817_008_1	7	1	2								01000000000000										2		7f;	1	2		2			2	
H3817	008	1	1	04	01	H3817_008_1	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H3817	008	1	1	04	01	H3817_008_1	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H3817	008	2	1	04	01	H3817_008_2	7	1	2								01000000000000										2		7f;	1	2		2			2	
H3817	008	2	1	04	01	H3817_008_2	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H3817	008	2	1	04	01	H3817_008_2	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H3817	009	1	1	04	01	H3817_009_1	7	1	2								01000000000000										2		7f;	1	2		2			2	
H3817	009	1	1	04	01	H3817_009_1	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H3817	009	1	1	04	01	H3817_009_1	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H3817	009	2	1	04	01	H3817_009_2	7	1	2								01000000000000										2		7f;	1	2		2			2	
H3817	009	2	1	04	01	H3817_009_2	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H3817	009	2	1	04	01	H3817_009_2	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H3817	010	0	1	04	01	H3817_010_0	5	1	2								01000000000000										2		7f;	1	2		2			2	
H3817	010	0	1	04	01	H3817_010_0	5	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H3817	010	0	1	04	01	H3817_010_0	5	3	3																		1	001	13i;13i-O;	1	2		2			2	
H3817	011	1	1	04	01	H3817_011_1	7	1	2								01000000000000										2		7f;	1	2		2			2	
H3817	011	1	1	04	01	H3817_011_1	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H3817	011	1	1	04	01	H3817_011_1	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H3817	011	2	1	04	01	H3817_011_2	7	1	2								01000000000000										2		7f;	1	2		2			2	
H3817	011	2	1	04	01	H3817_011_2	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H3817	011	2	1	04	01	H3817_011_2	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H3817	801	0	1	04	01	H3817_801_0	2	1	2								01000000000000										2		7f;	1	2		2			2	
H3817	801	0	1	04	01	H3817_801_0	2	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H3817	801	0	1	04	01	H3817_801_0	2	3	3																		1	001	13i;13i-O;	1	2		2			2	
H3817	802	0	1	04	01	H3817_802_0	2	1	2								01000000000000										2		7f;	1	2		2			2	
H3817	802	0	1	04	01	H3817_802_0	2	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H3817	802	0	1	04	01	H3817_802_0	2	3	3																		1	001	13i;13i-O;	1	2		2			2	
H3817	803	0	1	04	01	H3817_803_0	2	1	2								01000000000000										2		7f;	1	2		2			2	
H3817	803	0	1	04	01	H3817_803_0	2	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H3817	803	0	1	04	01	H3817_803_0	2	3	3																		1	001	13i;13i-O;	1	2		2			2	
H3817	804	0	1	04	01	H3817_804_0	2	1	2								01000000000000										2		7f;	1	2		2			2	
H3817	804	0	1	04	01	H3817_804_0	2	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H3817	804	0	1	04	01	H3817_804_0	2	3	3																		1	001	13i;13i-O;	1	2		2			2	
H3832	011	0	1	04	01	H3832_011_0	7	1	2								01001010001000	Pregnancy					2	2			2		16a;16b;	1	2		2			2	
H3832	011	0	1	04	01	H3832_011_0	7	2	2								00000000001110	Oral Cancer	Sjorgens	Head and Neck Cancer			2	2			2		16a;16b;	1	2		2			2	
H3907	002	0	1	01	01	H3907_002_0	9	1	2								01110000000000						1				2		13c;		1	13c;	2			2	
H3907	006	0	1	01	01	H3907_006_0	10	1	2								01110000000000						1				2		13c;		1	13c;	2			2	
H3907	029	0	1	01	01	H3907_029_0	11	1	2								01110000000000						1				2		13c;		1	13c;	2			2	
H3907	037	0	1	01	01	H3907_037_0	10	1	2								01110000000000						1				2		13c;		1	13c;	2			2	
H3907	045	0	1	01	01	H3907_045_0	9	1	2								01110000000000						1				2		13c;		1	13c;	2			2	
H3907	046	0	1	01	01	H3907_046_0	8	1	2								01110000000000						1				2		13c;		1	13c;	2			2	
H3907	047	0	1	01	01	H3907_047_0	9	1	2								01110000000000						1				2		13c;		1	13c;	2			2	
H3907	049	0	1	01	01	H3907_049_0	9	1	2								01110000000000						1				2		13c;		1	13c;	2			2	
H3907	050	0	1	01	01	H3907_050_0	8	1	2								01110000000000						1				2		13c;		1	13c;	2			2	
H3907	051	0	1	01	01	H3907_051_0	8	1	2								01110000000000						1				2		13c;		1	13c;	2			2	
H3907	052	0	1	01	01	H3907_052_0	8	1	2								01110000000000						1				2		13c;		1	13c;	2			2	
H3916	001	0	1	04	01	H3916_001_0	7	1	3																		2		14c;	1	2		2			2	
H3923	013	0	1	04	01	H3923_013_0	6	1	3																		2		13i;	1	2		2			2	
H3923	017	0	1	04	01	H3923_017_0	6	1	3																		2		13i;	1	2		2			2	
H3924	059	13	1	04	01	H3924_059_13	3	1	3																		1	001	13c;13i;14c;	1	2		2			1	1000.00
H3924	059	14	1	04	01	H3924_059_14	3	1	3																		1	001	13c;13i;14c;	1	2		2			1	1000.00
H3924	059	15	1	04	01	H3924_059_15	3	1	3																		1	001	13c;13i;14c;	1	2		2			1	1000.00
H3924	059	16	1	04	01	H3924_059_16	3	1	3																		1	001	13c;13i;14c;	1	2		2			1	1000.00
H3924	059	17	1	04	01	H3924_059_17	3	1	3																		1	001	13c;13i;14c;	1	2		2			1	1000.00
H3924	059	18	1	04	01	H3924_059_18	3	1	3																		1	001	13c;13i;14c;	1	2		2			1	1000.00
H3924	060	13	1	04	01	H3924_060_13	3	1	3																		1	001	13c;13i;14c;	1	2		2			1	1000.00
H3924	060	14	1	04	01	H3924_060_14	3	1	3																		1	001	13c;13i;14c;	1	2		2			1	1000.00
H3924	060	15	1	04	01	H3924_060_15	3	1	3																		1	001	13c;13i;14c;	1	2		2			1	1000.00
H3924	060	16	1	04	01	H3924_060_16	3	1	3																		1	001	13c;13i;14c;	1	2		2			1	1000.00
H3924	060	17	1	04	01	H3924_060_17	3	1	3																		1	001	13c;13i;14c;	1	2		2			1	1000.00
H3924	060	18	1	04	01	H3924_060_18	3	1	3																		1	001	13c;13i;14c;	1	2		2			1	1000.00
H3924	062	21	1	04	01	H3924_062_21	3	1	3																		1	001	13c;13i;14c;	1	2		2			1	1000.00
H3924	062	22	1	04	01	H3924_062_22	3	1	3																		1	001	13c;13i;14c;	1	2		2			1	1000.00
H3924	064	1	1	04	01	H3924_064_1	3	1	3																		1	001	13c;13i;14c;	1	2		2			1	1000.00
H3924	064	2	1	04	01	H3924_064_2	3	1	3																		1	001	13c;13i;14c;	1	2		2			1	1000.00
H3949	009	0	1	01	01	H3949_009_0	6	1	3																		1	001	13i;		2		2			2	
H3949	013	0	1	01	01	H3949_013_0	6	1	3																		1	001	13i;		2		2			2	
H3949	024	0	1	01	01	H3949_024_0	6	1	3																		1	001	13i;		2		2			2	
H3949	026	0	1	01	01	H3949_026_0	4	1	3																		1	001	13i;		2		2			2	
H3949	030	0	1	01	01	H3949_030_0	6	1	3																		1	001	13i;		2		2			2	
H3949	031	0	1	01	01	H3949_031_0	6	1	3																		1	001	13i;		2		2			2	
H3949	032	0	1	01	01	H3949_032_0	6	1	3																		1	001	13i;		2		2			2	
H3949	033	0	1	01	01	H3949_033_0	6	1	3																		1	001	13i;		2		2			2	
H3949	034	0	1	01	01	H3949_034_0	6	1	3																		1	001	13i;		2		2			2	
H3949	035	0	1	01	01	H3949_035_0	6	1	3																		1	001	13i;		2		2			2	
H3949	036	0	1	01	01	H3949_036_0	6	1	3																		1	001	13i;		2		2			2	
H3952	008	0	1	01	01	H3952_008_0	5	1	2								01010000000000						1				1	001	13c;		2		2			2	
H3952	020	0	1	01	01	H3952_020_0	6	1	2								01010000000000						1				1	001	13c;		2		2			2	
H3952	044	0	1	01	01	H3952_044_0	4	1	2								01010000000000						1				1	001	13c;		2		2			2	
H3952	045	0	1	01	01	H3952_045_0	5	1	2								01010000000000						1				1	001	13c;		2		2			2	
H3952	048	0	1	01	01	H3952_048_0	4	1	2								01010000000000						1				1	001	13c;		2		2			2	
H3952	049	0	1	01	01	H3952_049_0	6	1	2								01010000000000						1				1	001	13c;		2		2			2	
H3952	050	0	1	01	01	H3952_050_0	4	1	2								01010000000000						1				1	001	13c;		2		2			2	
H3952	051	0	1	01	01	H3952_051_0	5	1	2								01010000000000						1				1	001	13c;		2		2			2	
H3952	053	0	1	02	01	H3952_053_0	7	1	2								01000000000000										1	001	13c;	2	2		2			2	
H3952	053	0	1	02	01	H3952_053_0	7	2	2								01000000000000										2		13b;	2	2		2			2	
H3952	054	0	1	02	01	H3952_054_0	7	1	2								01010000000000						1				1	001	13c;	2	2		2			2	
H3952	055	0	1	01	01	H3952_055_0	6	1	2								01010000000000						1				1	001	13c;		2		2			2	
H3952	056	0	1	01	01	H3952_056_0	6	1	2								01010000000000						1				1	001	13c;		2		2			2	
H3954	097	0	1	01	01	H3954_097_0	3	1	3																		1	001	13c;13i;14c;		2		2			1	3000.00
H3954	156	13	1	01	01	H3954_156_13	2	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	156	14	1	01	01	H3954_156_14	2	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	156	15	1	01	01	H3954_156_15	2	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	156	16	1	01	01	H3954_156_16	2	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	156	17	1	01	01	H3954_156_17	2	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	156	18	1	01	01	H3954_156_18	2	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	157	13	1	01	01	H3954_157_13	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	157	14	1	01	01	H3954_157_14	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	157	15	1	01	01	H3954_157_15	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	157	16	1	01	01	H3954_157_16	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	157	17	1	01	01	H3954_157_17	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	157	18	1	01	01	H3954_157_18	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	158	13	1	01	01	H3954_158_13	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	158	14	1	01	01	H3954_158_14	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	158	15	1	01	01	H3954_158_15	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	158	16	1	01	01	H3954_158_16	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	158	17	1	01	01	H3954_158_17	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	158	18	1	01	01	H3954_158_18	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	159	13	1	01	01	H3954_159_13	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	159	14	1	01	01	H3954_159_14	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	159	15	1	01	01	H3954_159_15	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	159	16	1	01	01	H3954_159_16	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	159	17	1	01	01	H3954_159_17	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	159	18	1	01	01	H3954_159_18	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3954	160	0	1	01	01	H3954_160_0	3	1	3																		1	001	13c;13i;14c;		2		2			1	1000.00
H3957	031	0	1	02	01	H3957_031_0	7	1	1	01	0100000000				4200	3000											1	011	16b;	2	2		2			2	
H3957	031	0	1	02	01	H3957_031_0	7	2	1	01	0010000000				2700	2000											1	011	16b;	2	2		2			2	
H3957	046	1	1	02	01	H3957_046_1	7	1	3																		2		14c;	2	2		2			2	
H3959	001	0	1	01	01	H3959_001_0	3	1	1	01	0001000000				6088	3044											1	001	10b;13b;13c;		2		2			2	
H3959	002	0	1	01	01	H3959_002_0	2	1	1	01	0001000000				6088	3044											1	001	10b;13b;13c;		2		2			2	
H3959	010	0	1	01	01	H3959_010_0	4	1	2								00000100001000	Hyperlipidemia					2	2			2		10b;13b;		1	10b;13b;	2			2	
H3959	010	0	1	01	01	H3959_010_0	4	2	3																		1	001	14c;		2		2			2	
H3959	011	0	1	01	01	H3959_011_0	3	1	3																		1	001	14c;		2		2			2	
H3959	032	0	1	01	01	H3959_032_0	3	1	2								00000100001000	Hyperlipidemia					2	2			2		10b;13b;		1	10b;13b;	2			2	
H3959	032	0	1	01	01	H3959_032_0	3	2	3																		1	001	14c;		2		2			2	
H3959	036	0	1	01	01	H3959_036_0	2	1	3																		2		13i;		1	13i;	2			2	
H3959	037	0	1	01	01	H3959_037_0	3	1	3																		1	001	14c;		2		2			2	
H3959	046	0	1	01	01	H3959_046_0	2	1	2								00000100001000	Hyperlipidemia					2	2			2		10b;13b;		1	10b;13b;	2			2	
H3959	047	0	1	01	01	H3959_047_0	2	1	2								00000100001000	Hyperlipidemia					2	2			2		10b;13b;		1	10b;13b;	2			2	
H3959	049	0	1	01	01	H3959_049_0	2	1	2								00000100001000	Hyperlipidemia					2	2			2		10b;13b;		1	10b;13b;	2			2	
H3962	001	0	1	01	01	H3962_001_0	5	1	3																		2		13i;		2		2			2	
H3962	004	0	1	01	01	H3962_004_0	5	1	3																		2		13i;		2		2			2	
H4003	009	0	1	01	01	H4003_009_0	12	1	2								01110010001000	Cardiovascular Disorders					2	2			1	001	14c;		2		2			2	
H4003	009	0	1	01	01	H4003_009_0	12	2	3																		2		13b;13i;		2		2			1	40.00
H4003	009	0	1	01	01	H4003_009_0	12	3	1	01	1000000000				307	154											2		13d;		2		2			2	
H4003	017	0	1	01	01	H4003_017_0	12	1	2								01110010001000	Cardiovascular Disorders					2	2			1	001	14c;		2		2			2	
H4003	017	0	1	01	01	H4003_017_0	12	2	3																		2		13b;13i;		2		2			1	65.00
H4003	019	0	1	02	01	H4003_019_0	11	1	2								01110010001000	Cardiovascular Disorders					2	2			1	001	14c;	2	2		2			2	
H4003	034	0	1	02	01	H4003_034_0	12	1	2								01110010001000	Cardiovascular Disorders					2	2			1	001	14c;	2	2		2			2	
H4003	044	0	1	02	01	H4003_044_0	12	1	2								01110010001000	Cardiovascular Disorders					2	2			1	001	14c;	2	2		2			2	
H4003	044	0	1	02	01	H4003_044_0	12	2	1	01	1000000000				1632	1632											2		13d;	2	2		2			1	900.00
H4003	047	0	1	01	01	H4003_047_0	11	1	2								01110010001000	Cardiovascular Disorders					2	2			1	001	14c;		2		2			2	
H4003	049	0	1	01	01	H4003_049_0	11	1	2								01110010001000	Cardiovascular Disorders					2	2			1	001	14c;		2		2			2	
H4003	049	0	1	01	01	H4003_049_0	11	2	3																		2		13i;		2		2			2	
H4003	049	0	1	01	01	H4003_049_0	11	3	1	01	1000000000				2397	2397											2		13d;		2		2			1	1560.00
H4003	050	0	1	01	01	H4003_050_0	8	1	2								01110010001000	Cardiovascular Disorders					2	2			1	001	14c;		2		2			2	
H4003	050	0	1	01	01	H4003_050_0	8	2	3																		2		13b;13i;		2		2			1	145.00
H4003	051	0	1	02	01	H4003_051_0	9	1	2								01110010001000	Cardiovascular Disorders					2	2			1	001	14c;	2	2		2			2	
H4003	051	0	1	02	01	H4003_051_0	9	2	3																		2		13b;13i;	2	2		2			1	50.00
H4004	048	0	1	01	01	H4004_048_0	11	1	2								01110010001000	Cardiovascular Disorders					2	2			1	001	14c;		2		2			2	
H4004	048	0	1	01	01	H4004_048_0	11	2	3																		2		13b;13i;		2		2			1	20.00
H4004	056	0	1	02	01	H4004_056_0	14	1	2								01110010001000	Cardiovascular Disorders					2	2			1	001	14c;	2	2		2			2	
H4004	061	0	1	01	01	H4004_061_0	11	1	2								01110010001000	Cardiovascular Disorders					2	2			1	001	14c;		2		2			2	
H4004	061	0	1	01	01	H4004_061_0	11	2	3																		2		13b;13i;		2		2			1	30.00
H4005	001	0	1	04	01	H4005_001_0	9	1	3																		2		13i;13i-O;	1	2		2			2	
H4007	012	0	1	01	01	H4007_012_0	6	1	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H4007	016	0	1	01	01	H4007_016_0	7	1	1	10				01111	4572	3200											2		13d;		2		2			1	25.00
H4007	016	0	1	01	01	H4007_016_0	7	2	3																		1	001	13c;		2		2			2	
H4007	018	0	1	01	01	H4007_018_0	5	1	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H4007	019	0	1	01	01	H4007_019_0	7	1	1	10				01111	4572	3200											2		13d;		2		2			1	25.00
H4007	019	0	1	01	01	H4007_019_0	7	2	3																		1	001	13c;		2		2			2	
H4007	021	0	1	01	01	H4007_021_0	5	1	3																		1	001	13i;		2		2			2	
H4007	023	0	1	01	01	H4007_023_0	6	1	1	10				01111	4572	3200											2		13d;		2		2			1	75.00
H4007	023	0	1	01	01	H4007_023_0	6	2	3																		1	001	13i;		2		2			2	
H4093	001	0	1	01	01	H4093_001_0	14	1	3																		2		13i;		2		2			2	
H4141	003	0	1	01	01	H4141_003_0	4	1	1	10				01111	13399	9379											2		13d;		1	13d;	2			1	50.00
H4152	005	0	1	01	01	H4152_005_0	11	1	3																		2		16b;		2		2			2	
H4152	007	0	1	02	01	H4152_007_0	12	1	3																		2		16b;	2	2		2			2	
H4152	013	0	1	01	01	H4152_013_0	11	1	3																		2		16b;		2		2			2	
H4152	018	0	1	02	01	H4152_018_0	11	1	3																		2		16b;	2	2		2			2	
H4152	020	0	1	02	01	H4152_020_0	11	1	3																		2		16b;	2	2		2			2	
H4279	001	0	1	01	01	H4279_001_0	9	1	3																		2		13i;		2		2			2	
H4304	001	0	1	04	01	H4304_001_0	6	1	3																		2		14c;	1	2		2			2	
H4343	001	0	1	01	01	H4343_001_0	4	1	3																		2		13i;		2		2			2	
H4343	002	0	1	01	01	H4343_002_0	4	1	3																		2		13i;		2		2			2	
H4343	003	0	1	01	01	H4343_003_0	3	1	3																		2		13i;		2		2			2	
H4343	004	0	1	01	01	H4343_004_0	3	1	3																		2		13i;		2		2			2	
H4346	005	0	1	01	01	H4346_005_0	6	1	3																		2		13i;		2		2			2	
H4346	006	0	1	01	01	H4346_006_0	6	1	3																		2		13i;		2		2			2	
H4346	008	0	1	01	01	H4346_008_0	6	1	3																		2		13i;		2		2			2	
H4346	022	0	1	01	01	H4346_022_0	7	1	3																		2		13i;		2		2			2	
H4407	004	0	1	01	01	H4407_004_0	7	1	3																		1	001	13i;		2		2			2	
H4407	011	0	1	01	01	H4407_011_0	4	1	3																		1	001	13i;		2		2			2	
H4407	026	0	1	01	01	H4407_026_0	7	1	3																		1	001	13i;		2		2			2	
H4407	027	0	1	01	01	H4407_027_0	7	1	3																		1	001	13i;		2		2			2	
H4461	022	0	1	01	01	H4461_022_0	2	1	1	10				01111	9789	6852											2		13d;		1	13d;	2			1	25.00
H4461	022	0	1	01	01	H4461_022_0	2	2	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H4513	009	0	1	01	01	H4513_009_0	4	1	3																		1	001	13i;		2		2			2	
H4513	026	0	1	01	01	H4513_026_0	6	1	3																		1	001	13i;		2		2			2	
H4513	027	0	1	01	01	H4513_027_0	6	1	3																		1	001	13i;		2		2			2	
H4513	028	0	1	01	01	H4513_028_0	6	1	3																		1	001	13i;		2		2			2	
H4513	029	0	1	01	01	H4513_029_0	6	1	3																		1	001	13i;		2		2			2	
H4513	030	0	1	01	01	H4513_030_0	6	1	3																		1	001	13i;		2		2			2	
H4513	033	0	1	01	01	H4513_033_0	4	1	3																		1	001	13i;		2		2			2	
H4513	034	0	1	01	01	H4513_034_0	6	1	3																		1	001	13i;		2		2			2	
H4513	035	0	1	01	01	H4513_035_0	6	1	3																		1	001	13i;		2		2			2	
H4513	036	0	1	02	01	H4513_036_0	6	1	3																		1	001	13i;	2	2		2			2	
H4513	037	0	1	01	01	H4513_037_0	6	1	3																		1	001	13i;		2		2			2	
H4513	038	0	1	01	01	H4513_038_0	6	1	3																		1	001	13i;		2		2			2	
H4513	039	0	1	01	01	H4513_039_0	6	1	3																		1	001	13i;		2		2			2	
H4513	040	0	1	01	01	H4513_040_0	6	1	3																		1	001	13i;		2		2			2	
H4513	042	0	1	01	01	H4513_042_0	6	1	3																		1	001	13i;		2		2			2	
H4513	043	0	1	01	01	H4513_043_0	6	1	3																		1	001	13i;		2		2			2	
H4513	045	0	1	01	01	H4513_045_0	4	1	3																		1	001	13i;		2		2			2	
H4513	046	1	1	01	01	H4513_046_1	6	1	3																		1	001	13i;		2		2			2	
H4513	046	2	1	01	01	H4513_046_2	6	1	3																		1	001	13i;		2		2			2	
H4513	047	0	1	01	01	H4513_047_0	6	1	3																		1	001	13i;		2		2			2	
H4513	048	0	1	01	01	H4513_048_0	6	1	3																		1	001	13i;		2		2			2	
H4513	049	1	1	01	01	H4513_049_1	6	1	3																		1	001	13i;		2		2			2	
H4513	049	2	1	01	01	H4513_049_2	6	1	3																		1	001	13i;		2		2			2	
H4513	050	0	1	01	01	H4513_050_0	6	1	3																		1	001	13i;		2		2			2	
H4513	051	0	1	01	01	H4513_051_0	6	1	3																		1	001	13i;		2		2			2	
H4513	052	0	1	01	01	H4513_052_0	6	1	3																		1	001	13i;		2		2			2	
H4513	053	0	1	01	01	H4513_053_0	7	1	3																		1	001	13i;		2		2			2	
H4513	054	0	1	01	01	H4513_054_0	6	1	3																		1	001	13i;		2		2			2	
H4513	055	0	1	01	01	H4513_055_0	6	1	3																		1	001	13i;		2		2			2	
H4513	056	1	1	01	01	H4513_056_1	6	1	3																		1	001	13i;		2		2			2	
H4513	056	2	1	01	01	H4513_056_2	6	1	3																		1	001	13i;		2		2			2	
H4513	057	0	1	01	01	H4513_057_0	6	1	3																		1	001	13i;		2		2			2	
H4513	059	0	1	01	01	H4513_059_0	6	1	3																		1	001	13i;		2		2			2	
H4513	060	1	1	01	01	H4513_060_1	6	1	3																		1	001	13i;		2		2			2	
H4513	060	2	1	01	01	H4513_060_2	6	1	3																		1	001	13i;		2		2			2	
H4513	060	3	1	01	01	H4513_060_3	7	1	3																		1	001	13i;		2		2			2	
H4513	061	1	1	01	01	H4513_061_1	6	1	3																		1	001	13i;		2		2			2	
H4513	061	2	1	01	01	H4513_061_2	6	1	3																		1	001	13i;		2		2			2	
H4513	061	3	1	01	01	H4513_061_3	7	1	3																		1	001	13i;		2		2			2	
H4513	062	0	1	01	01	H4513_062_0	4	1	3																		1	001	13i;		2		2			2	
H4514	013	1	1	01	01	H4514_013_1	3	1	1	10				01111	43873	41052											2		13d;		1	13d;	2			2	
H4514	013	2	1	01	01	H4514_013_2	3	1	1	10				01111	43873	41052											2		13d;		1	13d;	2			2	
H4514	013	3	1	01	01	H4514_013_3	3	1	1	10				01111	43873	41052											2		13d;		1	13d;	2			2	
H4527	015	0	1	01	01	H4527_015_0	3	1	1	10				01111	5601	5361											2		13d;		1	13d;	2			2	
H4590	020	0	1	01	01	H4590_020_0	3	1	1	10				01111	28779	27336											2		13d;		1	13d;	2			2	
H4590	022	0	1	01	01	H4590_022_0	3	1	1	10				01111	18854	17917											2		13d;		1	13d;	2			2	
H4590	033	0	1	01	01	H4590_033_0	3	1	1	10				01111	7884	7563											2		13d;		1	13d;	2			2	
H4605	001	0	1	04	01	H4605_001_0	5	1	2								01000000000000										2		7f;	1	2		2			2	
H4605	001	0	1	04	01	H4605_001_0	5	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H4605	001	0	1	04	01	H4605_001_0	5	3	3																		1	001	13i;13i-O;	1	2		2			2	
H4605	002	0	1	04	01	H4605_002_0	7	1	2								01000000000000										2		7f;	1	2		2			2	
H4605	002	0	1	04	01	H4605_002_0	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H4605	002	0	1	04	01	H4605_002_0	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H4605	004	0	1	04	01	H4605_004_0	7	1	2								01000000000000										2		7f;	1	2		2			2	
H4605	004	0	1	04	01	H4605_004_0	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H4605	004	0	1	04	01	H4605_004_0	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H4605	007	0	1	04	01	H4605_007_0	7	1	2								01000000000000										2		7f;	1	2		2			2	
H4605	007	0	1	04	01	H4605_007_0	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H4605	007	0	1	04	01	H4605_007_0	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H4605	008	0	1	04	01	H4605_008_0	7	1	2								01000000000000										2		7f;	1	2		2			2	
H4605	008	0	1	04	01	H4605_008_0	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H4605	008	0	1	04	01	H4605_008_0	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H4605	009	0	1	04	01	H4605_009_0	7	1	2								01000000000000										2		7f;	1	2		2			2	
H4605	009	0	1	04	01	H4605_009_0	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H4605	009	0	1	04	01	H4605_009_0	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H4605	801	0	1	04	01	H4605_801_0	2	1	2								01000000000000										2		7f;	1	2		2			2	
H4605	801	0	1	04	01	H4605_801_0	2	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H4605	801	0	1	04	01	H4605_801_0	2	3	3																		1	001	13i;13i-O;	1	2		2			2	
H4605	802	0	1	04	01	H4605_802_0	2	1	2								01000000000000										2		7f;	1	2		2			2	
H4605	802	0	1	04	01	H4605_802_0	2	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H4605	802	0	1	04	01	H4605_802_0	2	3	3																		1	001	13i;13i-O;	1	2		2			2	
H4605	803	0	1	04	01	H4605_803_0	2	1	2								01000000000000										2		7f;	1	2		2			2	
H4605	803	0	1	04	01	H4605_803_0	2	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H4605	803	0	1	04	01	H4605_803_0	2	3	3																		1	001	13i;13i-O;	1	2		2			2	
H4605	804	0	1	04	01	H4605_804_0	2	1	2								01000000000000										2		7f;	1	2		2			2	
H4605	804	0	1	04	01	H4605_804_0	2	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H4605	804	0	1	04	01	H4605_804_0	2	3	3																		1	001	13i;13i-O;	1	2		2			2	
H4623	002	0	1	01	01	H4623_002_0	4	1	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H4699	003	0	1	04	01	H4699_003_0	4	1	3																		2		13i;	1	1	13i;	2			1	600.00
H4711	011	0	1	01	01	H4711_011_0	3	1	3																		2		13i;		1	13i;	2			2	
H4937	001	0	1	04	01	H4937_001_0	8	1	3																		2		13i-O;	1	1	13i-O;	2			2	
H4982	008	0	1	01	01	H4982_008_0	3	1	3																		2		13i;		1	13i;	2			2	
H4982	009	0	1	01	01	H4982_009_0	3	1	3																		2		13i;		1	13i;	2			2	
H5008	010	0	1	01	01	H5008_010_0	2	1	1	10				01111	19256	17554											2		13d;		1	13d;	2			2	
H5008	011	0	1	01	01	H5008_011_0	2	1	1	10				01111	19337	18173											2		13d;		1	13d;	2			2	
H5009	001	0	1	04	01	H5009_001_0	5	1	2								01000000000000										2		7f;	1	2		2			2	
H5009	001	0	1	04	01	H5009_001_0	5	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H5009	001	0	1	04	01	H5009_001_0	5	3	3																		1	001	13i;13i-O;	1	2		2			2	
H5009	002	0	1	04	01	H5009_002_0	7	1	2								01000000000000										2		7f;	1	2		2			2	
H5009	002	0	1	04	01	H5009_002_0	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H5009	002	0	1	04	01	H5009_002_0	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H5009	008	0	1	04	01	H5009_008_0	7	1	2								01000000000000										2		7f;	1	2		2			2	
H5009	008	0	1	04	01	H5009_008_0	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H5009	008	0	1	04	01	H5009_008_0	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H5009	009	0	1	04	01	H5009_009_0	7	1	2								01000000000000										2		7f;	1	2		2			2	
H5009	009	0	1	04	01	H5009_009_0	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H5009	009	0	1	04	01	H5009_009_0	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H5009	801	0	1	04	01	H5009_801_0	2	1	2								01000000000000										2		7f;	1	2		2			2	
H5009	801	0	1	04	01	H5009_801_0	2	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H5009	801	0	1	04	01	H5009_801_0	2	3	3																		1	001	13i;13i-O;	1	2		2			2	
H5009	802	0	1	04	01	H5009_802_0	2	1	2								01000000000000										2		7f;	1	2		2			2	
H5009	802	0	1	04	01	H5009_802_0	2	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H5009	802	0	1	04	01	H5009_802_0	2	3	3																		1	001	13i;13i-O;	1	2		2			2	
H5009	803	0	1	04	01	H5009_803_0	2	1	2								01000000000000										2		7f;	1	2		2			2	
H5009	803	0	1	04	01	H5009_803_0	2	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H5009	803	0	1	04	01	H5009_803_0	2	3	3																		1	001	13i;13i-O;	1	2		2			2	
H5009	804	0	1	04	01	H5009_804_0	2	1	2								01000000000000										2		7f;	1	2		2			2	
H5009	804	0	1	04	01	H5009_804_0	2	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H5009	804	0	1	04	01	H5009_804_0	2	3	3																		1	001	13i;13i-O;	1	2		2			2	
H5010	001	0	1	04	01	H5010_001_0	5	1	2								01000000000000										2		7f;	1	2		2			2	
H5010	001	0	1	04	01	H5010_001_0	5	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H5010	001	0	1	04	01	H5010_001_0	5	3	3																		1	001	13i;13i-O;	1	2		2			2	
H5010	002	0	1	04	01	H5010_002_0	7	1	2								01000000000000										2		7f;	1	2		2			2	
H5010	002	0	1	04	01	H5010_002_0	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H5010	002	0	1	04	01	H5010_002_0	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H5010	004	0	1	04	01	H5010_004_0	7	1	2								01000000000000										2		7f;	1	2		2			2	
H5010	004	0	1	04	01	H5010_004_0	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H5010	004	0	1	04	01	H5010_004_0	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H5010	007	0	1	04	01	H5010_007_0	7	1	2								01000000000000										2		7f;	1	2		2			2	
H5010	007	0	1	04	01	H5010_007_0	7	2	2								00000000001000	Pre-diabetes									2		14c;	1	2		2			2	
H5010	007	0	1	04	01	H5010_007_0	7	3	3																		1	001	13i;13i-O;	1	2		2			2	
H5015	001	0	1	01	01	H5015_001_0	12	1	3																		2		13i;		2		2			2	
H5042	009	0	1	04	01	H5042_009_0	13	1	3																		1	011	14c;	1	2		2			2	
H5042	011	0	1	04	01	H5042_011_0	13	1	3																		1	011	14c;	1	2		2			2	
H5042	012	0	1	04	01	H5042_012_0	10	1	3																		1	011	14c;	1	2		2			2	
H5087	002	0	1	01	01	H5087_002_0	4	1	3																		2		13i;		1	13i;	2			1	600.00
H5087	017	0	1	01	01	H5087_017_0	4	1	3																		2		13i;		1	13i;	2			1	600.00
H5211	001	0	1	02	01	H5211_001_0	4	1	2								00010000000000										2		13c;	2	1	13c;	2			2	
H5211	002	0	1	02	01	H5211_002_0	8	1	2								00010000000000										2		13c;	2	1	13c;	2			2	
H5211	003	0	1	02	01	H5211_003_0	4	1	2								00010000000000										2		13c;	2	1	13c;	2			2	
H5211	004	0	1	02	01	H5211_004_0	7	1	2								00010000000000										2		13c;	2	1	13c;	2			2	
H5211	007	0	1	02	01	H5211_007_0	7	1	2								00010000000000										2		13c;	2	1	13c;	2			2	
H5211	008	0	1	02	01	H5211_008_0	7	1	2								00010000000000										2		13c;	2	1	13c;	2			2	
H5211	009	0	1	02	01	H5211_009_0	7	1	2								00010000000000										2		13c;	2	1	13c;	2			2	
H5211	010	0	1	01	01	H5211_010_0	8	1	2								00010000000000										2		13c;		2		2			2	
H5211	012	0	1	02	01	H5211_012_0	7	1	2								00010000000000										2		13c;	2	1	13c;	2			2	
H5211	013	0	1	02	01	H5211_013_0	7	1	2								00010000000000										2		13c;	2	1	13c;	2			2	
H5215	001	0	1	04	01	H5215_001_0	5	1	3																		1	001	10b;13a;14c;	1	2		1	2	13a;	2	
H5215	002	0	1	04	01	H5215_002_0	6	1	3																		1	001	10b;13a;14c;	1	2		1	2	13a;	2	
H5215	005	0	1	04	01	H5215_005_0	6	1	3																		1	001	10b;13a;14c;	1	2		1	2	13a;	2	
H5215	006	0	1	04	01	H5215_006_0	6	1	3																		1	001	10b;13a;14c;	1	2		1	2	13a;	2	
H5215	007	0	1	04	01	H5215_007_0	7	1	3																		1	001	10b;13a;14c;	1	2		1	2	13a;	2	
H5215	008	0	1	04	01	H5215_008_0	6	1	3																		1	001	10b;13a;14c;	1	2		1	2	13a;	2	
H5215	009	0	1	04	01	H5215_009_0	6	1	3																		1	001	10b;13a;14c;	1	2		1	2	13a;	2	
H5215	010	0	1	04	01	H5215_010_0	6	1	3																		1	001	10b;13a;14c;	1	2		1	2	13a;	2	
H5215	011	0	1	04	01	H5215_011_0	8	1	3																		1	001	10b;13a;14c;	1	2		1	2	13a;	2	
H5216	017	0	1	04	01	H5216_017_0	2	1	3																		1	001	13c;	1	1	13c;	2			2	
H5216	027	0	1	04	01	H5216_027_0	2	1	3																		1	001	13c;	1	1	13c;	2			2	
H5216	028	0	1	04	01	H5216_028_0	2	1	3																		1	001	13c;	1	1	13c;	2			2	
H5216	029	0	1	04	01	H5216_029_0	2	1	3																		1	001	13c;	1	1	13c;	2			2	
H5216	144	0	1	04	01	H5216_144_0	2	1	3																		1	001	13c;	1	1	13c;	2			2	
H5216	149	0	1	04	01	H5216_149_0	2	1	3																		1	001	13c;	1	1	13c;	2			2	
H5216	152	0	1	04	01	H5216_152_0	2	1	3																		1	001	13c;	1	2		2			2	
H5216	164	0	1	04	01	H5216_164_0	5	1	1	10				01111	1415	991											2		13d;	1	1	13d;	2			1	50.00
H5216	164	0	1	04	01	H5216_164_0	5	2	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	1	1	10b;13a;13b;14c;16a;16b;17a;17b;	2			1	500.00
H5216	165	0	1	04	01	H5216_165_0	2	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;	1	2		2			1	500.00
H5216	166	0	1	04	01	H5216_166_0	3	1	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	1	1	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	2			1	500.00
H5216	205	0	1	04	01	H5216_205_0	2	1	1	10				01111	5151	3606											2		13d;	1	1	13d;	2			1	25.00
H5216	211	0	1	04	01	H5216_211_0	2	1	3																		1	001	13c;	1	1	13c;	2			2	
H5216	219	0	1	04	01	H5216_219_0	3	1	1	10				01111	248	174											2		13d;	1	1	13d;	2			1	50.00
H5216	219	0	1	04	01	H5216_219_0	3	2	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	1	1	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;	2			1	1000.00
H5216	220	0	1	04	01	H5216_220_0	2	1	1	10				01111	1289	902											2		13d;	1	1	13d;	2			1	25.00
H5216	227	0	1	04	01	H5216_227_0	2	1	1	10				01111	0	0											2		13d;	1	1	13d;	2			1	50.00
H5216	228	0	1	04	01	H5216_228_0	3	1	1	10				01111	0	0											2		13d;	1	1	13d;	2			1	50.00
H5216	228	0	1	04	01	H5216_228_0	3	2	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	1	1	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	2			1	500.00
H5216	231	0	1	04	01	H5216_231_0	6	1	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	1	1	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	2			1	500.00
H5216	238	2	1	04	01	H5216_238_2	4	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;	1	2		2			1	500.00
H5216	239	0	1	04	01	H5216_239_0	3	1	3																		2		13i-O;	1	2		1	1		1	1000.00
H5216	240	0	1	04	01	H5216_240_0	2	1	1	10				01111	0	0											2		13d;	1	1	13d;	2			1	25.00
H5216	240	0	1	04	01	H5216_240_0	2	2	3																		2		13i-O;	1	2		1	1		1	1000.00
H5216	242	0	1	04	01	H5216_242_0	3	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;	1	1	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;	2			1	1000.00
H5216	243	0	1	04	01	H5216_243_0	4	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;	1	1	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;	2			1	1000.00
H5216	248	1	1	04	01	H5216_248_1	2	1	3																		1	001	13c;	1	2		2			2	
H5216	248	2	1	04	01	H5216_248_2	2	1	3																		1	001	13c;	1	2		2			2	
H5216	257	0	1	04	01	H5216_257_0	3	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;	1	2		2			1	500.00
H5253	024	0	1	01	01	H5253_024_0	2	1	1	10				01111	12869	12221											2		13d;		1	13d;	2			2	
H5253	041	0	1	02	01	H5253_041_0	3	1	1	10				11111	37585	35879											2		13d;	2	1	13d;	2			2	
H5253	059	0	1	01	01	H5253_059_0	5	1	1	10				01111	30443	28249											2		13d;		1	13d;	2			2	
H5294	010	0	1	01	01	H5294_010_0	4	1	3																		1	001	13i;		2		2			2	
H5294	010	0	1	01	01	H5294_010_0	4	2	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H5294	015	0	1	01	01	H5294_015_0	3	1	3																		1	001	13i;		2		2			2	
H5294	015	0	1	01	01	H5294_015_0	3	2	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H5296	001	0	1	01	01	H5296_001_0	3	1	3																		2		13i-O;		2		2			2	
H5296	002	0	1	01	01	H5296_002_0	3	1	3																		2		13i;		2		2			2	
H5296	003	0	1	02	01	H5296_003_0	3	1	3																		2		13i-O;	2	2		2			2	
H5302	014	0	1	01	01	H5302_014_0	7	1	3																		2		13i;		1	13i;	2			2	
H5322	025	0	1	01	01	H5322_025_0	3	1	1	10				01111	12363	11599											2		13d;		1	13d;	2			2	
H5322	028	0	1	02	01	H5322_028_0	3	1	1	10				01111	8772	8264											2		13d;	2	1	13d;	2			2	
H5322	029	0	1	02	01	H5322_029_0	3	1	1	10				01111	3380	3166											2		13d;	2	1	13d;	2			2	
H5322	031	0	1	01	01	H5322_031_0	2	1	1	10				01111	7431	6899											2		13d;		1	13d;	2			2	
H5325	001	0	1	01	01	H5325_001_0	5	1	3																		2		13i;		1	13i;	2			2	
H5325	002	0	1	01	01	H5325_002_0	3	1	3																		2		13i;		1	13i;	2			2	
H5325	003	0	1	01	01	H5325_003_0	4	1	3																		2		13i;		1	13i;	2			2	
H5325	004	0	1	01	01	H5325_004_0	4	1	3																		2		13i;		1	13i;	2			2	
H5325	005	0	1	01	01	H5325_005_0	4	1	3																		2		13i;		1	13i;	2			2	
H5374	001	0	1	01	01	H5374_001_0	5	1	2								00000000011100	Behavioral health diagnosis	Documented chronic pain				2	2			2		14c;		2		2			2	
H5374	001	0	1	01	01	H5374_001_0	5	2	3																		2		13i-O;		2		2			2	
H5398	001	0	1	01	01	H5398_001_0	4	1	3																		2		13i;		2		2			2	
H5398	002	0	1	01	01	H5398_002_0	3	1	3																		2		13i;		2		2			2	
H5410	001	0	1	01	01	H5410_001_0	8	1	3																		1	001	13i;		2		2			2	
H5410	004	0	1	01	01	H5410_004_0	4	1	3																		1	001	13i;		2		2			2	
H5410	013	0	1	01	01	H5410_013_0	7	1	3																		1	001	13i;		2		2			2	
H5410	018	0	1	01	01	H5410_018_0	6	1	3																		1	001	13i;		2		2			2	
H5410	024	0	1	01	01	H5410_024_0	7	1	3																		1	001	13i;		2		2			2	
H5410	025	0	1	01	01	H5410_025_0	7	1	3																		1	001	13i;		2		2			2	
H5410	026	0	1	01	01	H5410_026_0	7	1	3																		1	001	13i;		2		2			2	
H5410	027	0	1	01	01	H5410_027_0	7	1	3																		1	001	13i;		2		2			2	
H5410	028	0	1	01	01	H5410_028_0	7	1	3																		1	001	13i;		2		2			2	
H5410	029	0	1	01	01	H5410_029_0	7	1	3																		1	001	13i;		2		2			2	
H5410	030	0	1	01	01	H5410_030_0	7	1	3																		1	001	13i;		2		2			2	
H5410	031	0	1	01	01	H5410_031_0	7	1	3																		1	001	13i;		2		2			2	
H5410	032	0	1	01	01	H5410_032_0	7	1	3																		1	001	13i;		2		2			2	
H5410	033	0	1	01	01	H5410_033_0	7	1	3																		1	001	13i;		2		2			2	
H5410	034	0	1	01	01	H5410_034_0	7	1	3																		1	001	13i;		2		2			2	
H5410	035	0	1	01	01	H5410_035_0	7	1	3																		1	001	13i;		2		2			2	
H5410	036	0	1	01	01	H5410_036_0	7	1	3																		1	001	13i;		2		2			2	
H5422	011	0	1	01	01	H5422_011_0	6	1	3																		2		13i;13i-O;		2		2			2	
H5422	013	0	1	01	01	H5422_013_0	6	1	3																		2		13i;13i-O;		2		2			2	
H5422	014	0	1	01	01	H5422_014_0	6	1	3																		2		13i;13i-O;		2		2			2	
H5425	010	0	1	01	01	H5425_010_0	8	1	3																		2		13i;		2		2			2	
H5425	028	0	1	01	01	H5425_028_0	8	1	3																		2		13i;		2		2			2	
H5425	030	0	1	01	01	H5425_030_0	7	1	3																		2		13i;		2		2			2	
H5425	033	0	1	01	01	H5425_033_0	8	1	3																		2		13i;		2		2			2	
H5425	034	0	1	01	01	H5425_034_0	8	1	3																		2		13i;		2		2			2	
H5425	040	0	1	01	01	H5425_040_0	7	1	3																		2		13i;		2		2			2	
H5425	045	0	1	01	01	H5425_045_0	8	1	3																		2		13i;		2		2			2	
H5425	055	0	1	01	01	H5425_055_0	8	1	3																		2		13i;		2		2			2	
H5425	071	0	1	01	01	H5425_071_0	7	1	3																		2		13i;		2		2			2	
H5425	072	0	1	01	01	H5425_072_0	7	1	3																		2		13i;		2		2			2	
H5430	001	0	1	01	01	H5430_001_0	4	1	3																		2		13i;		1	13i;	2			1	600.00
H5431	001	0	1	01	01	H5431_001_0	7	1	3																		1	001	13c;		2		2			2	
H5431	006	0	1	01	01	H5431_006_0	7	1	3																		1	001	13c;		2		2			2	
H5431	012	0	1	01	01	H5431_012_0	7	1	3																		1	001	13c;		2		2			2	
H5431	013	0	1	01	01	H5431_013_0	6	1	3																		1	001	13c;		2		2			2	
H5431	014	0	1	01	01	H5431_014_0	6	1	3																		1	001	13c;		2		2			2	
H5431	015	0	1	01	01	H5431_015_0	6	1	3																		1	001	13c;		2		2			2	
H5431	016	0	1	01	01	H5431_016_0	6	1	3																		1	001	13c;		2		2			2	
H5475	001	0	1	02	01	H5475_001_0	7	1	3																		2		13i;	2	1	13i;	2			2	
H5475	004	0	1	02	01	H5475_004_0	7	1	3																		2		13i;	2	1	13i;	2			2	
H5475	010	0	1	02	01	H5475_010_0	7	1	3																		2		13i;	2	1	13i;	2			2	
H5475	024	0	1	02	01	H5475_024_0	8	1	3																		2		13i;	2	1	13i;	2			2	
H5475	026	0	1	02	01	H5475_026_0	7	1	3																		2		13i;	2	1	13i;	2			2	
H5475	033	0	1	01	01	H5475_033_0	6	1	3																		2		13i;		1	13i;	2			2	
H5475	034	0	1	01	01	H5475_034_0	6	1	3																		2		13i;		1	13i;	2			2	
H5522	001	0	1	04	01	H5522_001_0	5	1	1	01	0001000000				6088	3044											1	001	10b;13b;13c;13i;	1	2		2			2	
H5522	002	0	1	04	01	H5522_002_0	3	1	2								00000100001000	Hyperlipidemia					2	2			2		10b;13b;	1	1	10b;13b;	2			2	
H5522	005	0	1	04	01	H5522_005_0	3	1	1	01	0001000000				6088	3044											1	001	10b;13b;13c;13i;	1	2		2			2	
H5522	013	0	1	04	01	H5522_013_0	3	1	3																		1	001	14c;	1	2		2			2	
H5522	018	0	1	04	01	H5522_018_0	2	1	2								00000100001000	Hyperlipidemia					2	2			2		10b;13b;	1	1	10b;13b;	2			2	
H5525	026	0	1	04	01	H5525_026_0	2	1	3																		1	001	13c;	1	1	13c;	2			2	
H5525	034	0	1	04	01	H5525_034_0	3	1	3																		1	001	13c;	1	2		2			2	
H5525	035	0	1	04	01	H5525_035_0	2	1	3																		1	001	13c;	1	1	13c;	2			2	
H5525	036	0	1	04	01	H5525_036_0	3	1	1	10				01111	5411	3788											2		13d;	1	1	13d;	2			1	75.00
H5525	036	0	1	04	01	H5525_036_0	3	2	3																		1	001	13c;	1	1	13c;	2			2	
H5525	045	0	1	04	01	H5525_045_0	2	1	1	10				01111	1438	1007											2		13d;	1	1	13d;	2			1	25.00
H5525	046	0	1	04	01	H5525_046_0	2	1	1	10				01111	1366	956											2		13d;	1	1	13d;	2			1	25.00
H5525	048	0	1	04	01	H5525_048_0	2	1	1	10				01111	0	0											2		13d;	1	1	13d;	2			1	25.00
H5525	049	0	1	04	01	H5525_049_0	2	1	3																		1	001	13c;	1	2		2			2	
H5533	003	0	1	04	01	H5533_003_0	10	1	2								01110000000000						1				2		13c;	1	1	13c;	2			2	
H5533	005	0	1	04	01	H5533_005_0	10	1	2								01110000000000						1				2		13c;	1	1	13c;	2			2	
H5533	007	0	1	04	01	H5533_007_0	9	1	2								01110000000000						1				2		13c;	1	1	13c;	2			2	
H5533	008	0	1	04	01	H5533_008_0	8	1	2								01110000000000						1				2		13c;	1	1	13c;	2			2	
H5549	003	0	1	01	01	H5549_003_0	8	1	3																		2		13i;		2		2			1	30.00
H5577	002	0	1	01	01	H5577_002_0	5	1	3																		2		13i;		2		2			1	160.00
H5577	005	0	1	01	01	H5577_005_0	4	1	3																		2		13i;		2		2			1	60.00
H5577	008	0	1	02	01	H5577_008_0	4	1	3																		2		13i;	2	2		2			2	
H5577	014	0	1	01	01	H5577_014_0	4	1	3																		2		13i;		2		2			1	300.00
H5577	016	0	1	01	01	H5577_016_0	3	1	3																		2		13i;		2		2			1	500.00
H5577	017	0	1	01	01	H5577_017_0	5	1	3																		2		13i;		2		2			1	125.00
H5577	028	0	1	01	01	H5577_028_0	5	1	3																		2		13i;		2		2			1	60.00
H5577	029	0	1	01	01	H5577_029_0	5	1	3																		2		13i;		2		2			2	
H5577	031	0	1	01	01	H5577_031_0	4	1	3																		2		13i;		2		2			1	125.00
H5577	036	0	1	01	01	H5577_036_0	5	1	3																		2		13i;		2		2			1	300.00
H5577	037	0	1	01	01	H5577_037_0	5	1	3																		2		13i;		2		2			1	80.00
H5577	038	0	1	01	01	H5577_038_0	4	1	3																		2		13i;		2		2			1	40.00
H5577	039	0	1	01	01	H5577_039_0	4	1	3																		2		13i;		2		2			1	60.00
H5577	040	0	1	01	01	H5577_040_0	4	1	3																		2		13i;		2		2			1	100.00
H5587	002	0	1	01	01	H5587_002_0	8	1	3																		2		14c;		1	14c;	2			2	
H5590	007	0	1	01	01	H5590_007_0	5	1	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H5590	008	0	1	01	01	H5590_008_0	5	1	2								01111111111000	ESRD					2	2			1	001	14c;		2		2			2	
H5590	008	0	1	01	01	H5590_008_0	5	2	3																		1	001	13i;14c;		2		2			2	
H5590	008	0	1	01	01	H5590_008_0	5	3	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H5591	001	0	1	02	01	H5591_001_0	9	1	2								00000000001100	Opiate Use DIsorder	Chronic Pain Syndrome				2	2			1	001	13a;14c;	1	2		1	1		1	200.00
H5591	001	0	1	02	01	H5591_001_0	9	2	2								01000000001000	Chronic Kidney Disease					2	2			1	001	14c;	2	2		2			2	
H5591	001	0	1	02	01	H5591_001_0	9	3	2								00000000001100	History of Falls	Hip Fracture				2	2			1	001	14c;	1	2		1	1		1	250.00
H5591	001	0	1	02	01	H5591_001_0	9	4	3																		1	001	13i;	2	2		2			2	
H5591	003	0	1	01	01	H5591_003_0	9	1	2								00000000001100	Opiate Use DIsorder	Chronic Pain Syndrome				2	2			1	001	13a;14c;		2		1	1		1	200.00
H5591	003	0	1	01	01	H5591_003_0	9	2	2								01000000001000	Chronic Kidney Disease					2	2			1	001	14c;		2		2			2	
H5591	003	0	1	01	01	H5591_003_0	9	3	2								00000000001100	History of Falls	Hip Fracture				2	2			1	001	14c;		2		1	1		1	250.00
H5591	003	0	1	01	01	H5591_003_0	9	4	3																		1	001	13i;		2		2			2	
H5591	005	0	1	02	01	H5591_005_0	9	1	2								00000000001100	Opiate Use DIsorder	Chronic Pain Syndrome				2	2			1	001	13a;14c;	1	2		1	1		1	200.00
H5591	005	0	1	02	01	H5591_005_0	9	2	2								01000000001000	Chronic Kidney Disease					2	2			1	001	14c;	2	2		2			2	
H5591	005	0	1	02	01	H5591_005_0	9	3	2								00000000001100	History of Falls	Hip Fracture				2	2			1	001	14c;	1	2		1	1		1	250.00
H5591	005	0	1	02	01	H5591_005_0	9	4	3																		1	001	13i;	2	2		2			2	
H5591	006	1	1	02	01	H5591_006_1	9	1	2								00000000001100	Opiate Use DIsorder	Chronic Pain Syndrome				2	2			1	001	13a;14c;	1	2		1	1		1	200.00
H5591	006	1	1	02	01	H5591_006_1	9	2	2								01000000001000	Chronic Kidney Disease					2	2			1	001	14c;	2	2		2			2	
H5591	006	1	1	02	01	H5591_006_1	9	3	2								00000000001100	History of Falls	Hip Fracture				2	2			1	001	14c;	1	2		1	1		1	250.00
H5591	006	1	1	02	01	H5591_006_1	9	4	3																		1	001	13i;	2	2		2			2	
H5591	006	2	1	02	01	H5591_006_2	9	1	2								00000000001100	Opiate Use DIsorder	Chronic Pain Syndrome				2	2			1	001	13a;14c;	1	2		1	1		1	200.00
H5591	006	2	1	02	01	H5591_006_2	9	2	2								01000000001000	Chronic Kidney Disease					2	2			1	001	14c;	2	2		2			2	
H5591	006	2	1	02	01	H5591_006_2	9	3	2								00000000001100	History of Falls	Hip Fracture				2	2			1	001	14c;	1	2		1	1		1	250.00
H5591	006	2	1	02	01	H5591_006_2	9	4	3																		1	001	13i;	2	2		2			2	
H5591	006	4	1	02	01	H5591_006_4	9	1	2								00000000001100	Opiate Use DIsorder	Chronic Pain Syndrome				2	2			1	001	13a;14c;	1	2		1	1		1	200.00
H5591	006	4	1	02	01	H5591_006_4	9	2	2								01000000001000	Chronic Kidney Disease					2	2			1	001	14c;	2	2		2			2	
H5591	006	4	1	02	01	H5591_006_4	9	3	2								00000000001100	History of Falls	Hip Fracture				2	2			1	001	14c;	1	2		1	1		1	250.00
H5591	006	4	1	02	01	H5591_006_4	9	4	3																		1	001	13i;	2	2		2			2	
H5591	007	0	1	01	01	H5591_007_0	9	1	2								00000000001100	Opiate Use DIsorder	Chronic Pain Syndrome				2	2			1	001	13a;14c;		2		1	1		1	200.00
H5591	007	0	1	01	01	H5591_007_0	9	2	2								01000000001000	Chronic Kidney Disease					2	2			1	001	14c;		2		2			2	
H5591	007	0	1	01	01	H5591_007_0	9	3	2								00000000001100	History of Falls	Hip Fracture				2	2			1	001	14c;		2		1	1		1	250.00
H5591	007	0	1	01	01	H5591_007_0	9	4	3																		1	001	13i;		2		2			2	
H5591	009	0	1	01	01	H5591_009_0	9	1	2								00000000001100	Opiate Use DIsorder	Chronic Pain Syndrome				2	2			1	001	13a;14c;		2		1	1		1	200.00
H5591	009	0	1	01	01	H5591_009_0	9	2	2								01000000001000	Chronic Kidney Disease					2	2			1	001	14c;		2		2			2	
H5591	009	0	1	01	01	H5591_009_0	9	3	2								00000000001100	History of Falls	Hip Fracture				2	2			1	001	14c;		2		1	1		1	250.00
H5591	009	0	1	01	01	H5591_009_0	9	4	3																		1	001	13i;		2		2			2	
H5591	013	0	1	01	01	H5591_013_0	10	1	2								00000000001100	Opiate Use DIsorder	Chronic Pain Syndrome				2	2			1	001	13a;14c;		2		1	1		1	200.00
H5591	013	0	1	01	01	H5591_013_0	10	2	2								01000000001000	Chronic Kidney Disease					2	2			1	001	14c;		2		2			2	
H5591	013	0	1	01	01	H5591_013_0	10	3	2								00000000001100	History of Falls	Hip Fracture				2	2			1	001	14c;		2		1	1		1	250.00
H5591	013	0	1	01	01	H5591_013_0	10	4	3																		1	001	13i;		2		2			2	
H5593	001	0	1	01	01	H5593_001_0	5	1	3																		2		13i;		1	13i;	2			2	
H5619	001	0	1	01	01	H5619_001_0	3	1	3																		1	001	13c;		2		2			2	
H5619	003	0	1	01	01	H5619_003_0	3	1	1	10				01111	2800	1960											2		13d;		1	13d;	2			1	50.00
H5619	038	0	1	01	01	H5619_038_0	2	1	1	10				01111	7388	5172											2		13d;		1	13d;	2			1	25.00
H5619	041	0	1	01	01	H5619_041_0	2	1	3																		1	001	13c;		2		2			2	
H5619	044	0	1	01	01	H5619_044_0	2	1	3																		1	001	13c;		2		2			2	
H5619	045	0	1	01	01	H5619_045_0	2	1	3																		1	001	13c;		2		2			2	
H5619	046	0	1	01	01	H5619_046_0	2	1	3																		1	001	13c;		2		2			2	
H5619	047	0	1	01	01	H5619_047_0	2	1	3																		1	001	13c;		2		2			2	
H5619	054	0	1	01	01	H5619_054_0	2	1	1	10				01111	9976	6983											2		13d;		1	13d;	2			1	50.00
H5619	057	0	1	01	01	H5619_057_0	5	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H5619	059	0	1	01	01	H5619_059_0	8	1	3																		1	001	10b;13i;		2		2			2	
H5619	061	0	1	01	01	H5619_061_0	5	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H5619	063	0	1	01	01	H5619_063_0	5	1	3																		1	001	10b;13i;		2		2			2	
H5619	075	0	1	01	01	H5619_075_0	2	1	1	10				01111	2460	1722											2		13d;		1	13d;	2			1	25.00
H5619	076	0	1	01	01	H5619_076_0	2	1	1	10				01111	339	237											2		13d;		1	13d;	2			1	25.00
H5619	082	0	1	01	01	H5619_082_0	2	1	1	10				01111	9461	6623											2		13d;		1	13d;	2			1	50.00
H5619	086	0	1	01	01	H5619_086_0	5	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H5619	097	0	1	01	01	H5619_097_0	8	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H5619	100	0	1	01	01	H5619_100_0	4	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		1	10b;13b;13i;14c;16a;16b;17a;17b;18b;	2			1	500.00
H5619	111	0	1	01	01	H5619_111_0	3	1	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H5619	123	0	1	01	01	H5619_123_0	3	1	1	10				01111	2130	1491											2		13d;		1	13d;	2			1	50.00
H5619	123	0	1	01	01	H5619_123_0	3	2	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;		1	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	2			1	500.00
H5619	126	0	1	01	01	H5619_126_0	2	1	1	10				01111	272	190											2		13d;		1	13d;	2			1	25.00
H5619	132	2	1	01	01	H5619_132_2	3	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H5619	134	0	1	01	01	H5619_134_0	3	1	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		1	10b;13b;13i;14c;16a;16b;17a;17b;18b;	2			1	1000.00
H5619	136	1	1	01	01	H5619_136_1	5	1	1	10				01111	0	0											2		13d;		1	13d;	2			1	75.00
H5619	136	1	1	01	01	H5619_136_1	5	2	3																		1	001	10b;13i;		2		2			2	
H5619	136	2	1	01	01	H5619_136_2	5	1	1	10				01111	0	0											2		13d;		1	13d;	2			1	75.00
H5619	136	2	1	01	01	H5619_136_2	5	2	3																		1	001	10b;13i;		1	10b;13i;	2			2	
H5619	136	3	1	01	01	H5619_136_3	5	1	1	10				01111	0	0											2		13d;		1	13d;	2			1	75.00
H5619	136	3	1	01	01	H5619_136_3	5	2	3																		1	001	13i;		2		2			2	
H5619	136	4	1	01	01	H5619_136_4	6	1	1	10				01111	0	0											2		13d;		1	13d;	2			1	75.00
H5619	136	4	1	01	01	H5619_136_4	6	2	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		1	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;	2			1	1000.00
H5619	137	0	1	01	01	H5619_137_0	3	1	3																		1	001	13c;		2		2			2	
H5628	008	0	1	01	01	H5628_008_0	4	1	2								01000000000000										1	001	13c;		2		2			2	
H5644	002	0	1	01	01	H5644_002_0	6	1	3																		1	001	10b;13a;14c;		2		1	2	13a;	2	
H5649	001	0	1	01	01	H5649_001_0	6	1	3																		2		13b;13i;		1	13b;13i;	2			2	
H5649	002	0	1	01	01	H5649_002_0	6	1	3																		2		13b;13i;		1	13b;13i;	2			2	
H5649	004	0	1	01	01	H5649_004_0	6	1	3																		2		13b;13i;		1	13b;13i;	2			2	
H5649	006	0	1	01	01	H5649_006_0	6	1	3																		2		13b;13i;		1	13b;13i;	2			2	
H5649	008	0	1	01	01	H5649_008_0	5	1	3																		2		13i;		1	13i;	2			2	
H5649	009	0	1	01	01	H5649_009_0	5	1	3																		2		13i;		1	13i;	2			2	
H5774	003	0	1	01	01	H5774_003_0	11	1	3																		2		13i;13i-O;		2		2			2	
H5774	005	0	1	01	01	H5774_005_0	13	1	3																		2		13i;13i-O;		2		2			2	
H5774	005	0	1	01	01	H5774_005_0	13	2	1	01	1000000000				5737	5737											2		13d;		2		2			2	
H5774	022	0	1	01	01	H5774_022_0	12	1	2								10110000001111	Oncology patients with active chemo by infusion	Acute Stroke	Open Heart Surgery	Hip Surgery	Knee Surgery	2	2			2		14c;		2		2			2	
H5774	022	0	1	01	01	H5774_022_0	12	2	3																		2		13i;13i-O;		2		2			2	
H5774	024	0	1	01	01	H5774_024_0	11	1	2								10110000001111	Oncology patients with active chemo by infusion	Acute Stroke	Open Heart Surgery	Hip Surgery	knee surgery	2	2			2		14c;		2		2			2	
H5774	024	0	1	01	01	H5774_024_0	11	2	3																		2		13i;13i-O;		2		2			2	
H5774	025	0	1	01	01	H5774_025_0	12	1	2								10110000001111	Oncology patients with active chemo by infusion	Acute Stroke	Open Heart Surgery	Hip Surgery	Knee Surgery	2	2			2		14c;		1	14c;	2			2	
H5774	025	0	1	01	01	H5774_025_0	12	2	3																		2		13i;13i-O;		2		2			2	
H5774	026	0	1	01	01	H5774_026_0	12	1	2								10110000001111	Oncology patients with active chemo by infusion	Acute Stroke	Open Heart Surgery	Hip Surgery	Knee Surgery	2	2			2		14c;		2		2			2	
H5774	026	0	1	01	01	H5774_026_0	12	2	1	01	1000000000				1263	1263											2		13d;		2		2			2	
H5774	028	0	1	01	01	H5774_028_0	11	1	2								10110000001111	Oncology patients with active chemo by infusion	Acute Stroke	Open Heart Surgery	Hip Surgery	Knee Surgery	2	2			2		14c;		2		2			2	
H5774	031	0	1	02	01	H5774_031_0	11	1	2								10110000001111	Oncology patients with active chemo by infusion	Acute Stroke	Hip Surgery	Knee Surgery	Open heart surgery	2	2			2		14c;	2	2		2			2	
H5774	032	0	1	01	01	H5774_032_0	11	1	2								10110000001111	Oncology patients with active chemo by infusion	Acute Stroke	Open Heart Surgery	Hip Surgery	Knee Surgery	2	2			2		14c;		2		2			2	
H5774	033	0	1	01	01	H5774_033_0	11	1	2								10110000001111	Oncology patients with active chemo by infusion	Acute Stroke	Open Heart Surgery	Hip Surgery	Knee Surgery	2	2			2		14c;		2		2			2	
H5774	035	0	1	01	01	H5774_035_0	11	1	2								10110000001111	Oncology patients with active chemo by infusion	Acute Stroke	Hip Surgery	Knee Surgery	Open Heart Surgery	2	2			2		14c;		2		2			2	
H5774	035	0	1	01	01	H5774_035_0	11	2	3																		2		13i;13i-O;		2		2			2	
H5779	006	0	1	01	01	H5779_006_0	7	1	3																		2		13i;		1	13i;	2			1	600.00
H5779	007	0	1	01	01	H5779_007_0	6	1	3																		2		13i;		1	13i;	2			2	
H5826	006	0	1	01	01	H5826_006_0	3	1	2								01000000000000										2		7f;		2		2			2	
H5826	006	0	1	01	01	H5826_006_0	3	2	2								00111000011100	Frailty or osteoporosis	History of acute MI or angina or Parkinson's				2	2			1	001	14c;		2		2			2	
H5826	006	0	1	01	01	H5826_006_0	3	3	2								00000000001100	Refractory Hypertension	Hypertension with at least one other chronic condition				2	2			1	001	13b;		2		2			2	
H5826	008	0	1	01	01	H5826_008_0	5	1	2								01000000000000										2		7f;		2		2			2	
H5826	008	0	1	01	01	H5826_008_0	5	2	2								00111000011100	Frailty or osteoporosis	History of acute MI or angina or Parkinson's				2	2			1	001	14c;		2		2			2	
H5826	008	0	1	01	01	H5826_008_0	5	3	2								00000000001100	Refractory Hypertension	Hypertension with at least one other chronic condition				2	2			1	001	13b;		2		2			2	
H5826	009	0	1	01	01	H5826_009_0	5	1	2								01000000000000										2		7f;		2		2			2	
H5826	009	0	1	01	01	H5826_009_0	5	2	2								00111000011100	Frailty or osteoporosis	History of acute MI or angina or Parkinson's				2	2			1	001	14c;		2		2			2	
H5826	009	0	1	01	01	H5826_009_0	5	3	2								00000000001100	Refractory Hypertension	Hypertension with at least one other chronic condition				2	2			1	001	13b;		2		2			2	
H5826	010	0	1	01	01	H5826_010_0	5	1	2								00000000001100	Refractory Hypertension	Hypertension with at least one other chronic condition				2	2			1	001	13b;		2		2			2	
H5826	010	0	1	01	01	H5826_010_0	5	2	2								00111000011100	Frailty or osteoporosis	History of acute MI or angina or Parkinson's				2	2			1	001	14c;		2		2			2	
H5826	010	0	1	01	01	H5826_010_0	5	3	2								01000000000000										2		7f;		2		2			2	
H5826	014	0	1	01	01	H5826_014_0	5	1	2								01000000000000										2		7f;		2		2			2	
H5826	014	0	1	01	01	H5826_014_0	5	2	2								00111000011100	Frailty or osteoporosis	History of acute MI or angina or Parkinson's				2	2			1	001	14c;		2		2			2	
H5826	014	0	1	01	01	H5826_014_0	5	3	2								00000000001100	Refractory Hypertension	Hypertension with at least one other chronic condition				2	2			1	001	13b;		2		2			2	
H5826	016	0	1	01	01	H5826_016_0	5	1	2								01000000000000										2		7f;		2		2			2	
H5826	016	0	1	01	01	H5826_016_0	5	2	2								00111000011100	Frailty or osteoporosis	History of acute MI or angina or Parkinsons				2	2			1	001	14c;		2		2			2	
H5826	016	0	1	01	01	H5826_016_0	5	3	2								00000000001100	Refractory Hypertension	Hypertension with at least one other chronic condition				2	2			1	001	13b;		2		2			2	
H5828	002	0	1	01	01	H5828_002_0	5	1	3																		2		13i;13i-O;		2		2			2	
H5828	005	0	1	02	01	H5828_005_0	7	1	3																		2		13i;13i-O;	2	2		2			2	
H5828	006	0	1	02	01	H5828_006_0	7	1	3																		2		13i;13i-O;	2	2		2			2	
H5828	007	0	1	01	01	H5828_007_0	6	1	3																		2		13i;13i-O;		2		2			2	
H5828	008	0	1	01	01	H5828_008_0	5	1	3																		2		13i;13i-O;		2		2			2	
H5852	001	0	1	01	01	H5852_001_0	4	1	2								00000000001000	AIDS-Related Neuropathy									2		14c;		2		2			2	
H5854	012	0	1	02	01	H5854_012_0	5	1	3																		2		13i;13i-O;	2	2		2			2	
H5854	013	0	1	01	01	H5854_013_0	6	1	3																		2		13i;13i-O;		2		2			2	
H5854	015	0	1	01	01	H5854_015_0	6	1	3																		2		13i;		2		2			2	
H5859	001	0	1	02	01	H5859_001_0	8	1	1	10				01110	12593	9444											2		13i-O;	2	2		2			1	760.00
H5883	001	1	1	02	01	H5883_001_1	4	1	3																		2		13i;	2	2		2			1	100.00
H5883	001	2	1	02	01	H5883_001_2	4	1	3																		2		13i;	2	2		2			1	100.00
H5883	001	3	1	02	01	H5883_001_3	4	1	3																		2		13i;	2	2		2			1	100.00
H5883	001	4	1	02	01	H5883_001_4	4	1	3																		2		13i;	2	2		2			1	100.00
H5883	001	5	1	02	01	H5883_001_5	4	1	3																		2		13i;	2	2		2			1	100.00
H5883	002	1	1	02	01	H5883_002_1	5	1	3																		2		13i;	2	2		2			1	100.00
H5883	002	2	1	02	01	H5883_002_2	5	1	3																		2		13i;	2	2		2			1	100.00
H5883	002	3	1	02	01	H5883_002_3	5	1	3																		2		13i;	2	2		2			1	100.00
H5883	002	4	1	02	01	H5883_002_4	5	1	3																		2		13i;	2	2		2			1	100.00
H5883	002	7	1	02	01	H5883_002_7	5	1	3																		2		13i;	2	2		2			1	100.00
H5883	003	1	1	02	01	H5883_003_1	9	1	3																		2		13i;	2	2		2			1	100.00
H5883	003	2	1	02	01	H5883_003_2	7	1	3																		2		13i;	2	2		2			1	100.00
H5883	003	3	1	02	01	H5883_003_3	7	1	3																		2		13i;	2	2		2			1	100.00
H5883	003	4	1	02	01	H5883_003_4	7	1	3																		2		13i;	2	2		2			1	100.00
H5883	003	5	1	02	01	H5883_003_5	7	1	3																		2		13i;	2	2		2			1	100.00
H5883	007	0	1	01	01	H5883_007_0	5	1	3																		2		13i;		2		2			1	100.00
H5883	012	1	1	02	01	H5883_012_1	5	1	3																		2		13i;	2	2		2			1	400.00
H5883	012	2	1	02	01	H5883_012_2	5	1	3																		2		13i;	2	2		2			1	400.00
H5883	014	1	1	02	01	H5883_014_1	5	1	3																		2		13i;	2	2		2			1	300.00
H5883	014	2	1	02	01	H5883_014_2	5	1	3																		2		13i;	2	2		2			1	300.00
H5883	014	4	1	02	01	H5883_014_4	5	1	3																		2		13i;	2	2		2			1	100.00
H5883	014	5	1	02	01	H5883_014_5	5	1	3																		2		13i;	2	2		2			1	300.00
H5928	054	0	1	01	01	H5928_054_0	5	1	3																		2		13i-O;		1	13i-O;	2			2	
H5932	001	0	1	01	01	H5932_001_0	12	1	3																		1	001	10b;13c;13i;		1	10b;13c;13i;	2			2	
H5970	020	0	1	04	01	H5970_020_0	3	1	1	10				01111	434	304											2		13d;	1	1	13d;	2			1	50.00
H6154	001	0	1	02	01	H6154_001_0	5	1	3																		1	001	13i;14c;	2	2		2			2	
H6154	002	0	1	02	01	H6154_002_0	5	1	3																		2		13i;	2	2		2			2	
H6237	006	0	1	01	01	H6237_006_0	5	1	2								01000000000000										2		7f;		2		2			2	
H6237	006	0	1	01	01	H6237_006_0	5	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H6237	006	0	1	01	01	H6237_006_0	5	3	3																		1	001	13i;13i-O;		2		2			2	
H6237	007	1	1	01	01	H6237_007_1	7	1	2								01000000000000										2		7f;		2		2			2	
H6237	007	1	1	01	01	H6237_007_1	7	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H6237	007	1	1	01	01	H6237_007_1	7	3	3																		1	001	13i;13i-O;		2		2			2	
H6237	007	2	1	01	01	H6237_007_2	7	1	2								01000000000000										2		7f;		2		2			2	
H6237	007	2	1	01	01	H6237_007_2	7	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H6237	007	2	1	01	01	H6237_007_2	7	3	3																		1	001	13i;13i-O;		2		2			2	
H6237	007	3	1	01	01	H6237_007_3	7	1	2								01000000000000										2		7f;		2		2			2	
H6237	007	3	1	01	01	H6237_007_3	7	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H6237	007	3	1	01	01	H6237_007_3	7	3	3																		1	001	13i;13i-O;		2		2			2	
H6237	008	1	1	01	01	H6237_008_1	7	1	2								01000000000000										2		7f;		2		2			2	
H6237	008	1	1	01	01	H6237_008_1	7	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H6237	008	1	1	01	01	H6237_008_1	7	3	3																		1	001	13i;13i-O;		2		2			2	
H6237	008	2	1	01	01	H6237_008_2	7	1	2								01000000000000										2		7f;		2		2			2	
H6237	008	2	1	01	01	H6237_008_2	7	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H6237	008	2	1	01	01	H6237_008_2	7	3	3																		1	001	13i;13i-O;		2		2			2	
H6237	008	3	1	01	01	H6237_008_3	7	1	2								01000000000000										2		7f;		2		2			2	
H6237	008	3	1	01	01	H6237_008_3	7	2	2								00000000001000	Pre-diabetes									2		14c;		2		2			2	
H6237	008	3	1	01	01	H6237_008_3	7	3	3																		1	001	13i;13i-O;		2		2			2	
H6316	001	0	1	01	01	H6316_001_0	6	1	3																		2		13i;13i-O;		2		2			2	
H6316	002	0	1	01	01	H6316_002_0	5	1	3																		2		13i;13i-O;		2		2			2	
H6396	001	0	1	01	01	H6396_001_0	3	1	2								01000100000000						2	2			1	001	10b;		2		2			2	
H6396	004	0	1	01	01	H6396_004_0	4	1	2								01000100000000						2	2			1	001	10b;		2		2			2	
H6396	011	0	1	01	01	H6396_011_0	3	1	2								01000100000000						2	2			1	001	10b;		2		2			2	
H6396	012	0	1	01	01	H6396_012_0	3	1	2								01000100000000						2	2			1	001	10b;		2		2			2	
H6396	013	0	1	01	01	H6396_013_0	3	1	2								01000100000000						2	2			1	001	10b;		2		2			2	
H6399	001	0	1	01	01	H6399_001_0	5	1	3																		2		13i;		1	13i;	2			2	
H6439	003	0	1	01	01	H6439_003_0	4	1	3																		2		13i;		1	13i;	2			1	600.00
H6446	011	0	1	01	01	H6446_011_0	4	1	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H6446	012	0	1	01	01	H6446_012_0	4	1	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H6446	013	0	1	01	01	H6446_013_0	4	1	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H6446	014	0	1	01	01	H6446_014_0	4	1	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H6446	015	0	1	01	01	H6446_015_0	4	1	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H6446	016	0	1	01	01	H6446_016_0	4	1	2								01000000001110	ESRD	Wound Care	Cancer			2	2			1	001	13b;		2		2			2	
H6502	001	0	1	04	01	H6502_001_0	10	1	3																		1	001	13c;	1	2		2			2	
H6502	002	0	1	04	01	H6502_002_0	11	1	3																		1	001	13c;	1	2		2			2	
H6502	003	0	1	04	01	H6502_003_0	8	1	3																		1	001	13c;	1	2		2			2	
H6550	004	0	1	01	01	H6550_004_0	4	1	3																		1	001	13i;14c;		2		2			2	
H6550	004	0	1	01	01	H6550_004_0	4	2	2								01111111111000	ESRD					2	2			1	001	13d;		2		2			2	
H6595	002	1	1	01	01	H6595_002_1	2	1	1	10				01111	9015	8349											2		13d;		1	13d;	2			2	
H6622	004	0	1	01	01	H6622_004_0	2	1	3																		1	001	13c;		2		2			2	
H6622	005	0	1	01	01	H6622_005_0	2	1	3																		1	001	13c;		2		2			2	
H6622	008	0	1	01	01	H6622_008_0	5	1	1	10				01111	1267	887											2		13d;		1	13d;	2			1	25.00
H6622	008	0	1	01	01	H6622_008_0	5	2	3																		1	001	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;		1	10b;13a;13b;13i;14c;16a;16b;17a;17b;18b;	2			1	1000.00
H6622	010	0	1	01	01	H6622_010_0	2	1	3																		1	001	13c;		2		2			2	
H6622	015	0	1	01	01	H6622_015_0	2	1	1	10				01111	6061	4243											2		13d;		1	13d;	2			1	50.00
H6622	018	0	1	01	01	H6622_018_0	3	1	1	10				01111	603	422											2		13d;		1	13d;	2			1	25.00
H6622	025	0	1	02	01	H6622_025_0	2	1	3																		1	001	13c;	2	2		2			2	
H6622	026	0	1	01	01	H6622_026_0	2	1	3																		1	001	13c;		2		2			2	
H6622	027	0	1	01	01	H6622_027_0	2	1	1	10				01111	1253	877											2		13d;		1	13d;	2			1	75.00
H6622	027	0	1	01	01	H6622_027_0	2	2	3																		1	001	13c;		1	13c;	2			2	
H6622	033	0	1	01	01	H6622_033_0	3	1	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H6622	038	0	1	01	01	H6622_038_0	2	1	1	10				01111	4258	2981											2		13d;		1	13d;	2			1	25.00
H6622	041	0	1	01	01	H6622_041_0	2	1	3																		1	001	13c;		1	13c;	2			2	
H6622	048	0	1	01	01	H6622_048_0	4	1	1	10				01111	2010	1407											2		13d;		1	13d;	2			1	50.00
H6622	051	0	1	01	01	H6622_051_0	2	1	1	10				01111	762	533											2		13d;		1	13d;	2			1	75.00
H6622	057	0	1	01	01	H6622_057_0	2	1	3																		1	001	13c;		2		2			2	
H6622	060	0	1	01	01	H6622_060_0	3	1	3																		1	001	13c;		2		2			2	
H6622	061	0	1	01	01	H6622_061_0	2	1	3																		1	001	13c;		2		2			2	
H6622	063	0	1	01	01	H6622_063_0	3	1	3																		1	001	13c;		2		2			2	
H6622	064	0	1	01	01	H6622_064_0	3	1	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;		1	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	2			1	1000.00
H6622	071	0	1	01	01	H6622_071_0	4	1	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;		1	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	2			1	1000.00
H6622	072	0	1	01	01	H6622_072_0	3	1	3																		1	001	13c;		1	13c;	2			2	
H6830	001	0	1	04	01	H6830_001_0	3	1	3																		2		13i;	1	1	13i;	2			2	
H7020	004	0	1	01	01	H7020_004_0	6	1	3																		1	001	13i;		2		2			2	
H7020	005	0	1	01	01	H7020_005_0	5	1	3																		1	001	13i;		2		2			2	
H7020	006	0	1	01	01	H7020_006_0	6	1	3																		1	001	13i;		2		2			2	
H7020	007	0	1	01	01	H7020_007_0	7	1	3																		1	001	13i;		2		2			2	
H7020	008	0	1	01	01	H7020_008_0	6	1	3																		1	001	13i;		2		2			2	
H7076	011	0	1	01	01	H7076_011_0	3	1	2								01000100000000						2	2			1	001	10b;		2		2			2	
H7076	012	0	1	01	01	H7076_012_0	5	1	2								01000100000000						2	2			1	001	10b;		2		2			2	
H7076	013	0	1	01	01	H7076_013_0	4	1	2								01000100000000						2	2			1	001	10b;		2		2			2	
H7076	014	0	1	01	01	H7076_014_0	5	1	2								01000100000000						2	2			1	001	10b;		2		2			2	
H7119	001	0	1	01	01	H7119_001_0	14	1	3																		2		13i;		2		2			2	
H7149	006	0	1	01	01	H7149_006_0	3	1	3																		2		13i;		1	13i;	2			2	
H7301	002	0	1	04	01	H7301_002_0	4	1	2								00000100001000	Hyperlipidemia					2	2			2		10b;13b;	1	1	10b;13b;	2			2	
H7301	002	0	1	04	01	H7301_002_0	4	2	3																		2		13i;	1	1	13i;	2			2	
H7301	006	0	1	04	01	H7301_006_0	3	1	2								00000100001000	Hyperlipidemia					2	2			2		10b;13b;	1	1	10b;13b;	2			2	
H7301	006	0	1	04	01	H7301_006_0	3	2	3																		2		13i;	1	1	13i;	2			2	
H7322	001	0	1	01	01	H7322_001_0	5	1	3																		1	001	10b;		2		2			2	
H7322	002	0	1	01	01	H7322_002_0	5	1	3																		1	001	10b;		2		2			2	
H7399	001	0	1	01	01	H7399_001_0	4	1	3																		2		13i;		2		2			2	
H7399	002	0	1	01	01	H7399_002_0	3	1	3																		2		13i;		2		2			2	
H7404	001	0	1	04	01	H7404_001_0	4	1	2								00000000010000										2		14c;	1	2		2			2	
H7404	002	0	1	04	01	H7404_002_0	5	1	2								00000000010000										2		14c;	1	2		2			2	
H7404	014	0	1	04	01	H7404_014_0	5	1	2								00000000010000										2		14c;	1	2		2			2	
H7464	001	0	1	01	01	H7464_001_0	3	1	1	10				01111	13162	12294											2		13d;		1	13d;	2			2	
H7464	005	0	1	01	01	H7464_005_0	3	1	1	10				01111	414	388											2		13d;		1	13d;	2			2	
H7557	001	0	1	01	01	H7557_001_0	5	1	2								00000000011100	Behavioral health diagnosis	Documented chronic pain				2	2			2		14c;		2		2			2	
H7557	001	0	1	01	01	H7557_001_0	5	2	3																		2		13i-O;		2		2			2	
H7559	001	0	1	01	01	H7559_001_0	3	1	3																		2		13i;		1	13i;	2			2	
H7621	001	0	1	01	01	H7621_001_0	3	1	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;		1	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	2			1	500.00
H7787	001	0	1	04	01	H7787_001_0	7	1	3																		1	001	13i;	1	2		2			2	
H7787	002	0	1	04	01	H7787_002_0	5	1	3																		1	001	13i;	1	2		2			2	
H7849	001	0	1	04	01	H7849_001_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	002	0	1	04	01	H7849_002_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	003	0	1	04	01	H7849_003_0	7	1	3																		1	001	13i;	1	2		2			2	
H7849	006	0	1	04	01	H7849_006_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	007	0	1	04	01	H7849_007_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	008	0	1	04	01	H7849_008_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	009	0	1	04	01	H7849_009_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	010	0	1	04	01	H7849_010_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	011	0	1	04	01	H7849_011_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	012	0	1	04	01	H7849_012_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	013	0	1	04	01	H7849_013_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	014	0	1	04	01	H7849_014_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	015	0	1	04	01	H7849_015_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	016	0	1	04	01	H7849_016_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	017	0	1	04	01	H7849_017_0	7	1	3																		1	001	13i;	1	2		2			2	
H7849	018	0	1	04	01	H7849_018_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	019	0	1	04	01	H7849_019_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	020	0	1	04	01	H7849_020_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	021	0	1	04	01	H7849_021_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	022	0	1	04	01	H7849_022_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	023	0	1	04	01	H7849_023_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	024	0	1	04	01	H7849_024_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	026	0	1	04	01	H7849_026_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	027	0	1	04	01	H7849_027_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	028	0	1	04	01	H7849_028_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	029	0	1	04	01	H7849_029_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	030	0	1	04	01	H7849_030_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	031	0	1	04	01	H7849_031_0	7	1	3																		1	001	13i;	1	2		2			2	
H7849	032	0	1	04	01	H7849_032_0	7	1	3																		1	001	13i;	1	2		2			2	
H7849	033	0	1	04	01	H7849_033_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	034	0	1	04	01	H7849_034_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	035	0	1	04	01	H7849_035_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	036	0	1	04	01	H7849_036_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	037	0	1	04	01	H7849_037_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	038	0	1	04	01	H7849_038_0	7	1	3																		1	001	13i;	1	2		2			2	
H7849	039	0	1	04	01	H7849_039_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	040	0	1	04	01	H7849_040_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	041	0	1	04	01	H7849_041_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	042	0	1	04	01	H7849_042_0	6	1	3																		1	001	13i;	1	2		2			2	
H7849	043	0	1	04	01	H7849_043_0	6	1	3																		1	001	13i;	1	2		2			2	
H7925	001	0	1	01	01	H7925_001_0	3	1	3																		2		13i;		2		2			2	
H7925	002	0	1	01	01	H7925_002_0	3	1	3																		2		13i;		2		2			2	
H7993	001	0	1	01	01	H7993_001_0	7	1	3																		2		13i-O;		2		1	1		1	240.00
H7993	002	0	1	01	01	H7993_002_0	7	1	3																		2		13i-O;		2		1	1		1	240.00
H7993	003	0	1	01	01	H7993_003_0	8	1	3																		2		13i-O;		2		1	1		1	240.00
H7993	004	0	1	01	01	H7993_004_0	8	1	3																		2		13i-O;		2		1	1		1	240.00
H8067	001	0	1	01	01	H8067_001_0	12	1	3																		2		13i;		2		2			2	
H8087	003	0	1	04	01	H8087_003_0	2	1	1	10				01111	2067	1447											2		13d;	1	1	13d;	2			1	25.00
H8125	002	0	1	01	01	H8125_002_0	2	1	1	10				01111	11760	11087											2		13d;		1	13d;	2			2	
H8145	122	0	1	09	04	H8145_122_0	3	1	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;		2		2			1	500.00
H8173	001	0	1	01	01	H8173_001_0	7	1	3																		2		13i-O;		2		1	1		1	240.00
H8173	002	0	1	01	01	H8173_002_0	8	1	3																		2		13i-O;		2		1	1		1	240.00
H8189	001	0	1	01	01	H8189_001_0	2	1	3																		1	001	13i;14c;		2		2			2	
H8189	001	0	1	01	01	H8189_001_0	2	2	2								01111111111000	ESRD					2	2			1	001	13d;		2		2			2	
H8225	001	0	1	01	01	H8225_001_0	4	1	3																		2		13i;		2		2			2	
H8225	002	0	1	01	01	H8225_002_0	4	1	3																		2		13i;		2		2			2	
H8225	003	0	1	01	01	H8225_003_0	3	1	3																		2		13i;		2		2			2	
H8225	004	0	1	01	01	H8225_004_0	3	1	3																		2		13i;		2		2			2	
H8298	001	0	1	01	01	H8298_001_0	9	1	3																		2		13i;		1	13i;	2			2	
H8332	001	0	1	01	01	H8332_001_0	4	1	2								00000100000000										2		10b;13b;		1	10b;13b;	2			2	
H8332	002	0	1	01	01	H8332_002_0	2	1	2								00000100000000										2		10b;13b;		1	10b;13b;	2			2	
H8390	011	0	1	01	01	H8390_011_0	3	1	2								01000100000000						2	2			1	001	10b;		2		2			2	
H8390	012	0	1	01	01	H8390_012_0	4	1	2								01000100000000						2	2			1	001	10b;		2		2			2	
H8390	013	0	1	01	01	H8390_013_0	3	1	2								01000100000000						2	2			1	001	10b;		2		2			2	
H8390	014	0	1	01	01	H8390_014_0	3	1	2								01000100000000						2	2			1	001	10b;		2		2			2	
H8432	027	0	1	01	01	H8432_027_0	6	1	3																		2		13i;13i-O;		2		2			2	
H8432	028	0	1	01	01	H8432_028_0	6	1	3																		2		13i;13i-O;		2		2			2	
H8432	034	0	1	01	01	H8432_034_0	7	1	3																		2		13i;13i-O;		2		2			2	
H8432	035	0	1	01	01	H8432_035_0	6	1	3																		2		13i;13i-O;		2		2			2	
H8432	038	1	1	01	01	H8432_038_1	6	1	3																		2		13i;13i-O;		2		2			2	
H8432	038	2	1	01	01	H8432_038_2	6	1	3																		2		13i;13i-O;		2		2			2	
H8457	001	0	1	01	01	H8457_001_0	5	1	2								00000000011100	Behavioral health diagnosis	Documented chronic pain				2	2			2		14c;		2		2			2	
H8457	001	0	1	01	01	H8457_001_0	5	2	3																		2		13i-O;		2		2			2	
H8597	001	0	1	01	01	H8597_001_0	4	1	3																		2		13i;		1	13i;	2			2	
H8783	001	0	1	04	01	H8783_001_0	6	1	2								00010000000000										2		13c;	1	2		2			2	
H8783	002	0	1	04	01	H8783_002_0	6	1	2								00010000000000										2		13c;	1	2		2			2	
H8783	003	0	1	04	01	H8783_003_0	7	1	2								00010000000000										2		13c;	1	2		2			2	
H8849	001	0	1	01	01	H8849_001_0	5	1	3																		2		13i;		2		2			2	
H8849	006	0	1	01	01	H8849_006_0	5	1	3																		2		13i;13i-O;		2		2			2	
H8849	008	2	1	01	01	H8849_008_2	5	1	3																		2		13i;13i-O;		2		2			2	
H8849	008	4	1	01	01	H8849_008_4	5	1	3																		2		13i;13i-O;		2		2			2	
H8849	009	0	1	01	01	H8849_009_0	5	1	3																		2		13i;13i-O;		2		2			2	
H8849	010	1	1	01	01	H8849_010_1	6	1	3																		2		13i;13i-O;		2		2			2	
H8849	010	2	1	01	01	H8849_010_2	7	1	3																		2		13i;13i-O;		2		2			2	
H8849	010	3	1	01	01	H8849_010_3	6	1	3																		2		13i;13i-O;		2		2			2	
H8849	010	4	1	01	01	H8849_010_4	6	1	3																		2		13i;13i-O;		2		2			2	
H8849	010	5	1	01	01	H8849_010_5	6	1	3																		2		13i;13i-O;		2		2			2	
H8849	010	6	1	01	01	H8849_010_6	6	1	3																		2		13i;13i-O;		2		2			2	
H8849	011	1	1	01	01	H8849_011_1	6	1	3																		2		13i;13i-O;		2		2			2	
H8849	011	2	1	01	01	H8849_011_2	6	1	3																		2		13i;13i-O;		2		2			2	
H8849	011	3	1	01	01	H8849_011_3	6	1	3																		2		13i;13i-O;		2		2			2	
H8849	011	4	1	01	01	H8849_011_4	6	1	3																		2		13i;13i-O;		2		2			2	
H8849	011	5	1	01	01	H8849_011_5	6	1	3																		2		13i;13i-O;		2		2			2	
H8849	011	6	1	01	01	H8849_011_6	6	1	3																		2		13i;13i-O;		2		2			2	
H8854	002	0	1	01	01	H8854_002_0	12	1	2								01110000001000	ESRD					2	2			2		13c;14c;		2		2			2	
H8889	001	0	1	04	01	H8889_001_0	4	1	3																		1	001	10b;13c;13d;13i;14c;	1	2		2			2	
H8889	002	0	1	04	01	H8889_002_0	3	1	3																		2		13i;	1	2		2			2	
H8889	003	0	1	04	01	H8889_003_0	4	1	3																		1	001	10b;13c;13d;13i;14c;	1	2		2			2	
H8889	004	0	1	04	01	H8889_004_0	3	1	3																		2		13i;	1	2		2			2	
H8889	005	0	1	04	01	H8889_005_0	4	1	3																		1	001	10b;13c;13d;13i;14c;	1	2		2			2	
H8908	005	0	1	01	01	H8908_005_0	3	1	1	10				01111	3248	2274											2		13d;		1	13d;	2			1	25.00
H9065	001	0	1	01	01	H9065_001_0	6	1	3																		2		13i;13i-O;		2		2			2	
H9065	002	0	1	02	01	H9065_002_0	6	1	3																		2		13i;13i-O;	2	2		2			2	
H9065	003	0	1	02	01	H9065_003_0	6	1	3																		2		13i;13i-O;	2	2		2			2	
H9065	004	0	1	02	01	H9065_004_0	6	1	3																		2		13i;13i-O;	2	2		2			2	
H9065	008	0	1	01	01	H9065_008_0	6	1	3																		2		13i;13i-O;		2		2			2	
H9070	003	0	1	04	01	H9070_003_0	3	1	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	1	1	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	2			1	500.00
H9070	004	0	1	04	01	H9070_004_0	3	1	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	1	1	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	2			1	500.00
H9070	006	1	1	04	01	H9070_006_1	4	1	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	1	2		2			1	1000.00
H9070	006	3	1	04	01	H9070_006_3	3	1	3																		1	001	10b;13a;13b;13c;13i;14c;16a;16b;17a;17b;18b;	1	2		2			1	500.00
H9095	001	0	1	01	01	H9095_001_0	5	1	2								00000000011100	Behavioral health diagnosis	Documented chronic pain				2	2			2		14c;		2		2			2	
H9095	001	0	1	01	01	H9095_001_0	5	2	3																		2		13i-O;		2		2			2	
H9335	006	0	1	01	01	H9335_006_0	4	1	3																		2		13i;		1	13i;	2			1	600.00
H9364	003	0	1	01	01	H9364_003_0	5	1	3																		2		13i;		1	13i;	2			1	600.00
H9408	005	0	1	04	01	H9408_005_0	5	1	3																		2		13i;	1	2		2			2	
H9408	006	1	1	04	01	H9408_006_1	7	1	3																		2		13i;	1	2		2			2	
H9408	006	2	1	04	01	H9408_006_2	7	1	3																		2		13i;	1	2		2			2	
H9455	001	0	1	01	01	H9455_001_0	7	1	3																		2		10b;14c;		1	10b;14c;	2			2	
H9460	001	0	1	01	01	H9460_001_0	6	1	3																		1	001	13i;		2		2			2	
H9460	002	0	1	01	01	H9460_002_0	4	1	3																		1	001	13i;		2		2			2	
H9525	003	0	1	01	01	H9525_003_0	5	1	3																		2		13i;13i-O;		2		2			2	
H9525	004	0	1	01	01	H9525_004_0	5	1	3																		2		13i;13i-O;		2		2			2	
H9525	006	0	1	01	01	H9525_006_0	5	1	3																		2		13i;13i-O;		2		2			2	
H9525	007	0	1	01	01	H9525_007_0	5	1	3																		2		13i;13i-O;		2		2			2	
H9525	008	0	1	01	01	H9525_008_0	5	1	3																		2		13i;13i-O;		2		2			2	
H9572	001	1	1	04	01	H9572_001_1	6	1	3																		2		13i;	1	2		2			1	100.00
H9572	001	2	1	04	01	H9572_001_2	6	1	3																		2		13i;	1	2		2			1	100.00
H9572	001	3	1	04	01	H9572_001_3	6	1	3																		2		13i;	1	2		2			1	100.00
H9572	001	4	1	04	01	H9572_001_4	6	1	3																		2		13i;	1	2		2			1	100.00
H9572	001	6	1	04	01	H9572_001_6	6	1	3																		2		13i;	1	2		2			1	100.00
H9572	002	1	1	04	01	H9572_002_1	6	1	3																		2		13i;	1	2		2			1	100.00
H9572	002	2	1	04	01	H9572_002_2	6	1	3																		2		13i;	1	2		2			1	100.00
H9572	002	3	1	04	01	H9572_002_3	6	1	3																		2		13i;	1	2		2			1	100.00
H9572	002	4	1	04	01	H9572_002_4	6	1	3																		2		13i;	1	2		2			1	100.00
H9572	002	6	1	04	01	H9572_002_6	6	1	3																		2		13i;	1	2		2			1	100.00
H9572	003	1	1	04	01	H9572_003_1	7	1	3																		2		13i;	1	2		2			1	100.00
H9572	003	2	1	04	01	H9572_003_2	7	1	3																		2		13i;	1	2		2			1	100.00
H9572	003	3	1	04	01	H9572_003_3	7	1	3																		2		13i;	1	2		2			1	100.00
H9572	003	4	1	04	01	H9572_003_4	7	1	3																		2		13i;	1	2		2			1	100.00
H9572	003	6	1	04	01	H9572_003_6	7	1	3																		2		13i;	1	2		2			1	100.00
H9572	004	1	1	04	01	H9572_004_1	7	1	3																		2		13i;	1	2		2			1	200.00
H9572	004	2	1	04	01	H9572_004_2	7	1	3																		2		13i;	1	2		2			1	200.00
H9572	004	3	1	04	01	H9572_004_3	7	1	3																		2		13i;	1	2		2			1	200.00
H9572	004	4	1	04	01	H9572_004_4	7	1	3																		2		13i;	1	2		2			1	200.00
H9572	004	6	1	04	01	H9572_004_6	7	1	3																		2		13i;	1	2		2			1	200.00
H9585	001	0	1	01	01	H9585_001_0	6	1	3																		2		13i;		1	13i;	2			1	50.00
H9590	001	0	1	01	01	H9590_001_0	5	1	2								00000000011100	Behavioral health diagnosis	Documented chronic pain				2	2			2		14c;		2		2			2	
H9590	001	0	1	01	01	H9590_001_0	5	2	3																		2		13i-O;		2		2			2	
H9615	007	0	1	04	01	H9615_007_0	6	1	2								00000100000000										2		13b;	1	1	13b;	2			2	
H9615	007	0	1	04	01	H9615_007_0	6	2	2								00001000000000										2		14c;	1	1	14c;	2			1	250.00
H9615	008	0	1	04	01	H9615_008_0	7	1	2								00000100000000										2		13b;	1	1	13b;	2			2	
H9615	008	0	1	04	01	H9615_008_0	7	2	2								00001000000000										2		14c;	1	1	14c;	2			1	250.00
H9615	009	0	1	04	01	H9615_009_0	6	1	2								00000100000000										2		13b;	1	1	13b;	2			2	
H9615	009	0	1	04	01	H9615_009_0	6	2	2								00001000000000										2		14c;	1	1	14c;	2			1	250.00
H9615	010	0	1	04	01	H9615_010_0	6	1	2								00000100000000										2		13b;	1	1	13b;	2			2	
H9615	010	0	1	04	01	H9615_010_0	6	2	2								00001000000000										2		14c;	1	1	14c;	2			1	250.00
H9615	012	0	1	04	01	H9615_012_0	6	1	2								00000100000000										2		13b;	1	1	13b;	2			2	
H9615	012	0	1	04	01	H9615_012_0	6	2	2								00001000000000										2		14c;	1	1	14c;	2			1	250.00
H9615	014	0	1	04	01	H9615_014_0	7	1	2								00000100000000										2		13b;	1	1	13b;	2			2	
H9615	014	0	1	04	01	H9615_014_0	7	2	2								00001000000000										2		14c;	1	1	14c;	2			1	250.00
H9630	001	0	1	01	01	H9630_001_0	4	1	2								01010010000000						2	2			2		16a;		2		2			2	
H9630	002	0	1	01	01	H9630_002_0	4	1	2								01010010001000	Periodontal Disease					2	2			2		16a;16b;		2		2			2	
H9630	003	0	1	01	01	H9630_003_0	4	1	2								01010010001000	Periodontal Disease					2	2			2		16a;16b;		2		2			2	
H9630	004	0	1	01	01	H9630_004_0	3	1	2								01010010001000	Periodontal Disease					2	2			2		16a;16b;		2		2			2	
H9630	005	0	1	01	01	H9630_005_0	3	1	2								01010010001000	Periodontal Disease					2	2			2		16a;16b;		2		2			2	
H9630	006	0	1	01	01	H9630_006_0	3	1	2								01010010001000	Periodontal Disease					2	2			2		16a;16b;		2		2			2	
H9630	008	0	1	01	01	H9630_008_0	3	1	2								01010010000000						2	2			2		16a;		2		2			2	
H9630	009	0	1	01	01	H9630_009_0	2	1	2								01010010001000	Periodontal Disease					2	2			2		16a;16b;		2		2			2	
H9686	001	0	1	01	01	H9686_001_0	3	1	3																		2		13i;		2		2			2	
H9686	002	0	1	01	01	H9686_002_0	3	1	3																		2		13i;		2		2			2	
H9686	003	0	1	01	01	H9686_003_0	3	1	3																		2		13i;13i-O;		2		2			2	
H9725	001	0	1	01	01	H9725_001_0	6	1	3																		1	001	13i;		2		2			2	
H9725	003	0	1	01	01	H9725_003_0	6	1	3																		1	001	13i;		2		2			2	
H9725	005	0	1	01	01	H9725_005_0	4	1	3																		1	001	13i;		2		2			2	
H9725	006	0	1	01	01	H9725_006_0	6	1	3																		1	001	13i;		2		2			2	
H9942	001	0	1	04	01	H9942_001_0	5	1	2								00000000011100	Behavioral health diagnosis	Documented chronic pain				2	2			2		14c;	1	2		2			2	
H9942	001	0	1	04	01	H9942_001_0	5	2	3																		2		13i-O;	1	2		2			2	
H9952	001	0	1	01	01	H9952_001_0	14	1	3																		1	001	13i;		2		2			2	
R0802	001	0	1	31	11	R0802_001_0	10	1	2								00000000001100	Opioid Use Disorder	Chronic Pain Syndrome				2	2			1	001	13a;14c;	1	2		1	1		1	200.00
R0802	001	0	1	31	11	R0802_001_0	10	2	2								01000000001000	Chronic Kidney Disease					2	1			1	001	14c;	1	2		2			2	
R0802	001	0	1	31	11	R0802_001_0	10	3	2								00000000001100	History of Falls	Hip Fracture				2	2			1	001	14c;	1	2		1	1		1	250.00
R0802	001	0	1	31	11	R0802_001_0	10	4	3																		1	001	13i;	1	2		2			2	
R1390	003	0	1	31	11	R1390_003_0	2	1	3																		1	001	13c;	1	1	13c;	2			2	
R1548	001	0	1	31	11	R1548_001_0	3	1	1	10				01111	70722	67810											2		13d;	2	1	13d;	2			2	
