pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	pbp_b17a_bendesc_yn	pbp_b17a_bendesc_ehc	pbp_b17a_bendesc_amo_rex	pbp_b17a_bendesc_lim_rex	pbp_b17a_bendesc_num_rex	pbp_b17a_bendesc_per_rex	pbp_b17a_bendesc_per_rex_d	pbp_b17a_addl_service_other	pbp_b17a_bendesc_amo_other	pbp_b17a_bendesc_lim_other	pbp_b17a_bendesc_num_other	pbp_b17a_bendesc_per_other	pbp_b17a_bendesc_per_other_d	pbp_b17a_maxplan_yn	pbp_b17a_maxplan_in_oon	pbp_b17a_maxplan_amt	pbp_b17a_maxplan_per	pbp_b17a_maxplan_per_d	pbp_b17a_maxenr_yn	pbp_b17a_maxenr_amt	pbp_b17a_maxenr_per	pbp_b17a_maxenr_per_d	pbp_b17a_coins_yn	pbp_b17a_coins_ehc	pbp_b17a_coins_pct_mc_min	pbp_b17a_coins_pct_mc_max	pbp_b17a_coins_pct_rex_min	pbp_b17a_coins_pct_rex_max	pbp_b17a_coins_pct_other_min	pbp_b17a_coins_pct_other_max	pbp_b17a_copay_yn	pbp_b17a_copay_ehc	pbp_b17a_copay_amt_mc_min	pbp_b17a_copay_amt_mc_max	pbp_b17a_copay_amt_rex_min	pbp_b17a_copay_amt_rex_max	pbp_b17a_copay_amt_other_min	pbp_b17a_copay_amt_other_max	pbp_b17a_ded_yn	pbp_b17a_ded_amt	pbp_b17a_auth_yn	pbp_b17a_refer_yn	pbp_b17b_bendesc_yn	pbp_b17b_bendesc_ehc	pbp_b17b_bendesc_amo_cl	pbp_b17b_bendesc_lim_cl	pbp_b17b_bendesc_numv_cl	pbp_b17b_bendesc_per_cl	pbp_b17b_bendesc_per_cl_d	pbp_b17b_bendesc_amo_egs	pbp_b17b_bendesc_lim_egs	pbp_b17b_bendesc_numv_egs	pbp_b17b_bendesc_per_egs	pbp_b17b_bendesc_per_egs_d	pbp_b17b_bendesc_amo_egi	pbp_b17b_bendesc_lim_egl	pbp_b17b_bendesc_numv_egl	pbp_b17b_bendesc_per_egl	pbp_b17b_bendesc_per_egl_d	pbp_b17b_bendesc_amo_egf	pbp_b17b_bendesc_lim_egf	pbp_b17b_bendesc_numv_egf	pbp_b17b_bendesc_per_egf	pbp_b17b_bendesc_per_egf_d	pbp_b17b_bendesc_amo_upg	pbp_b17b_maxplan_yn	pbp_b17b_maxplan_in_oon	pbp_b17b_maxplan_type	pbp_b17b_comb_maxplan_yn	pbp_b17b_comb_maxplan_amt	pbp_b17b_comb_maxplan_per	pbp_b17b_comb_maxplan_per_d	pbp_b17b_indv_maxplan_bendesc	pbp_b17b_indv_maxplan_amt_cl	pbp_b17b_indv_maxplan_per_cl	pbp_b17b_indv_maxplan_per_cl_d	pbp_b17b_indv_maxplan_amt_egs	pbp_b17b_indv_maxplan_per_egs	pbp_b17b_ind_maxplan_per_egs_d	pbp_b17b_indv_maxplan_amt_egl	pbp_b17b_indv_maxplan_per_egl	pbp_b17b_ind_maxplan_per_egl_d	pbp_b17b_indv_maxplan_amt_egf	pbp_b17b_indv_maxplan_per_egf	pbp_b17b_ind_maxplan_per_egf_d	pbp_b17b_indv_maxplan_amt_upg	pbp_b17b_indv_maxplan_per_upg	pbp_b17b_ind_maxplan_per_upg_d	pbp_b17b_maxenr_yn	pbp_b17b_maxenr_type	pbp_b17b_maxenr_amt	pbp_b17b_maxenr_per	pbp_b17b_maxenr_per_d	pbp_b17b_coins_yn	pbp_b17b_coins_ehc	pbp_b17b_coins_pct_mc_min	pbp_b17b_coins_pct_mc_max	pbp_b17b_coins_pct_cl_min	pbp_b17b_coins_pct_cl_max	pbp_b17b_coins_pct_egs_min	pbp_b17b_coins_pct_egs_max	pbp_b17b_coins_pct_egl_min	pbp_b17b_coins_pct_egl_max	pbp_b17b_coins_pct_egf_min	pbp_b17b_coins_pct_egf_max	pbp_b17b_coins_pct_upg_min	pbp_b17b_coins_pct_upg_max	pbp_b17b_ded_yn	pbp_b17b_ded_amt	pbp_b17b_copay_yn	pbp_b17b_copay_ehc	pbp_b17b_copay_amt_mc_min	pbp_b17b_copay_amt_mc_max	pbp_b17b_copay_amt_cl_min	pbp_b17b_copay_amt_cl_max	pbp_b17b_copay_amt_egs_min	pbp_b17b_copay_amt_egs_max	pbp_b17b_copay_amt_egl_min	pbp_b17b_copay_amt_egl_max	pbp_b17b_copay_amt_egf_min	pbp_b17b_copay_amt_egf_max	pbp_b17b_copay_amt_upg_min	pbp_b17b_copay_amt_upg_max	pbp_b17b_auth_yn	pbp_b17b_refer_yn
H0016	001	0	1	20	08	H0016_001_0	1																																																																																																																													
H0016	003	0	1	20	08	H0016_003_0	1																																																																																																																													
H0022	001	0	1	48	05	H0022_001_0	13	1	01	2	2	1	6	One time per 12-month period for members under 21 and over 59 years of age, or per 24-month period for members 21 through 59 years of age.							2					2				2								2								2		2	2	1	01111	2	2	1	6	One time per 12-month period for members under 21 and over 59 years of age or per 24-month period for members 21 through 59 years of age.	2	2	1	6	One time per 12-month period for members under 21 and over 59 years of age or per 24-month period for members 21 through 59 years of age.	2	2	1	6	One time per 12-month period for members under 21 and over 59 years of age or per 24-month period for members 21 through 59 years of age.	2	2	1	6	One time per 12-month period for members under 21 and over 59 years of age or per 24-month period for members 21 through 59 years of age.		2																							2					2														2		2														2	2
H0028	007	0	1	01	01	H0028_007_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H0028	014	0	1	01	01	H0028_014_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0028	015	0	1	02	01	H0028_015_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	016	0	1	02	01	H0028_016_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	017	0	1	01	01	H0028_017_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	019	0	1	01	01	H0028_019_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	021	0	1	01	01	H0028_021_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	023	0	1	01	01	H0028_023_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	024	0	1	01	01	H0028_024_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	025	1	1	01	01	H0028_025_1	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	025	2	1	01	01	H0028_025_2	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	027	0	1	01	01	H0028_027_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	028	0	1	01	01	H0028_028_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	029	0	1	01	01	H0028_029_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H0028	030	0	1	01	01	H0028_030_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H0028	031	0	1	01	01	H0028_031_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H0028	032	0	1	01	01	H0028_032_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	033	0	1	01	01	H0028_033_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	034	0	1	01	01	H0028_034_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H0028	035	0	1	01	01	H0028_035_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H0028	036	0	1	01	01	H0028_036_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H0028	037	0	1	01	01	H0028_037_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H0028	039	0	1	01	01	H0028_039_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H0028	041	0	1	01	01	H0028_041_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	042	0	1	01	01	H0028_042_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	043	1	1	01	01	H0028_043_1	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	043	2	1	01	01	H0028_043_2	8	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	044	0	1	01	01	H0028_044_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H0028	045	0	1	01	01	H0028_045_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H0028	046	0	1	01	01	H0028_046_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H0028	047	0	1	01	01	H0028_047_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	048	1	1	01	01	H0028_048_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H0028	048	2	1	01	01	H0028_048_2	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H0028	050	0	1	01	01	H0028_050_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	051	0	1	01	01	H0028_051_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	052	0	1	01	01	H0028_052_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	053	1	1	01	01	H0028_053_1	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	053	3	1	01	01	H0028_053_3	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	053	4	1	01	01	H0028_053_4	6	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	054	1	1	02	01	H0028_054_1	7	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	054	2	1	02	01	H0028_054_2	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	055	0	1	02	01	H0028_055_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	056	0	1	02	01	H0028_056_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	057	0	1	01	01	H0028_057_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	058	0	1	01	01	H0028_058_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H0028	059	0	1	01	01	H0028_059_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	060	0	1	01	01	H0028_060_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H0028	062	0	1	01	01	H0028_062_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	063	0	1	01	01	H0028_063_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0028	064	0	1	01	01	H0028_064_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H0028	801	0	1	01	01	H0028_801_0	10	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0028	802	0	1	01	01	H0028_802_0	6	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0028	804	0	1	01	01	H0028_804_0	7	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0028	805	0	1	01	01	H0028_805_0	7	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0029	801	0	1	01	01	H0029_801_0	12	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0034	001	0	1	01	01	H0034_001_0	5	1	01	2	2	1	2								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	2	1	2		2	1				2	1				2	1		2	1	200.00	2																		2					1	010000	20	20											2		2														2	2
H0034	002	0	1	01	01	H0034_002_0	5	1	01	2	2	1	2								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	2	1	2		2	2	1	2		2	2	1	2		2	1		2	1	200.00	2																		2					1	010000	20	20											2		2														2	2
H0062	801	0	1	01	01	H0062_801_0	12	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0074	001	0	1	04	01	H0074_001_0	21	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0074	004	0	1	04	01	H0074_004_0	19	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0088	002	0	1	04	01	H0088_002_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0088	003	0	1	04	01	H0088_003_0	21	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0104	012	0	1	04	01	H0104_012_0	5	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	01100	2	1				2	1															1	2	2	1	100.00	3																		2					2														2		2														2	2
H0104	014	0	1	04	01	H0104_014_0	4	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	01100	2	1				2	1															1	2	2	1	100.00	3																		2					2														2		2														2	2
H0104	015	0	1	04	01	H0104_015_0	3	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	01100	2	1				2	1															1	2	2	1	100.00	3																		2					2														2		2														2	2
H0104	801	0	1	04	01	H0104_801_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0104	802	0	1	04	01	H0104_802_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0104	804	0	1	04	01	H0104_804_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0104	805	0	1	04	01	H0104_805_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0104	806	0	1	04	01	H0104_806_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0104	807	0	1	04	01	H0104_807_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0104	808	0	1	04	01	H0104_808_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0104	809	0	1	04	01	H0104_809_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0105	001	0	1	20	08	H0105_001_0	1																																																																																																																													
H0105	002	0	1	20	08	H0105_002_0	1																																																																																																																													
H0107	003	0	1	04	01	H0107_003_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	1				2	1					1	2	2	1	100.00	3																		2					2														2		1	011000	45.00	45.00	0.00	0.00									2	2
H0107	004	0	1	04	01	H0107_004_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	45.00	45.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H0107	005	0	1	04	01	H0107_005_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	45.00	45.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H0107	006	0	1	04	01	H0107_006_0	6	1	01	2	2	1	3								2					2				1	011	0	0	0	0			2								2		2	2	2																																														2					1	010000	0	0											2		2														2	2
H0107	007	0	1	04	01	H0107_007_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H0107	010	0	1	04	01	H0107_010_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H0107	011	0	1	04	01	H0107_011_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H0107	801	0	1	04	01	H0107_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0107	802	0	1	04	01	H0107_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0107	803	0	1	04	01	H0107_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0107	804	0	1	04	01	H0107_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0107	805	0	1	04	01	H0107_805_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0107	806	0	1	04	01	H0107_806_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0107	807	0	1	04	01	H0107_807_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0107	808	0	1	04	01	H0107_808_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0107	809	0	1	04	01	H0107_809_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0107	810	0	1	04	01	H0107_810_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0107	811	0	1	04	01	H0107_811_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
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H0107	813	0	1	04	01	H0107_813_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
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H0107	816	0	1	04	01	H0107_816_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
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H0107	819	0	1	04	01	H0107_819_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0107	820	0	1	04	01	H0107_820_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0111	001	0	1	04	01	H0111_001_0	20	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0111	004	0	1	04	01	H0111_004_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0112	001	0	1	20	08	H0112_001_0	1																																																																																																																													
H0112	002	0	1	20	08	H0112_002_0	1																																																																																																																													
H0137	001	0	1	48	05	H0137_001_0	8	1	01	2	1										2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	2	1	3			1		2	2				00001										125.00	3					2					2														2		2														2	2
H0154	008	0	1	01	01	H0154_008_0	3	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		2														2	2
H0154	011	0	1	01	01	H0154_011_0	4	1	01	2	2	1	3								2					2				2								1	010	0.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H0154	012	0	1	01	01	H0154_012_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H0154	015	1	1	01	01	H0154_015_1	4	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		2														2	2
H0154	015	2	1	01	01	H0154_015_2	4	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		2														2	2
H0154	016	0	1	01	01	H0154_016_0	4	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		2														2	2
H0154	017	0	1	01	01	H0154_017_0	4	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H0154	019	0	1	01	01	H0154_019_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H0154	020	0	1	01	01	H0154_020_0	4	1	01	2	2	1	3								2					2				2								1	010	0.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H0154	801	0	1	01	01	H0154_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0154	802	0	1	01	01	H0154_802_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0154	803	0	1	01	01	H0154_803_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0169	001	0	1	02	01	H0169_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0169	002	0	1	02	01	H0169_002_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0169	003	0	1	02	01	H0169_003_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H0169	004	0	1	02	01	H0169_004_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0169	006	0	1	02	01	H0169_006_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	350.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H0169	008	0	1	02	01	H0169_008_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0174	002	0	1	01	01	H0174_002_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0174	004	0	1	01	01	H0174_004_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0174	006	0	1	01	01	H0174_006_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0174	009	0	1	01	01	H0174_009_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0174	010	0	1	01	01	H0174_010_0	20	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0174	014	0	1	01	01	H0174_014_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0174	015	0	1	01	01	H0174_015_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0174	016	0	1	01	01	H0174_016_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0174	017	0	1	01	01	H0174_017_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0174	018	0	1	01	01	H0174_018_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0174	019	0	1	01	01	H0174_019_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0174	020	0	1	01	01	H0174_020_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0174	021	0	1	01	01	H0174_021_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0174	022	0	1	01	01	H0174_022_0	20	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0192	001	0	1	48	05	H0192_001_0	7	1	01	2	2	1	2								2									2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			2																												2														2		2														1	2
H0216	001	0	1	20	08	H0216_001_0	1																																																																																																																													
H0216	002	0	1	20	08	H0216_002_0	1																																																																																																																													
H0235	001	0	1	20	08	H0235_001_0	2																																																																																																																													
H0235	002	0	1	20	08	H0235_002_0	2																																																																																																																													
H0247	001	0	1	20	08	H0247_001_0	1																																																																																																																													
H0247	002	0	1	20	08	H0247_002_0	1																																																																																																																													
H0251	002	0	1	02	01	H0251_002_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	600.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H0251	004	0	1	02	01	H0251_004_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	600.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H0270	001	0	1	04	01	H0270_001_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0270	002	0	1	04	01	H0270_002_0	19	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0271	005	0	1	04	01	H0271_005_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	300.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H0271	006	0	1	04	01	H0271_006_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	007	0	1	04	01	H0271_007_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	012	0	1	04	01	H0271_012_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	013	0	1	04	01	H0271_013_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	014	0	1	04	01	H0271_014_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	016	0	1	04	01	H0271_016_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	017	0	1	04	01	H0271_017_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	020	0	1	04	01	H0271_020_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	023	0	1	04	01	H0271_023_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	024	0	1	04	01	H0271_024_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	025	0	1	04	01	H0271_025_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	026	0	1	04	01	H0271_026_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	027	0	1	04	01	H0271_027_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	028	0	1	04	01	H0271_028_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	300.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H0271	029	0	1	04	01	H0271_029_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	030	0	1	04	01	H0271_030_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	033	0	1	04	01	H0271_033_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	034	0	1	04	01	H0271_034_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	035	0	1	04	01	H0271_035_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	036	0	1	04	01	H0271_036_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	037	0	1	04	01	H0271_037_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	038	0	1	04	01	H0271_038_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	039	0	1	04	01	H0271_039_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	042	0	1	04	01	H0271_042_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	043	0	1	04	01	H0271_043_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	044	0	1	04	01	H0271_044_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	045	0	1	04	01	H0271_045_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	046	0	1	04	01	H0271_046_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	050	0	1	04	01	H0271_050_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	400.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H0271	052	0	1	04	01	H0271_052_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	053	0	1	04	01	H0271_053_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	400.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H0271	054	0	1	04	01	H0271_054_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	200.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H0271	055	0	1	04	01	H0271_055_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	056	0	1	04	01	H0271_056_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	057	0	1	04	01	H0271_057_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	058	0	1	04	01	H0271_058_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	059	0	1	04	01	H0271_059_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0271	060	1	1	04	01	H0271_060_1	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	200.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H0271	060	2	1	04	01	H0271_060_2	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	350.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H0271	063	0	1	04	01	H0271_063_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	300.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H0271	065	0	1	04	01	H0271_065_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0292	001	0	1	01	01	H0292_001_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0292	002	0	1	01	01	H0292_002_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0292	003	0	1	01	01	H0292_003_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0294	002	0	1	04	01	H0294_002_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	004	0	1	04	01	H0294_004_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	010	0	1	04	01	H0294_010_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	011	0	1	04	01	H0294_011_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	012	0	1	04	01	H0294_012_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	014	0	1	04	01	H0294_014_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	015	0	1	04	01	H0294_015_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	016	0	1	04	01	H0294_016_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	017	0	1	04	01	H0294_017_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	018	0	1	04	01	H0294_018_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	019	0	1	04	01	H0294_019_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	020	0	1	04	01	H0294_020_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	021	0	1	04	01	H0294_021_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	022	0	1	04	01	H0294_022_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	023	0	1	04	01	H0294_023_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	024	0	1	04	01	H0294_024_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	025	0	1	04	01	H0294_025_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	026	0	1	04	01	H0294_026_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	027	0	1	04	01	H0294_027_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	400.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H0294	028	0	1	04	01	H0294_028_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	029	0	1	04	01	H0294_029_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	030	0	1	04	01	H0294_030_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	031	0	1	04	01	H0294_031_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	032	0	1	04	01	H0294_032_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	033	0	1	04	01	H0294_033_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	034	0	1	04	01	H0294_034_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	035	0	1	04	01	H0294_035_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	036	0	1	04	01	H0294_036_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	037	0	1	04	01	H0294_037_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	038	0	1	04	01	H0294_038_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	039	0	1	04	01	H0294_039_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	040	0	1	04	01	H0294_040_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	041	0	1	04	01	H0294_041_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	042	0	1	04	01	H0294_042_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	043	0	1	04	01	H0294_043_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	044	0	1	04	01	H0294_044_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	046	0	1	04	01	H0294_046_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0294	047	0	1	04	01	H0294_047_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0302	001	0	1	01	01	H0302_001_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H0302	006	0	1	01	01	H0302_006_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H0302	008	0	1	01	01	H0302_008_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H0302	801	0	1	01	01	H0302_801_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0321	002	0	1	02	01	H0321_002_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0321	004	0	1	02	01	H0321_004_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0332	001	0	1	01	01	H0332_001_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	125.00	3																		2					2														2		2														2	2
H0332	002	0	1	01	01	H0332_002_0	12	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	75.00	3																		2					2														2		2														2	2
H0332	004	0	1	02	01	H0332_004_0	11	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	125.00	3																		2					2														2		2														2	2
H0332	009	0	1	01	01	H0332_009_0	9	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	125.00	3																		2					2														2		2														2	2
H0332	010	0	1	01	01	H0332_010_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	125.00	3																		2					2														2		2														2	2
H0332	011	0	1	02	01	H0332_011_0	10	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	175.00	3																		2					2														2		2														2	2
H0332	801	0	1	01	01	H0332_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0332	803	0	1	01	01	H0332_803_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0332	804	0	1	01	01	H0332_804_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0332	805	0	1	01	01	H0332_805_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0332	806	0	1	01	01	H0332_806_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0332	807	0	1	01	01	H0332_807_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0332	808	0	1	01	01	H0332_808_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0332	809	0	1	01	01	H0332_809_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0332	810	0	1	01	01	H0332_810_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0332	811	0	1	01	01	H0332_811_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0332	812	0	1	01	01	H0332_812_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0332	813	0	1	01	01	H0332_813_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0332	814	0	1	01	01	H0332_814_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0336	001	0	1	48	05	H0336_001_0	2	1	11	2	2	1	3		Eye exams for diseases (e.g., diabetes or glaucoma)	2	2	9999	6	As medically necessary.	2					2				2								2								2		2	2	1	01110	2	2	9999	6	As medically necessary.	2	2	1	2		2	2	9999	6	As medically necessary.							2																							2					2														2		2														2	2
H0342	001	0	1	04	01	H0342_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H0342	801	0	1	04	01	H0342_801_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0342	802	0	1	04	01	H0342_802_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0342	803	0	1	04	01	H0342_803_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0342	804	0	1	04	01	H0342_804_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0351	038	0	1	01	01	H0351_038_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0351	053	0	1	01	01	H0351_053_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0351	054	0	1	01	01	H0351_054_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											1	2
H0351	057	0	1	01	01	H0351_057_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0351	061	0	1	01	01	H0351_061_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0351	062	0	1	01	01	H0351_062_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0351	063	0	1	01	01	H0351_063_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0351	064	0	1	01	01	H0351_064_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											1	2
H0354	001	0	1	01	01	H0354_001_0	9	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	350.00	3																		2					2														2		2														2	2
H0354	027	0	1	01	01	H0354_027_0	9	1	01	2	2	1	3								2					2				2								1	010	0.00	15.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H0354	028	0	1	01	01	H0354_028_0	9	1	01	2	2	1	3								2					2				2								1	010	0.00	5.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	400.00	3																		2					2														2		2														2	2
H0354	029	0	1	01	01	H0354_029_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	100.00	3																		2					2														2		2														2	2
H0354	804	0	1	01	01	H0354_804_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0354	805	0	1	01	01	H0354_805_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0363	001	0	1	01	01	H0363_001_0	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	360.00	2																		2					2														2		2														2	2
H0390	001	0	1	20	08	H0390_001_0	1																																																																																																																													
H0390	002	0	1	20	08	H0390_002_0	1																																																																																																																													
H0422	001	0	1	02	01	H0422_001_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		2														2	2
H0422	003	0	1	02	01	H0422_003_0	9	1	01	2	2	1	3								2					2				2								1	010	0.00	50.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		2														2	2
H0423	001	0	1	01	01	H0423_001_0	7	2																		2				1	010	20	20					2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	450.00	3																		2					1	010000	20	20											2		2														2	1
H0423	004	0	1	01	01	H0423_004_0	6	2																		2				2								2								2		2	1	2																																														2					2														2		2														2	1
H0423	007	0	1	01	01	H0423_007_0	7	2																		2				1	010	20	20					2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	450.00	3																		2					1	010000	20	20											2		2														2	1
H0424	001	0	1	20	08	H0424_001_0	1																																																																																																																													
H0424	002	0	1	20	08	H0424_002_0	1																																																																																																																													
H0432	003	0	1	02	01	H0432_003_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0432	004	0	1	02	01	H0432_004_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0432	009	0	1	02	01	H0432_009_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0432	012	0	1	02	01	H0432_012_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0432	013	0	1	02	01	H0432_013_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0432	017	0	1	02	01	H0432_017_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0439	002	0	1	01	01	H0439_002_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H0439	003	1	1	01	01	H0439_003_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	50.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H0439	003	2	1	01	01	H0439_003_2	7	1	01	2	2	1	3								2					2				2								1	010	0.00	50.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H0439	006	0	1	01	01	H0439_006_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H0439	007	0	1	01	01	H0439_007_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H0439	008	0	1	01	01	H0439_008_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	55.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H0439	009	0	1	01	01	H0439_009_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H0439	010	0	1	01	01	H0439_010_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H0439	011	0	1	01	01	H0439_011_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H0439	012	0	1	01	01	H0439_012_0	9	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H0439	013	0	1	01	01	H0439_013_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H0439	801	0	1	01	01	H0439_801_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0440	001	0	1	20	08	H0440_001_0	1																																																																																																																													
H0440	002	0	1	20	08	H0440_002_0	1																																																																																																																													
H0473	001	0	1	04	01	H0473_001_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0473	003	0	1	04	01	H0473_003_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0473	004	0	1	04	01	H0473_004_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0473	005	0	1	04	01	H0473_005_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0473	006	0	1	04	01	H0473_006_0	5	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H0477	001	0	1	20	08	H0477_001_0	1																																																																																																																													
H0477	002	0	1	20	08	H0477_002_0	1																																																																																																																													
H0480	001	0	1	48	05	H0480_001_0	15	1	01	2	2	1	2								2									2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			2																												2														2		2														1	2
H0482	002	0	1	01	01	H0482_002_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0482	003	0	1	01	01	H0482_003_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0482	005	0	1	01	01	H0482_005_0	19	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0504	015	0	1	01	01	H0504_015_0	5	1	01	2	2	1	3								2					2				2								2								2		2	1	1	01011	2	1									2	2	1	3		2	2	1	2			1		2	2				01001	240.00	3								240.00	2					2					2														2		2														2	1
H0504	017	0	1	01	01	H0504_017_0	5	1	01	2	2	1	3								2					2				2								2								2		2	1	1	01011	2	1									2	2	1	3		2	2	1	2			1		2	2				01001	375.00	3								375.00	2					2					2														2		1	001011			20.00	20.00			20.00	20.00	20.00	20.00			2	1
H0504	021	0	1	01	01	H0504_021_0	5	1	01	2	2	1	3								2					2				2								1	010	5.00	5.00					2		2	1	1	01011	2	1									2	2	1	3		2	2	1	2			1		2	2				01001	375.00	3								375.00	2					2					2														2		1	001011			20.00	20.00			20.00	20.00	20.00	20.00			2	1
H0504	026	0	1	01	01	H0504_026_0	6	1	01	2	2	1	3								2					2				2								1	011	5.00	5.00	10.00	10.00			2		2	1	1	01011	2	1									2	2	1	3		2	2	1	2			1		2	2				01001	400.00	3								400.00	2					2					2														2		1	001011			20.00	20.00			20.00	20.00	20.00	20.00			2	1
H0504	028	0	1	01	01	H0504_028_0	5	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	1	1	01011	2	1									2	2	1	3		2	2	1	2			1		2	2				01001	200.00	3								200.00	2					2					2														2		2														2	1
H0504	038	0	1	01	01	H0504_038_0	5	1	01	2	2	1	3								2					2				2								1	001			10.00	10.00			2		2	1	1	01011	2	1									2	2	1	3		2	2	1	2			1		2	2				01001	350.00	3								350.00	2					2					2														2		1	001011			20.00	20.00			20.00	20.00	20.00	20.00			2	1
H0504	039	0	1	01	01	H0504_039_0	5	1	01	2	2	1	3								2					2				2								2								2		2	1	1	01011	2	1									2	2	1	3		2	2	1	2			1		2	2				01001	200.00	3								200.00	2					2					2														2		2														2	1
H0504	040	0	1	01	01	H0504_040_0	5	1	01	2	2	1	3								2					2				2								2								2		2	1	1	01011	2	1									2	2	1	3		2	2	1	2			1		2	2				01001	300.00	3								300.00	2					2					2														2		2														2	1
H0504	041	0	1	01	01	H0504_041_0	7	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	1	1	01011	2	1									2	2	1	3		2	2	1	2			1		2	2				01001	175.00	3								175.00	2					2					2														2		2														2	1
H0504	043	0	1	01	01	H0504_043_0	6	1	01	2	2	1	3								2					2				2								2								2		2	1	1	01011	2	1									2	2	1	3		2	2	1	2			1		2	2				01001	300.00	3								300.00	2					2					2														2		2														2	1
H0504	047	0	1	01	01	H0504_047_0	6	1	01	2	2	1	3								2					2				2								2								2		2	1	1	01011	2	1									2	2	1	3		2	2	1	2			1		2	2				01001	145.00	3								145.00	2					2					2														2		2														2	1
H0504	049	0	1	01	01	H0504_049_0	6	1	01	2	2	1	3								2					2				2								2								2		2	1	1	01011	2	1									2	2	1	3		2	2	1	2			1		2	2				01001	440.00	3								440.00	2					2					2														2		2														2	1
H0504	803	0	1	01	01	H0504_803_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0504	804	0	1	01	01	H0504_804_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0504	805	0	1	01	01	H0504_805_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0504	806	0	1	01	01	H0504_806_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0523	022	0	1	01	01	H0523_022_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0523	052	0	1	01	01	H0523_052_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0523	065	0	1	01	01	H0523_065_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0523	067	0	1	01	01	H0523_067_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0523	068	0	1	01	01	H0523_068_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0523	069	0	1	01	01	H0523_069_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0523	070	0	1	01	01	H0523_070_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0523	071	0	1	01	01	H0523_071_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0523	072	0	1	01	01	H0523_072_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0523	073	0	1	01	01	H0523_073_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	355.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0523	074	0	1	02	01	H0523_074_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0523	075	0	1	01	01	H0523_075_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	375.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0523	076	0	1	02	01	H0523_076_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0523	077	0	1	02	01	H0523_077_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0523	078	0	1	02	01	H0523_078_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0523	079	0	1	02	01	H0523_079_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0523	080	0	1	02	01	H0523_080_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0523	801	0	1	01	01	H0523_801_0	10	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0523	805	0	1	01	01	H0523_805_0	10	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0524	003	0	1	01	01	H0524_003_0	14	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	2																																														2					2														2		2														2	1
H0524	008	0	1	01	01	H0524_008_0	11	1	01	2	1										2					2				2								1	011	0.00	5.00	0.00	0.00			2		2	1	2																																														2					2														2		2														2	1
H0524	013	0	1	01	01	H0524_013_0	11	1	01	2	1										2					2				2								1	011	0.00	10.00	0.00	0.00			2		2	1	2																																														2					2														2		2														2	1
H0524	015	0	1	01	01	H0524_015_0	13	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	2																																														2					2														2		2														2	1
H0524	031	0	1	01	01	H0524_031_0	11	1	01	2	1										2					2				2								1	011	0.00	10.00	5.00	5.00			2		2	1	2																																														2					2														2		2														2	1
H0524	032	0	1	01	01	H0524_032_0	11	1	01	2	1										2					2				2								1	011	0.00	10.00	0.00	0.00			2		2	1	2																																														2					2														2		2														2	1
H0524	033	0	1	01	01	H0524_033_0	11	1	01	2	1										2					2				2								1	011	0.00	5.00	0.00	0.00			2		2	1	2																																														2					2														2		2														2	1
H0524	034	0	1	01	01	H0524_034_0	10	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	2																																														2					2														2		2														2	1
H0524	035	0	1	01	01	H0524_035_0	10	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	2																		2					2														2		2														2	1
H0524	036	0	1	01	01	H0524_036_0	11	1	01	2	1										2					2				2								1	011	0.00	5.00	0.00	0.00			2		2	1	2																																														2					2														2		2														2	1
H0524	037	0	1	01	01	H0524_037_0	11	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	2																																														2					2														2		2														2	1
H0524	038	0	1	01	01	H0524_038_0	11	1	01	2	1										2					2				2								1	011	0.00	10.00	5.00	5.00			2		2	1	2																																														2					2														2		2														2	1
H0524	039	0	1	01	01	H0524_039_0	11	1	01	2	1										2					2				2								1	011	0.00	10.00	0.00	0.00			2		2	1	2																																														2					2														2		2														2	1
H0524	040	0	1	01	01	H0524_040_0	11	1	01	2	1										2					2				2								1	011	0.00	5.00	5.00	5.00			2		2	1	2																																														2					2														2		2														2	1
H0524	041	0	1	01	01	H0524_041_0	11	1	01	2	1										2					2				2								1	011	0.00	10.00	5.00	5.00			2		2	1	2																																														2					2														2		2														2	1
H0524	042	0	1	01	01	H0524_042_0	11	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	2																																														2					2														2		2														2	1
H0524	043	0	1	01	01	H0524_043_0	11	1	01	2	1										2					2				2								1	011	0.00	5.00	0.00	0.00			2		2	1	2																																														2					2														2		2														2	1
H0524	046	0	1	01	01	H0524_046_0	11	1	01	2	1										2					2				2								1	011	0.00	15.00	5.00	5.00			2		2	1	2																																														2					2														2		2														2	1
H0524	051	0	1	01	01	H0524_051_0	11	1	01	2	1										2					2				2								1	011	0.00	15.00	10.00	10.00			2		2	1	2																																														2					2														2		2														2	1
H0524	054	0	1	01	01	H0524_054_0	11	1	01	2	1										2					2				2								1	011	0.00	10.00	5.00	5.00			2		2	1	2																																														2					2														2		2														2	1
H0524	059	0	1	01	01	H0524_059_0	11	1	01	2	1										2					2				2								1	011	0.00	15.00	5.00	5.00			2		2	1	2																																														2					2														2		2														2	1
H0524	060	0	1	01	01	H0524_060_0	11	1	01	2	1										2					2				2								1	011	0.00	15.00	10.00	10.00			2		2	1	2																																														2					2														2		2														2	1
H0524	061	0	1	01	01	H0524_061_0	11	1	01	2	1										2					2				2								1	011	0.00	15.00	5.00	5.00			2		2	1	2																																														2					2														2		2														2	1
H0524	062	0	1	01	01	H0524_062_0	11	1	01	2	1										2					2				2								1	011	0.00	15.00	10.00	10.00			2		2	1	2																																														2					2														2		2														2	1
H0524	063	0	1	01	01	H0524_063_0	11	1	01	2	1										2					2				2								1	011	0.00	15.00	5.00	5.00			2		2	1	2																																														2					2														2		2														2	1
H0524	064	0	1	01	01	H0524_064_0	11	1	01	2	1										2					2				2								1	011	0.00	20.00	10.00	10.00			2		2	1	2																																														2					2														2		2														2	1
H0524	065	0	1	01	01	H0524_065_0	11	1	01	2	1										2					2				2								1	011	0.00	25.00	10.00	10.00			2		2	1	2																																														2					2														2		2														2	1
H0524	078	0	1	01	01	H0524_078_0	10	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	2																		2					2														2		2														2	1
H0524	081	0	1	01	01	H0524_081_0	10	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	2																		2					2														2		2														2	1
H0524	082	0	1	01	01	H0524_082_0	10	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	2																		2					2														2		2														2	1
H0524	083	0	1	01	01	H0524_083_0	10	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	2																		2					2														2		2														2	1
H0524	801	0	1	01	01	H0524_801_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	1
H0524	802	0	1	01	01	H0524_802_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	1
H0524	803	0	2	01	01	H0524_803_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	1
H0524	804	0	2	01	01	H0524_804_0	1	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	1
H0524	805	0	1	01	01	H0524_805_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	1
H0524	806	0	1	01	01	H0524_806_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	1
H0524	807	0	2	01	01	H0524_807_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	1
H0524	808	0	2	01	01	H0524_808_0	1	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	1
H0524	809	0	1	01	01	H0524_809_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	1
H0524	810	0	1	01	01	H0524_810_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	1
H0524	811	0	2	01	01	H0524_811_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	1
H0524	812	0	2	01	01	H0524_812_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	1
H0542	001	0	1	20	08	H0542_001_0	3																																																																																																																													
H0542	002	0	1	20	08	H0542_002_0	3																																																																																																																													
H0543	013	0	1	02	01	H0543_013_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	019	0	1	02	01	H0543_019_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	022	0	1	02	01	H0543_022_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	028	0	1	02	01	H0543_028_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	035	0	1	02	01	H0543_035_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	036	0	1	02	01	H0543_036_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	060	0	1	02	01	H0543_060_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	086	0	1	02	01	H0543_086_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	089	0	1	02	01	H0543_089_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	121	0	1	02	01	H0543_121_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	140	0	1	02	01	H0543_140_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	2																																														2					2														2		1	010000	0.00	0.00											2	1
H0543	145	0	1	02	01	H0543_145_0	6	1	01	2	2	1	3								2					2				2								1	011	35.00	35.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	146	0	1	02	01	H0543_146_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	147	0	1	02	01	H0543_147_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	151	0	1	02	01	H0543_151_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	152	0	1	02	01	H0543_152_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	164	0	1	02	01	H0543_164_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	165	0	1	02	01	H0543_165_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	166	0	1	02	01	H0543_166_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	167	0	1	02	01	H0543_167_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	168	0	1	02	01	H0543_168_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	169	0	1	02	01	H0543_169_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	170	0	1	02	01	H0543_170_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	176	0	1	02	01	H0543_176_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	183	0	1	01	01	H0543_183_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	188	0	1	02	01	H0543_188_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	189	0	1	02	01	H0543_189_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	191	0	1	02	01	H0543_191_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	193	0	1	02	01	H0543_193_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	195	0	1	02	01	H0543_195_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	196	0	1	02	01	H0543_196_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	204	0	1	02	01	H0543_204_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	209	0	1	02	01	H0543_209_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	210	0	1	02	01	H0543_210_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	214	0	1	02	01	H0543_214_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	215	0	1	02	01	H0543_215_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	216	0	1	02	01	H0543_216_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	217	0	1	02	01	H0543_217_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	218	0	1	02	01	H0543_218_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	219	0	1	02	01	H0543_219_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	220	0	1	02	01	H0543_220_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	221	0	1	02	01	H0543_221_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	222	0	1	02	01	H0543_222_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	223	0	1	02	01	H0543_223_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	224	0	1	02	01	H0543_224_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	225	0	1	02	01	H0543_225_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	226	0	1	02	01	H0543_226_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	227	0	1	02	01	H0543_227_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	228	0	1	02	01	H0543_228_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	229	0	1	02	01	H0543_229_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	230	0	1	02	01	H0543_230_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	231	0	1	02	01	H0543_231_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	232	0	1	02	01	H0543_232_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	234	0	1	02	01	H0543_234_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	235	0	1	02	01	H0543_235_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	236	0	1	02	01	H0543_236_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	237	0	1	02	01	H0543_237_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	238	0	1	02	01	H0543_238_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	239	0	1	02	01	H0543_239_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	240	0	1	01	01	H0543_240_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	241	0	1	01	01	H0543_241_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	242	0	1	01	01	H0543_242_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	243	0	1	01	01	H0543_243_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	246	0	1	01	01	H0543_246_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	247	0	1	01	01	H0543_247_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	248	0	1	02	01	H0543_248_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	249	0	1	01	01	H0543_249_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0543	802	0	1	01	01	H0543_802_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0543	805	0	1	01	01	H0543_805_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0543	806	0	1	01	01	H0543_806_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0543	809	0	2	01	01	H0543_809_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0544	002	0	1	01	01	H0544_002_0	13	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			1	2
H0544	004	0	1	01	01	H0544_004_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			1	2
H0544	005	0	1	01	01	H0544_005_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			1	2
H0544	007	0	1	01	01	H0544_007_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			1	2
H0544	008	0	1	01	01	H0544_008_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			1	2
H0544	010	0	1	01	01	H0544_010_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			1	2
H0544	014	0	1	01	01	H0544_014_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			1	2
H0544	015	0	1	01	01	H0544_015_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			1	2
H0544	019	0	1	01	01	H0544_019_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			1	2
H0544	020	0	1	01	01	H0544_020_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			1	2
H0544	056	0	1	01	01	H0544_056_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H0544	058	0	1	01	01	H0544_058_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H0544	061	0	1	01	01	H0544_061_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	50.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H0544	062	0	1	01	01	H0544_062_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H0544	063	0	1	01	01	H0544_063_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H0544	064	0	1	01	01	H0544_064_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H0544	065	0	1	01	01	H0544_065_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H0544	066	0	1	01	01	H0544_066_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H0544	069	0	1	01	01	H0544_069_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H0544	091	0	1	01	01	H0544_091_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H0544	095	0	1	01	01	H0544_095_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H0544	096	0	1	01	01	H0544_096_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H0544	098	0	1	01	01	H0544_098_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H0544	108	0	1	01	01	H0544_108_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H0544	127	0	1	01	01	H0544_127_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H0544	805	0	1	01	01	H0544_805_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0544	806	0	1	01	01	H0544_806_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0544	808	0	2	01	01	H0544_808_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0544	809	0	2	01	01	H0544_809_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0544	810	0	1	01	01	H0544_810_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0544	812	0	2	01	01	H0544_812_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0562	009	0	1	01	01	H0562_009_0	15	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0562	012	0	1	01	01	H0562_012_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0562	039	0	1	01	01	H0562_039_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0562	079	0	1	01	01	H0562_079_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0562	092	0	1	01	01	H0562_092_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0562	097	0	1	01	01	H0562_097_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0562	125	0	1	01	01	H0562_125_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0562	126	0	1	01	01	H0562_126_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0562	128	0	1	01	01	H0562_128_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0562	130	1	1	01	01	H0562_130_1	15	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0562	130	2	1	01	01	H0562_130_2	16	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0562	801	0	1	01	01	H0562_801_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0562	803	0	1	01	01	H0562_803_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0562	804	0	1	01	01	H0562_804_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0571	001	0	1	01	01	H0571_001_0	7	1	01	2	2	1	3								2					2				2								1	011	20.00	20.00	20.00	20.00			2		1	2	1	00100						2	2	1	2													1		2	1	150.00	2																		2					2														2		2														2	1
H0571	005	0	1	01	01	H0571_005_0	6	1	01	2	2	1	3								2					2				2								2								2		1	1	1	00100						2	2	1	2													1		2	1	150.00	2																		2					2														2		2														2	2
H0571	007	0	1	01	01	H0571_007_0	7	1	01	2	2	1	3								2					2				2								1	011	35.00	35.00	35.00	35.00			2		1	1	1	00100						2	2	1	2													1		2	1	100.00	2																		2					2														2		2														2	2
H0609	007	0	1	02	01	H0609_007_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	012	0	1	02	01	H0609_012_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	018	0	1	02	01	H0609_018_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	025	0	1	02	01	H0609_025_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	026	0	1	02	01	H0609_026_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	027	0	1	02	01	H0609_027_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	028	0	1	02	01	H0609_028_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	031	0	1	02	01	H0609_031_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	032	0	1	02	01	H0609_032_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	033	0	1	02	01	H0609_033_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	034	1	1	02	01	H0609_034_1	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	034	2	1	02	01	H0609_034_2	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	036	1	1	02	01	H0609_036_1	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	036	2	1	02	01	H0609_036_2	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	037	0	1	02	01	H0609_037_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	038	0	1	02	01	H0609_038_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	040	0	1	02	01	H0609_040_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	041	0	1	02	01	H0609_041_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	042	0	1	02	01	H0609_042_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	043	0	1	02	01	H0609_043_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	044	0	1	02	01	H0609_044_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	045	0	1	02	01	H0609_045_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	046	0	1	02	01	H0609_046_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	047	0	1	02	01	H0609_047_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	048	0	1	02	01	H0609_048_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	049	0	1	02	01	H0609_049_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	050	0	1	02	01	H0609_050_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	051	0	1	02	01	H0609_051_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	052	0	1	02	01	H0609_052_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	053	0	1	02	01	H0609_053_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	054	0	1	02	01	H0609_054_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	055	0	1	02	01	H0609_055_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	056	0	1	02	01	H0609_056_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	057	0	1	02	01	H0609_057_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	058	0	1	02	01	H0609_058_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	059	0	1	02	01	H0609_059_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	060	0	1	02	01	H0609_060_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0609	061	0	1	02	01	H0609_061_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	062	0	1	02	01	H0609_062_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	063	0	1	02	01	H0609_063_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	064	0	1	02	01	H0609_064_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	065	0	1	02	01	H0609_065_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	066	0	1	02	01	H0609_066_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	067	0	1	02	01	H0609_067_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	068	0	1	02	01	H0609_068_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	070	0	1	02	01	H0609_070_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	071	0	1	02	01	H0609_071_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H0609	801	0	1	01	01	H0609_801_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0609	804	0	1	01	01	H0609_804_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0609	805	0	1	01	01	H0609_805_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0609	806	0	2	01	01	H0609_806_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0609	807	0	1	01	01	H0609_807_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0609	808	0	1	01	01	H0609_808_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0609	809	0	1	01	01	H0609_809_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0609	810	0	1	01	01	H0609_810_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0609	811	0	1	01	01	H0609_811_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0609	812	0	1	01	01	H0609_812_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0609	813	0	1	01	01	H0609_813_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0609	814	0	1	01	01	H0609_814_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0609	815	0	1	01	01	H0609_815_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0609	816	0	1	01	01	H0609_816_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0609	817	0	1	01	01	H0609_817_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0609	818	0	1	01	01	H0609_818_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0609	819	0	1	01	01	H0609_819_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0609	820	0	1	01	01	H0609_820_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0609	821	0	1	01	01	H0609_821_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0609	822	0	1	01	01	H0609_822_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0609	823	0	1	01	01	H0609_823_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0609	824	0	1	01	01	H0609_824_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0609	825	0	2	01	01	H0609_825_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0613	001	0	1	20	08	H0613_001_0	1																																																																																																																													
H0613	003	0	1	20	08	H0613_003_0	1																																																																																																																													
H0624	001	0	1	02	01	H0624_001_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0628	001	0	1	02	01	H0628_001_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0628	003	0	1	02	01	H0628_003_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0628	005	0	1	02	01	H0628_005_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	255.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0628	006	0	1	02	01	H0628_006_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	210.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0628	007	0	1	02	01	H0628_007_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0628	008	0	1	02	01	H0628_008_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	210.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0628	009	0	1	02	01	H0628_009_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	180.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0628	010	0	1	02	01	H0628_010_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0628	011	0	1	01	01	H0628_011_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	190.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0628	012	0	1	01	01	H0628_012_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	510.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0628	013	0	1	01	01	H0628_013_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	515.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0628	014	0	1	01	01	H0628_014_0	3	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0628	015	0	1	01	01	H0628_015_0	3	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	265.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0628	017	0	1	02	01	H0628_017_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0628	018	0	1	01	01	H0628_018_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H0628	801	0	1	01	01	H0628_801_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0628	802	0	1	01	01	H0628_802_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0630	013	0	1	01	01	H0630_013_0	11	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	350.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H0630	014	0	1	01	01	H0630_014_0	11	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	600.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H0630	015	0	1	02	01	H0630_015_0	11	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	250.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H0630	016	0	1	02	01	H0630_016_0	11	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	350.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H0630	017	0	1	01	01	H0630_017_0	12	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	300.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H0630	020	0	1	01	01	H0630_020_0	11	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	300.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H0630	021	0	1	02	01	H0630_021_0	11	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	350.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H0630	023	0	1	02	01	H0630_023_0	11	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	350.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H0630	024	0	1	01	01	H0630_024_0	11	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	475.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H0630	025	0	1	02	01	H0630_025_0	11	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	350.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H0630	026	0	1	02	01	H0630_026_0	10	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	250.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H0630	805	0	2	01	01	H0630_805_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0630	806	0	2	01	01	H0630_806_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0630	807	0	1	01	01	H0630_807_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0630	808	0	1	01	01	H0630_808_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0630	809	0	2	01	01	H0630_809_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0630	810	0	1	01	01	H0630_810_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0630	811	0	2	01	01	H0630_811_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0630	812	0	2	01	01	H0630_812_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0630	813	0	1	01	01	H0630_813_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0630	814	0	1	01	01	H0630_814_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0630	815	0	2	01	01	H0630_815_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0630	816	0	1	01	01	H0630_816_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0630	817	0	2	01	01	H0630_817_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0630	818	0	2	01	01	H0630_818_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0630	819	0	1	01	01	H0630_819_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0630	820	0	1	01	01	H0630_820_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0630	821	0	2	01	01	H0630_821_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0630	822	0	1	01	01	H0630_822_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0672	001	0	1	01	01	H0672_001_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H0672	003	0	1	01	01	H0672_003_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H0672	004	0	1	01	01	H0672_004_0	9	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H0672	005	0	1	01	01	H0672_005_0	9	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	350.00	3																		2					2														2		2														2	2
H0672	006	0	1	01	01	H0672_006_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H0672	007	0	1	01	01	H0672_007_0	9	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H0672	008	0	1	01	01	H0672_008_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H0672	009	0	1	01	01	H0672_009_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H0672	010	0	1	01	01	H0672_010_0	10	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	400.00	3																		2					2														2		2														2	2
H0672	011	0	1	01	01	H0672_011_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H0672	013	0	1	01	01	H0672_013_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H0672	014	0	1	01	01	H0672_014_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H0672	015	0	1	01	01	H0672_015_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	400.00	3																		2					2														2		2														2	2
H0672	016	0	1	01	01	H0672_016_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H0672	017	0	1	01	01	H0672_017_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H0672	018	0	1	01	01	H0672_018_0	8	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	400.00	3																		2					2														2		2														2	2
H0672	801	0	1	01	01	H0672_801_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0710	004	0	1	04	01	H0710_004_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	005	0	1	04	01	H0710_005_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	007	0	1	04	01	H0710_007_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	008	0	1	04	01	H0710_008_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	009	0	1	04	01	H0710_009_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	010	0	1	04	01	H0710_010_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	012	0	1	04	01	H0710_012_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	013	0	1	04	01	H0710_013_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	016	0	1	04	01	H0710_016_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	017	0	1	04	01	H0710_017_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	020	0	1	04	01	H0710_020_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	026	0	1	04	01	H0710_026_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	027	0	1	04	01	H0710_027_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	030	0	1	04	01	H0710_030_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	031	0	1	04	01	H0710_031_0	7	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	032	0	1	04	01	H0710_032_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	033	0	1	04	01	H0710_033_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	034	0	1	04	01	H0710_034_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	035	0	1	04	01	H0710_035_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	036	0	1	04	01	H0710_036_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	037	0	1	04	01	H0710_037_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	038	0	1	04	01	H0710_038_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	039	0	1	04	01	H0710_039_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	041	0	1	04	01	H0710_041_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	046	0	1	04	01	H0710_046_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	047	0	1	04	01	H0710_047_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	050	0	1	04	01	H0710_050_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	051	0	1	04	01	H0710_051_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	052	0	1	04	01	H0710_052_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	053	0	1	04	01	H0710_053_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	054	0	1	04	01	H0710_054_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	055	0	1	04	01	H0710_055_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	056	0	1	04	01	H0710_056_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	057	0	1	04	01	H0710_057_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	058	0	1	04	01	H0710_058_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	059	0	1	04	01	H0710_059_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	060	0	1	04	01	H0710_060_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	061	0	1	04	01	H0710_061_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	062	0	1	04	01	H0710_062_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	063	0	1	04	01	H0710_063_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	064	0	1	04	01	H0710_064_0	6	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	066	0	1	04	01	H0710_066_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	067	0	1	04	01	H0710_067_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	068	0	1	04	01	H0710_068_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	069	0	1	04	01	H0710_069_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	070	0	1	04	01	H0710_070_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	071	0	1	04	01	H0710_071_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0710	801	0	1	04	01	H0710_801_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	802	0	1	04	01	H0710_802_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	803	0	1	04	01	H0710_803_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	804	0	2	04	01	H0710_804_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	805	0	2	04	01	H0710_805_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	806	0	2	04	01	H0710_806_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	807	0	1	04	01	H0710_807_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	808	0	1	04	01	H0710_808_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	809	0	1	04	01	H0710_809_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	810	0	1	04	01	H0710_810_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	811	0	1	04	01	H0710_811_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	812	0	2	04	01	H0710_812_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	813	0	2	04	01	H0710_813_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	814	0	2	04	01	H0710_814_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	815	0	1	04	01	H0710_815_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	816	0	1	04	01	H0710_816_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	817	0	1	04	01	H0710_817_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	818	0	1	04	01	H0710_818_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	819	0	1	04	01	H0710_819_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	820	0	1	04	01	H0710_820_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	821	0	1	04	01	H0710_821_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	822	0	1	04	01	H0710_822_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	823	0	1	04	01	H0710_823_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	824	0	2	04	01	H0710_824_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	825	0	1	04	01	H0710_825_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	826	0	1	04	01	H0710_826_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	827	0	1	04	01	H0710_827_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	829	0	1	04	01	H0710_829_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	830	0	1	04	01	H0710_830_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0710	831	0	1	04	01	H0710_831_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0712	005	0	1	01	01	H0712_005_0	19	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0712	019	0	1	01	01	H0712_019_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0712	020	0	1	01	01	H0712_020_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0712	023	0	1	01	01	H0712_023_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0712	025	0	1	01	01	H0712_025_0	19	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0712	029	0	1	01	01	H0712_029_0	19	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0724	801	0	1	01	01	H0724_801_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0738	001	0	1	01	01	H0738_001_0	9	1	01	2	2	1	3								2					2				1	010	0	0					2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		2														2	2
H0755	030	0	1	02	01	H0755_030_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0755	031	0	1	02	01	H0755_031_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0755	032	0	1	02	01	H0755_032_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0755	033	0	1	02	01	H0755_033_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0755	037	0	1	02	01	H0755_037_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0755	038	0	1	02	01	H0755_038_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0755	044	0	1	02	01	H0755_044_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0755	045	0	1	02	01	H0755_045_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0755	810	0	1	01	01	H0755_810_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0755	811	0	1	01	01	H0755_811_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0755	812	0	1	01	01	H0755_812_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0755	813	0	1	01	01	H0755_813_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0755	814	0	1	01	01	H0755_814_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0755	815	0	1	01	01	H0755_815_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H0764	001	0	1	04	01	H0764_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H0783	002	0	1	01	01	H0783_002_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H0783	003	0	1	01	01	H0783_003_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H0783	004	0	1	01	01	H0783_004_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H0809	001	0	1	20	08	H0809_001_0	1																																																																																																																													
H0809	002	0	1	20	08	H0809_002_0	1																																																																																																																													
H0819	001	0	1	20	08	H0819_001_0	1																																																																																																																													
H0819	002	0	1	20	08	H0819_002_0	1																																																																																																																													
H0838	024	0	1	01	01	H0838_024_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														1	1
H0838	039	1	1	01	01	H0838_039_1	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														1	1
H0838	039	2	1	01	01	H0838_039_2	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														1	1
H0838	040	1	1	01	01	H0838_040_1	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														1	1
H0838	040	2	1	01	01	H0838_040_2	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														1	1
H0838	046	0	1	01	01	H0838_046_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														1	1
H0838	047	0	1	01	01	H0838_047_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														1	1
H0838	048	0	1	01	01	H0838_048_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	150.00	3																		2					2														2		2														1	1
H0838	049	0	1	01	01	H0838_049_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														1	1
H0838	050	1	1	01	01	H0838_050_1	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														1	1
H0838	050	2	1	01	01	H0838_050_2	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														1	1
H0838	051	1	1	01	01	H0838_051_1	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														1	1
H0838	051	2	1	01	01	H0838_051_2	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														1	1
H0839	001	0	1	20	08	H0839_001_0	2																																																																																																																													
H0839	002	0	1	20	08	H0839_002_0	2																																																																																																																													
H0845	001	0	1	01	01	H0845_001_0	7	2																		2				2								1	010	0.00	0.00					2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H0876	001	0	1	01	01	H0876_001_0	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11100	2	1				2	1														2	1		2	1	350.00	3																		2					2														2		2														2	2
H0885	001	0	1	04	01	H0885_001_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	150.00	3								150.00	3					2					2														2		2														2	2
H0885	002	0	1	04	01	H0885_002_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	150.00	3								150.00	3					2					2														2		2														2	2
H0885	003	0	1	04	01	H0885_003_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	150.00	3								150.00	3					2					2														2		2														2	2
H0885	004	0	1	04	01	H0885_004_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	150.00	3								150.00	3					2					2														2		2														2	2
H0885	005	0	1	04	01	H0885_005_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	150.00	3								150.00	3					2					2														2		2														2	2
H0885	006	0	1	04	01	H0885_006_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	150.00	3								150.00	3					2					2														2		2														2	2
H0885	801	0	1	04	01	H0885_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0885	802	0	1	04	01	H0885_802_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0885	805	0	1	04	01	H0885_805_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0885	806	0	1	04	01	H0885_806_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0885	807	0	1	04	01	H0885_807_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0885	808	0	1	04	01	H0885_808_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0885	809	0	1	04	01	H0885_809_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0885	810	0	1	04	01	H0885_810_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H0907	001	0	1	02	01	H0907_001_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H0907	002	0	1	02	01	H0907_002_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H0908	001	0	1	01	01	H0908_001_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0908	003	0	1	01	01	H0908_003_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0908	004	0	1	01	01	H0908_004_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0908	005	0	1	01	01	H0908_005_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0908	006	0	1	01	01	H0908_006_0	16	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0913	002	0	1	02	01	H0913_002_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0913	013	0	1	01	01	H0913_013_0	6	2																		2				1	010	20	20					1	010	0.00	0.00					2		1	2	2																																														2					2														2		1	010000	0.00	0.00											1	2
H0913	015	0	1	01	01	H0913_015_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0913	017	0	1	01	01	H0913_017_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0913	020	0	1	01	01	H0913_020_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0913	021	0	1	01	01	H0913_021_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											1	2
H0927	001	0	1	48	05	H0927_001_0	3	1	11	2	2	1	3		Eye exams for diseases (e.g., diabetes or glaucoma)	2	2	9999	6	As medically necessary.	2									2								2								2		2	2	1	11110	2	2	9999	6	As medically necessary.	2	2	1	2		2	2	9999	6	As medically necessary.						2	2																												2														2		2														2	2
H0934	001	0	1	20	08	H0934_001_0	1																																																																																																																													
H0934	002	0	1	20	08	H0934_002_0	1																																																																																																																													
H0969	001	0	1	04	01	H0969_001_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0969	003	0	1	04	01	H0969_003_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											1	2
H0969	005	0	1	04	01	H0969_005_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H0976	001	0	1	01	01	H0976_001_0	8	1	01	2	2	1	3								2					2				1	010	20	20					2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	500.00	3																		2					1	010000	20	20											2		2														1	1
H0976	002	0	1	01	01	H0976_002_0	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	500.00	3																		2					1	010000	20	20											2		2														1	1
H0978	001	0	1	01	01	H0978_001_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
H0978	002	0	1	01	01	H0978_002_0	7	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
H0978	003	0	1	01	01	H0978_003_0	7	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
H0978	004	0	1	01	01	H0978_004_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	5.00					2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	200.00	2																		2					2														2		2														1	1
H0978	005	0	1	01	01	H0978_005_0	7	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
H0978	006	0	1	01	01	H0978_006_0	7	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
H0978	007	0	1	01	01	H0978_007_0	7	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
H0978	008	0	1	01	01	H0978_008_0	7	1	01	2	2	1	3								2					2				2								1	010	5.00	5.00					2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	200.00	2																		2					2														2		2														1	1
H0978	009	0	1	01	01	H0978_009_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
H0978	010	0	1	01	01	H0978_010_0	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					1	010000	20	20											2		2														1	1
H0978	011	0	1	01	01	H0978_011_0	7	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
H0978	802	0	1	01	01	H0978_802_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0978	803	0	1	01	01	H0978_803_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H0982	002	0	1	01	01	H0982_002_0	13	1	01	2	2	1	3								2					2				2								2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														1	1
H0982	007	0	1	01	01	H0982_007_0	12	1	01	2	2	1	3								2					2				2								2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		2														1	1
H0982	008	0	1	01	01	H0982_008_0	12	1	01	2	2	1	3								2					2				2								2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		2														1	1
H0982	009	0	1	01	01	H0982_009_0	12	1	01	2	2	1	3								2					2				2								2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		2														1	1
H0982	010	0	1	01	01	H0982_010_0	13	1	01	2	2	1	3								2					2				2								2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														1	1
H0982	012	0	1	01	01	H0982_012_0	13	1	01	2	2	1	3								2					2				2								2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														1	1
H0982	013	0	1	01	01	H0982_013_0	13	1	01	2	2	1	3								2					2				2								2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														1	1
H0982	016	0	1	01	01	H0982_016_0	12	1	01	2	2	1	3								2					2				2								2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														1	1
H0982	017	0	1	01	01	H0982_017_0	12	1	01	2	2	1	3								2					2				2								2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		2														1	1
H0982	018	0	1	01	01	H0982_018_0	13	1	01	2	2	1	3								2					2				2								2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		2														1	1
H0982	019	0	1	01	01	H0982_019_0	12	1	01	2	2	1	3								2					2				2								2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		2														1	1
H0982	020	0	1	01	01	H0982_020_0	12	1	01	2	2	1	3								2					2				2								2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		2														1	1
H0982	021	0	1	01	01	H0982_021_0	12	1	01	2	2	1	3								2					2				2								2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		2														1	1
H0982	022	0	1	01	01	H0982_022_0	12	1	01	2	2	1	3								2					2				2								2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														1	1
H1016	001	0	1	01	01	H1016_001_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	0.00					2		2	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		2														2	2
H1016	021	0	1	01	01	H1016_021_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	0.00					2		2	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		2														2	2
H1016	023	0	1	01	01	H1016_023_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	0.00					2		2	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					2														2		2														2	2
H1016	024	0	1	01	01	H1016_024_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	0.00					2		2	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					2														2		2														2	2
H1016	025	0	1	02	01	H1016_025_0	9	1	01	2	2	1	3								2					2				2								1	010	0.00	0.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H1016	026	0	1	02	01	H1016_026_0	9	1	01	2	2	1	3								2					2				2								1	010	0.00	0.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H1016	029	0	1	01	01	H1016_029_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	5.00	5.00			2		2	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H1016	030	0	1	01	01	H1016_030_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	5.00	5.00			2		2	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H1016	031	0	1	01	01	H1016_031_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	0.00					2		2	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					2														2		2														2	2
H1016	032	0	1	01	01	H1016_032_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	0.00					2		2	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					2														2		2														2	2
H1016	801	0	1	01	01	H1016_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1016	802	0	1	01	01	H1016_802_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1016	803	0	1	01	01	H1016_803_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1016	804	0	1	01	01	H1016_804_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1019	001	0	1	01	01	H1019_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	006	0	1	01	01	H1019_006_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	023	0	1	01	01	H1019_023_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	600.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	026	0	1	01	01	H1019_026_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	3	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	043	0	1	01	01	H1019_043_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	057	0	1	02	01	H1019_057_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	065	0	1	01	01	H1019_065_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	069	0	1	01	01	H1019_069_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	073	0	1	01	01	H1019_073_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	3	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	076	0	1	01	01	H1019_076_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	094	0	1	01	01	H1019_094_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	180.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	098	0	1	01	01	H1019_098_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	102	0	1	01	01	H1019_102_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	103	1	1	01	01	H1019_103_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	103	2	1	01	01	H1019_103_2	5	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	3	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	104	1	1	01	01	H1019_104_1	6	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	104	2	1	01	01	H1019_104_2	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	108	0	1	01	01	H1019_108_0	13	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	109	0	1	01	01	H1019_109_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	115.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	110	0	1	02	01	H1019_110_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	113	0	1	01	01	H1019_113_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	600.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	117	0	1	01	01	H1019_117_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	118	0	1	01	01	H1019_118_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	115.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	119	0	1	01	01	H1019_119_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	120	1	1	01	01	H1019_120_1	6	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	120	2	1	01	01	H1019_120_2	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	121	0	1	01	01	H1019_121_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	122	0	1	01	01	H1019_122_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	123	0	1	01	01	H1019_123_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	124	0	1	01	01	H1019_124_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	125	0	1	01	01	H1019_125_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	130	0	1	01	01	H1019_130_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	131	0	1	01	01	H1019_131_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	3	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	132	0	1	01	01	H1019_132_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	133	0	1	01	01	H1019_133_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	134	0	1	01	01	H1019_134_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	135	0	1	01	01	H1019_135_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	136	0	1	01	01	H1019_136_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	137	0	1	01	01	H1019_137_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	138	0	1	01	01	H1019_138_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	139	0	1	01	01	H1019_139_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	140	0	1	01	01	H1019_140_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	115.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	141	0	1	02	01	H1019_141_0	11	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	142	0	1	02	01	H1019_142_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	143	0	1	02	01	H1019_143_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	144	0	1	01	01	H1019_144_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1019	145	0	1	01	01	H1019_145_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	3	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1019	146	0	1	01	01	H1019_146_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	3	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1032	124	0	1	01	01	H1032_124_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	170	0	1	01	01	H1032_170_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	175	0	1	01	01	H1032_175_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	176	0	1	01	01	H1032_176_0	8	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	189	0	1	01	01	H1032_189_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	190	0	1	01	01	H1032_190_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	191	0	1	01	01	H1032_191_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	192	0	1	01	01	H1032_192_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	193	0	1	01	01	H1032_193_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	194	0	1	01	01	H1032_194_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	195	0	1	01	01	H1032_195_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	196	0	1	01	01	H1032_196_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	198	0	1	01	01	H1032_198_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	199	0	1	01	01	H1032_199_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	200	0	1	01	01	H1032_200_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	201	0	1	01	01	H1032_201_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	202	0	1	01	01	H1032_202_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	204	0	1	01	01	H1032_204_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	205	0	1	01	01	H1032_205_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	206	0	1	01	01	H1032_206_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	209	0	1	01	01	H1032_209_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	210	0	1	01	01	H1032_210_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	211	0	1	01	01	H1032_211_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	212	0	1	01	01	H1032_212_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	213	0	1	01	01	H1032_213_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	218	0	1	01	01	H1032_218_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1032	237	0	1	01	01	H1032_237_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1035	002	0	1	02	01	H1035_002_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	15.00	15.00			2		2	2	1	00100						2	2	1	2													1		2	2				00100				90.00	2											2					2														2		1	010100	0.00	0.00			0.00	0.00							2	2
H1035	006	0	1	01	01	H1035_006_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	15.00	15.00			2		2	2	1	00100						2	2	1	2													1		2	2				00100				90.00	2											2					2														2		1	010100	0.00	0.00			0.00	0.00							2	2
H1035	011	0	1	01	01	H1035_011_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	15.00	15.00			2		2	2	1	00100						2	2	1	2													1		2	2				00100				90.00	2											2					2														2		1	010100	0.00	0.00			0.00	0.00							2	2
H1035	014	0	1	01	01	H1035_014_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	15.00	15.00			2		2	2	1	00100						2	2	1	2													1		2	2				00100				90.00	2											2					2														2		1	010100	0.00	0.00			0.00	0.00							2	2
H1035	016	0	1	01	01	H1035_016_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	2	1	00100						2	2	1	2													1		2	2				00100				180.00	2											2					2														2		1	010100	0.00	0.00			0.00	0.00							2	2
H1035	017	0	1	01	01	H1035_017_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	018	0	1	01	01	H1035_018_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	019	0	1	01	01	H1035_019_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	020	0	1	01	01	H1035_020_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	021	0	1	01	01	H1035_021_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	022	0	1	01	01	H1035_022_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	023	0	1	01	01	H1035_023_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	024	0	1	01	01	H1035_024_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	025	0	1	01	01	H1035_025_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	026	0	1	01	01	H1035_026_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	027	0	1	01	01	H1035_027_0	12	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	028	0	1	01	01	H1035_028_0	12	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	029	0	1	01	01	H1035_029_0	12	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	030	0	1	01	01	H1035_030_0	12	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	031	0	1	01	01	H1035_031_0	12	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	032	0	1	01	01	H1035_032_0	12	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	033	0	1	01	01	H1035_033_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	034	0	1	01	01	H1035_034_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	040	0	1	01	01	H1035_040_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	2	1	00100						2	2	1	2													1		2	2				00100				180.00	2											2					2														2		1	010100	0.00	0.00			0.00	0.00							2	2
H1035	043	0	1	01	01	H1035_043_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	045	0	1	01	01	H1035_045_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	046	0	1	01	01	H1035_046_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	047	0	1	01	01	H1035_047_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	048	0	1	01	01	H1035_048_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	050	0	1	01	01	H1035_050_0	12	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	052	0	1	01	01	H1035_052_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1035	801	0	1	01	01	H1035_801_0	5	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	2
H1035	802	0	1	01	01	H1035_802_0	5	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	2
H1036	025	0	1	01	01	H1036_025_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	044	0	1	01	01	H1036_044_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	054	0	1	01	01	H1036_054_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	062	0	1	01	01	H1036_062_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	065	0	1	01	01	H1036_065_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	068	0	1	01	01	H1036_068_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	074	0	1	01	01	H1036_074_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	077	0	1	01	01	H1036_077_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	102	0	1	01	01	H1036_102_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	119	0	1	01	01	H1036_119_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	121	0	1	01	01	H1036_121_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	137	0	1	02	01	H1036_137_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1036	143	0	1	01	01	H1036_143_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	146	0	1	01	01	H1036_146_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	151	0	1	01	01	H1036_151_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1036	153	0	1	01	01	H1036_153_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1036	157	0	1	01	01	H1036_157_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	160	0	1	01	01	H1036_160_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	167	0	1	01	01	H1036_167_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1036	209	0	1	01	01	H1036_209_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	210	0	1	01	01	H1036_210_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	213	0	1	01	01	H1036_213_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	600.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	214	0	1	01	01	H1036_214_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	217	0	1	01	01	H1036_217_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	219	0	1	01	01	H1036_219_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1036	222	0	1	01	01	H1036_222_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1036	226	0	1	01	01	H1036_226_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	229	0	1	01	01	H1036_229_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	50.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	230	0	1	01	01	H1036_230_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		1	2	400.00	3		2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	233	0	1	02	01	H1036_233_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1036	234	0	1	01	01	H1036_234_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1036	235	0	1	01	01	H1036_235_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1036	236	0	1	01	01	H1036_236_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1036	265	1	1	01	01	H1036_265_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	265	2	1	01	01	H1036_265_2	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	266	0	1	01	01	H1036_266_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	269	0	1	01	01	H1036_269_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	270	0	1	01	01	H1036_270_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	271	0	1	01	01	H1036_271_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	278	0	1	01	01	H1036_278_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	279	0	1	01	01	H1036_279_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	280	0	1	01	01	H1036_280_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	285	0	1	01	01	H1036_285_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	286	0	1	01	01	H1036_286_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	115.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	290	0	1	01	01	H1036_290_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	291	0	1	02	01	H1036_291_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1036	292	0	1	01	01	H1036_292_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	50.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	295	0	1	01	01	H1036_295_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	600.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	297	0	1	01	01	H1036_297_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	298	0	1	01	01	H1036_298_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	50.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	299	0	1	01	01	H1036_299_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	300	0	1	01	01	H1036_300_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	301	0	1	01	01	H1036_301_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	302	0	1	01	01	H1036_302_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	304	0	1	01	01	H1036_304_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	305	0	1	01	01	H1036_305_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	306	0	1	01	01	H1036_306_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1036	307	0	1	01	01	H1036_307_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1036	308	0	1	01	01	H1036_308_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														1	2
H1036	309	0	1	01	01	H1036_309_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1036	310	0	1	01	01	H1036_310_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	311	0	1	01	01	H1036_311_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	312	0	1	01	01	H1036_312_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	313	0	1	01	01	H1036_313_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	314	0	1	01	01	H1036_314_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	315	0	1	01	01	H1036_315_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	316	0	1	01	01	H1036_316_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	1	1	01100	2	1				2	1															1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H1036	801	0	1	01	01	H1036_801_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	806	0	1	01	01	H1036_806_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	810	0	1	01	01	H1036_810_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	811	0	1	01	01	H1036_811_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	814	0	1	01	01	H1036_814_0	6	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	815	0	1	01	01	H1036_815_0	6	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	816	0	1	01	01	H1036_816_0	6	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	817	0	1	01	01	H1036_817_0	6	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	818	0	1	01	01	H1036_818_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	819	0	1	01	01	H1036_819_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	820	0	1	01	01	H1036_820_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	821	0	1	01	01	H1036_821_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	822	0	1	01	01	H1036_822_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	823	0	1	01	01	H1036_823_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	824	0	1	01	01	H1036_824_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	825	0	1	01	01	H1036_825_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	826	0	1	01	01	H1036_826_0	7	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	827	0	1	01	01	H1036_827_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	828	0	1	01	01	H1036_828_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	829	0	1	01	01	H1036_829_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	832	0	1	01	01	H1036_832_0	6	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1036	833	0	1	01	01	H1036_833_0	6	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1043	001	0	1	20	08	H1043_001_0	2																																																																																																																													
H1043	002	0	1	20	08	H1043_002_0	2																																																																																																																													
H1045	001	0	1	01	01	H1045_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11100	2	1				2	1														2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1045	005	0	1	01	01	H1045_005_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11100	2	1				2	1														2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1045	012	0	1	01	01	H1045_012_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11100	2	1				2	1														2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1045	018	0	1	01	01	H1045_018_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11100	2	1				2	1														2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1045	025	0	1	02	01	H1045_025_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	026	0	1	02	01	H1045_026_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	028	0	1	02	01	H1045_028_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	030	0	1	02	01	H1045_030_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	031	0	1	02	01	H1045_031_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	033	0	1	02	01	H1045_033_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	034	0	1	02	01	H1045_034_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	036	0	1	02	01	H1045_036_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	037	0	1	01	01	H1045_037_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11100	2	1				2	1														2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1045	038	0	1	01	01	H1045_038_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11100	2	1				2	1														2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1045	039	0	1	02	01	H1045_039_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	2	3													1		2	1	550.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	041	0	1	02	01	H1045_041_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	042	0	1	02	01	H1045_042_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	043	0	1	02	01	H1045_043_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	045	0	1	02	01	H1045_045_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	048	1	1	02	01	H1045_048_1	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	048	2	1	02	01	H1045_048_2	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	048	3	1	02	01	H1045_048_3	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	048	4	1	02	01	H1045_048_4	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	055	0	1	02	01	H1045_055_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	056	0	1	02	01	H1045_056_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1045	801	0	1	01	01	H1045_801_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H1045	802	0	1	01	01	H1045_802_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H1045	803	0	1	01	01	H1045_803_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H1045	804	0	2	01	01	H1045_804_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H1099	001	0	1	02	01	H1099_001_0	4	1	01	2	2	1	3								2					2				2								1	011	15.00	15.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H1099	006	0	1	01	01	H1099_006_0	4	1	01	2	2	1	3								2					2				2								1	011	15.00	15.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H1099	009	0	1	01	01	H1099_009_0	2	1	01	2	2	1	3								2					2				2								1	011	15.00	15.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H1099	014	0	1	01	01	H1099_014_0	4	1	01	2	2	1	3								2					2				2								1	011	15.00	15.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H1099	016	0	1	01	01	H1099_016_0	4	1	01	2	2	1	3								2					2				2								1	011	15.00	15.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H1109	005	0	1	01	01	H1109_005_0	6	1	11	2	2	1	3		Oth Eye Exam Services	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	310.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1109	801	0	1	01	01	H1109_801_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1109	802	0	1	01	01	H1109_802_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1112	006	0	1	01	01	H1112_006_0	19	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1112	033	0	1	01	01	H1112_033_0	19	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	600.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1112	034	0	1	02	01	H1112_034_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1112	038	0	1	01	01	H1112_038_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1112	039	0	1	01	01	H1112_039_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1112	042	0	1	01	01	H1112_042_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1112	043	0	1	01	01	H1112_043_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1112	044	0	1	01	01	H1112_044_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1119	001	0	1	01	01	H1119_001_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1170	002	0	1	01	01	H1170_002_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	500.00	2																		2					1	010000	20	20											2		2														2	2
H1170	008	0	1	01	01	H1170_008_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	575.00	2																		2					2														2		1	010000	0.00	0.00											2	2
H1170	009	0	1	01	01	H1170_009_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	500.00	2																		2					1	010000	20	20											2		2														2	2
H1170	010	0	1	01	01	H1170_010_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	500.00	2																		2					1	010000	20	20											2		2														2	2
H1170	011	0	1	01	01	H1170_011_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	575.00	2																		2					2														2		1	010000	0.00	0.00											2	2
H1170	012	0	1	01	01	H1170_012_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	500.00	2																		2					1	010000	20	20											2		2														2	2
H1170	013	0	1	02	01	H1170_013_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	500.00	2																		2					1	010000	20	20											2		2														2	2
H1170	014	0	1	01	01	H1170_014_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	500.00	2																		2					1	010000	20	20											2		2														2	2
H1170	801	0	1	01	01	H1170_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1170	802	0	1	01	01	H1170_802_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1170	805	0	1	01	01	H1170_805_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1181	001	0		07	02	H1181_001_0	5																																																																																																																													
H1189	002	0	1	01	01	H1189_002_0	11	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	225.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H1189	003	0	1	01	01	H1189_003_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H1189	004	0	1	01	01	H1189_004_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H1189	005	0	1	01	01	H1189_005_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	250.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H1189	006	0	1	01	01	H1189_006_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	250.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H1189	007	0	1	01	01	H1189_007_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H1189	008	0	1	01	01	H1189_008_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	250.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H1189	009	0	1	01	01	H1189_009_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H1189	010	0	1	01	01	H1189_010_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	250.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H1206	001	0	1	02	01	H1206_001_0	5	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	175.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1206	002	0	1	02	01	H1206_002_0	5	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	175.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1206	801	0	1	01	01	H1206_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1206	802	0	1	01	01	H1206_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1215	001	0	1	01	01	H1215_001_0	19	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1215	002	0	1	01	01	H1215_002_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1215	003	0	1	01	01	H1215_003_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1224	001	0	1	01	01	H1224_001_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	500.00	2																		2					1	010000	20	20											2		2														1	2
H1225	001	0	1	01	01	H1225_001_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	250.00	3																		2					2														2		2														2	2
H1225	003	0	1	01	01	H1225_003_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					2														2		2														2	2
H1225	004	0	1	01	01	H1225_004_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	2																		2					2														2		2														2	2
H1228	001	0	1	20	08	H1228_001_0	1																																																																																																																													
H1228	002	0	1	20	08	H1228_002_0	1																																																																																																																													
H1230	001	0	1	01	01	H1230_001_0	13	1	01	2	1										2					2				2								1	011	0.00	10.00	10.00	10.00			2		1	1	2																																														2					1	010000	20	20											2		2														2	2
H1230	003	0	1	01	01	H1230_003_0	13	1	01	2	1										2					2				2								1	011	0.00	20.00	20.00	20.00			2		1	1	2																																														2					1	010000	20	20											2		2														2	2
H1230	008	0	1	01	01	H1230_008_0	13	2																		2				2								1	010	0.00	0.00					2		1	1	2																																														2					2														2		2														2	2
H1230	013	0	1	01	01	H1230_013_0	13	1	01	2	1										2					2				2								1	011	0.00	10.00	10.00	10.00			2		1	1	2																																														2					1	010000	20	20											2		2														2	2
H1230	014	0	1	01	01	H1230_014_0	13	1	01	2	1										2					2				2								1	011	0.00	15.00	15.00	15.00			2		1	1	2																																														2					1	010000	20	20											2		2														2	2
H1230	801	0	1	01	01	H1230_801_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														2	2
H1230	803	0	1	01	01	H1230_803_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														2	2
H1230	804	0	2	01	01	H1230_804_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														2	2
H1230	805	0	1	01	01	H1230_805_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														2	2
H1230	806	0	2	01	01	H1230_806_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														2	2
H1234	001	0	1	20	08	H1234_001_0	1																																																																																																																													
H1234	002	0	1	20	08	H1234_002_0	1																																																																																																																													
H1239	001	0	1	20	08	H1239_001_0	1																																																																																																																													
H1239	002	0	1	20	08	H1239_002_0	1																																																																																																																													
H1248	004	0	1	04	01	H1248_004_0	8	1	01	2	2	1	3								2					2				2								1	011	40.00	40.00	0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1248	007	0	1	04	01	H1248_007_0	7	1	01	2	2	1	3								2					2				2								1	011	50.00	50.00	0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1248	801	0	1	04	01	H1248_801_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1248	802	0	1	04	01	H1248_802_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1248	803	0	1	04	01	H1248_803_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1277	001	0	1	02	01	H1277_001_0	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H1277	002	0	1	02	01	H1277_002_0	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					1	010000	20	20											2		2														2	2
H1277	004	0	1	02	01	H1277_004_0	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H1278	001	0	1	04	01	H1278_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	003	0	1	04	01	H1278_003_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	004	0	1	04	01	H1278_004_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	005	0	1	04	01	H1278_005_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	007	0	1	04	01	H1278_007_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	009	0	1	04	01	H1278_009_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	010	0	1	04	01	H1278_010_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	013	0	1	04	01	H1278_013_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	014	0	1	04	01	H1278_014_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H1278	015	0	1	04	01	H1278_015_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	016	0	1	04	01	H1278_016_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	018	0	1	04	01	H1278_018_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	019	0	1	04	01	H1278_019_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	020	0	1	04	01	H1278_020_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	021	0	1	04	01	H1278_021_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	022	0	1	04	01	H1278_022_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	023	0	1	04	01	H1278_023_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	024	0	1	04	01	H1278_024_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	025	0	1	04	01	H1278_025_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	026	0	1	04	01	H1278_026_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	027	0	1	04	01	H1278_027_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	028	0	1	04	01	H1278_028_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	029	0	1	04	01	H1278_029_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	030	0	1	04	01	H1278_030_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	031	0	1	04	01	H1278_031_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1278	032	0	1	04	01	H1278_032_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1280	001	0	1	01	01	H1280_001_0	5	1	01	2	1										2					2				2								1	010	15.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H1280	002	0	1	01	01	H1280_002_0	5	1	01	2	1										2					2				2								1	010	15.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H1290	001	0	1	01	01	H1290_001_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H1290	002	0	1	01	01	H1290_002_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H1290	003	0	1	01	01	H1290_003_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H1290	005	0	1	01	01	H1290_005_0	11	1	01	2	2	1	3								2					2				2								1	010	5.00	5.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H1290	013	0	1	01	01	H1290_013_0	10	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H1290	014	0	1	01	01	H1290_014_0	10	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H1290	015	0	1	01	01	H1290_015_0	11	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H1290	018	0	1	01	01	H1290_018_0	10	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H1290	019	0	1	01	01	H1290_019_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H1290	020	0	1	01	01	H1290_020_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H1290	021	0	1	01	01	H1290_021_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H1290	022	0	1	01	01	H1290_022_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H1290	023	0	1	01	01	H1290_023_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H1290	024	0	1	01	01	H1290_024_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H1290	025	0	1	01	01	H1290_025_0	11	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H1290	027	0	1	01	01	H1290_027_0	11	1	01	2	2	1	3								2					2				2								1	010	5.00	5.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H1290	029	0	1	01	01	H1290_029_0	11	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H1290	031	0	1	01	01	H1290_031_0	10	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H1290	032	0	1	01	01	H1290_032_0	10	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H1290	033	0	1	01	01	H1290_033_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H1290	034	0	1	01	01	H1290_034_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H1290	035	0	1	01	01	H1290_035_0	10	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H1290	036	1	1	01	01	H1290_036_1	11	1	01	2	2	1	3								2					2				2								1	010	5.00	5.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H1290	036	2	1	01	01	H1290_036_2	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H1290	037	1	1	01	01	H1290_037_1	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														2	2
H1290	037	2	1	01	01	H1290_037_2	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														2	2
H1290	037	3	1	01	01	H1290_037_3	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H1290	037	4	1	01	01	H1290_037_4	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H1290	037	5	1	01	01	H1290_037_5	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H1290	039	0	1	01	01	H1290_039_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500	3																		2					2														2		2														2	2
H1290	041	0	1	01	01	H1290_041_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H1290	042	0	1	01	01	H1290_042_0	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	550.00	3																		2					2														2		2														2	2
H1290	043	0	1	01	01	H1290_043_0	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H1290	044	1	1	01	01	H1290_044_1	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H1290	044	2	1	01	01	H1290_044_2	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H1290	044	3	1	01	01	H1290_044_3	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H1290	045	0	1	01	01	H1290_045_0	10	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H1290	046	0	1	01	01	H1290_046_0	11	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H1290	049	0	1	01	01	H1290_049_0	10	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H1290	050	0	1	01	01	H1290_050_0	11	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H1290	051	1	1	01	01	H1290_051_1	11	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H1290	051	2	1	01	01	H1290_051_2	10	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H1290	052	0	1	01	01	H1290_052_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H1302	004	0	1	04	01	H1302_004_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	20.00	20.00			2		1	2	1	11100	2	2	1	2		2	2	1	2												2	1	1	2	2				01100	100.00	2		50.00	2											2					2														2		1	011100	0.00	0.00	0.00	35.00	35.00	35.00							1	2
H1302	802	0	1	04	01	H1302_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1302	803	0	1	04	01	H1302_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1302	804	0	1	04	01	H1302_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1304	001	0	1	04	01	H1304_001_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H1304	004	0	1	04	01	H1304_004_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	150.00	3								150.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H1304	011	1	1	04	01	H1304_011_1	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H1304	011	2	1	04	01	H1304_011_2	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H1304	012	1	1	04	01	H1304_012_1	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H1304	012	2	1	04	01	H1304_012_2	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H1304	803	0	1	04	01	H1304_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1304	804	0	1	04	01	H1304_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1304	805	0	1	04	01	H1304_805_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1304	806	0	1	04	01	H1304_806_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1310	001	0	1	20	08	H1310_001_0	1																																																																																																																													
H1310	003	0	1	20	08	H1310_003_0	1																																																																																																																													
H1312	001	0	1	20	08	H1312_001_0	1																																																																																																																													
H1312	002	0	1	20	08	H1312_002_0	1																																																																																																																													
H1339	001	0	1	01	01	H1339_001_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					2														2		2														2	2
H1347	001	0	1	04	01	H1347_001_0	3	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	01100	2	1				2	1															1	2	2	1	290.00	3																		2					2														2		2														2	2
H1347	002	0	1	04	01	H1347_002_0	3	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	01100	2	1				2	1															1	2	2	1	230.00	3																		2					2														2		2														2	2
H1347	003	0	1	04	01	H1347_003_0	3	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	01100	2	1				2	1															1	2	2	1	185.00	3																		2					2														2		2														2	2
H1350	006	0	1	01	01	H1350_006_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	20.00	20.00			2		1	2	1	11100	2	2	1	2		2	2	1	2												2	1		2	2				01100	100.00	2		50.00	2											2					2														2		1	011100	0.00	0.00	0.00	35.00	35.00	35.00							1	2
H1350	023	1	1	01	01	H1350_023_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	20.00	20.00			2		1	2	1	11100	2	2	1	2		2	2	1	2												2	1		2	2				01100	100.00	2		50.00	2											2					2														2		1	011100	0.00	0.00	0.00	35.00	35.00	35.00							1	2
H1350	023	2	1	01	01	H1350_023_2	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	20.00	20.00			2		1	2	1	11100	2	2	1	2		2	2	1	2												2	1		2	2				01100	100.00	2		50.00	2											2					2														2		1	011100	0.00	0.00	0.00	35.00	35.00	35.00							1	2
H1350	024	1	1	01	01	H1350_024_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	20.00	20.00			2		1	2	1	11100	2	2	1	2		2	2	1	2												2	1		2	2				01100	100.00	2		50.00	2											2					2														2		1	011100	0.00	0.00	0.00	35.00	35.00	35.00							1	2
H1350	024	2	1	01	01	H1350_024_2	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	20.00	20.00			2		1	2	1	11100	2	2	1	2		2	2	1	2												2	1		2	2				01100	100.00	2		50.00	2											2					2														2		1	011100	0.00	0.00	0.00	35.00	35.00	35.00							1	2
H1350	024	3	1	01	01	H1350_024_3	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	20.00	20.00			2		1	2	1	11100	2	2	1	2		2	2	1	2												2	1		2	2				01100	100.00	2		50.00	2											2					2														2		1	011100	0.00	0.00	0.00	35.00	35.00	35.00							1	2
H1350	026	0	1	01	01	H1350_026_0	4	2		3																2				2								1	010	0.00	0.00					2		1	2	2																																														2					2														2		1	010000	0.00	0.00											1	2
H1350	028	0	1	01	01	H1350_028_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	20.00	20.00			2		1	2	1	11100	2	2	1	2		2	2	1	2												2	1		2	2				01100	100.00	2		50.00	2											2					2														2		1	011100	0.00	0.00	0.00	35.00	35.00	35.00							1	2
H1350	029	0	1	01	01	H1350_029_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	20.00	20.00			2		1	2	1	11100	2	2	1	2		2	2	1	2												2	1		2	2				01100	100.00	2		50.00	2											2					2														2		1	011100	0.00	0.00	0.00	35.00	35.00	35.00							1	2
H1350	030	0	1	01	01	H1350_030_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	20.00	20.00			2		1	2	1	11100	2	2	1	2		2	2	1	2												2	1		2	2				01100	100.00	2		50.00	2											2					2														2		1	011100	0.00	0.00	0.00	35.00	35.00	35.00							1	2
H1350	031	1	1	01	01	H1350_031_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	20.00	20.00			2		1	2	1	11100	2	2	1	2		2	2	1	2												2	1		2	2				01100	100.00	2		50.00	2											2					2														2		1	011100	0.00	0.00	0.00	35.00	35.00	35.00							1	2
H1350	031	2	1	01	01	H1350_031_2	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	20.00	20.00			2		1	2	1	11100	2	2	1	2		2	2	1	2												2	1		2	2				01100	100.00	2		50.00	2											2					2														2		1	011100	0.00	0.00	0.00	35.00	35.00	35.00							1	2
H1350	031	3	1	01	01	H1350_031_3	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	20.00	20.00			2		1	2	1	11100	2	2	1	2		2	2	1	2												2	1		2	2				01100	100.00	2		50.00	2											2					2														2		1	011100	0.00	0.00	0.00	35.00	35.00	35.00							1	2
H1350	803	0	1	01	01	H1350_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1350	804	0	1	01	01	H1350_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1350	805	0	1	01	01	H1350_805_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1350	806	0	1	02	01	H1350_806_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1350	807	0	1	02	01	H1350_807_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1352	004	0	1	01	01	H1352_004_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1352	801	0	1	01	01	H1352_801_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H1352	803	0	1	01	01	H1352_803_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H1352	804	0	1	01	01	H1352_804_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H1352	805	0	1	02	01	H1352_805_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H1353	002	0	1	01	01	H1353_002_0	20	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1353	004	0	1	01	01	H1353_004_0	20	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1353	005	0	1	01	01	H1353_005_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1353	006	0	1	01	01	H1353_006_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1353	007	0	1	01	01	H1353_007_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1357	001	0	1	20	08	H1357_001_0	1																																																																																																																													
H1357	002	0	1	20	08	H1357_002_0	1																																																																																																																													
H1360	001	0	1	02	01	H1360_001_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H1365	001	0	1	04	01	H1365_001_0	6	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H1365	004	2	1	04	01	H1365_004_2	6	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H1365	004	3	1	04	01	H1365_004_3	6	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H1365	802	0	1	04	01	H1365_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1365	803	0	1	04	01	H1365_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1372	001	0	1	01	01	H1372_001_0	4	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					2														2		2														2	2
H1372	002	0	1	01	01	H1372_002_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					2														2		2														2	2
H1372	003	0	1	01	01	H1372_003_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					2														2		2														2	2
H1395	001	0	1	04	01	H1395_001_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1395	002	0	1	04	01	H1395_002_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1395	003	0	1	04	01	H1395_003_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	009	0	1	02	01	H1416_009_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	023	0	1	01	01	H1416_023_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	026	0	1	02	01	H1416_026_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	033	0	1	02	01	H1416_033_0	19	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	034	0	1	01	01	H1416_034_0	19	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	035	0	1	01	01	H1416_035_0	19	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	036	0	1	01	01	H1416_036_0	20	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	600.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	041	0	1	01	01	H1416_041_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	042	0	1	01	01	H1416_042_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	043	0	1	02	01	H1416_043_0	19	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	044	0	1	01	01	H1416_044_0	19	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	055	0	1	01	01	H1416_055_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	056	0	1	01	01	H1416_056_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	057	0	1	01	01	H1416_057_0	22	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	058	0	1	02	01	H1416_058_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	059	0	1	02	01	H1416_059_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	060	0	1	02	01	H1416_060_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	061	0	1	02	01	H1416_061_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	064	0	1	01	01	H1416_064_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	065	0	1	01	01	H1416_065_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	068	0	1	01	01	H1416_068_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	070	0	1	01	01	H1416_070_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	071	0	1	01	01	H1416_071_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	072	0	1	01	01	H1416_072_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	077	0	1	02	01	H1416_077_0	20	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	079	0	1	01	01	H1416_079_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	081	0	1	01	01	H1416_081_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1416	082	0	1	02	01	H1416_082_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1423	001	0	1	01	01	H1423_001_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	175.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H1423	002	0	1	01	01	H1423_002_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	175.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H1423	004	0	1	01	01	H1423_004_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	175.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H1423	005	0	1	01	01	H1423_005_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	175.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H1423	007	0	1	01	01	H1423_007_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H1423	008	0	1	01	01	H1423_008_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
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H1426	002	0	1	01	01	H1426_002_0	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														2	2
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H1463	008	0	1	01	01	H1463_008_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		1	010000	25.00	25.00											2	2
H1463	015	0	1	02	01	H1463_015_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	010000	25.00	25.00											2	2
H1463	019	0	1	02	01	H1463_019_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	010000	25.00	25.00											2	2
H1463	041	0	1	01	01	H1463_041_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
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H1463	812	0	1	02	01	H1463_812_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1463	813	0	1	02	01	H1463_813_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
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H1468	007	0	1	01	01	H1468_007_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
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H1537	841	0	1	04	01	H1537_841_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H1537	842	0	1	04	01	H1537_842_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H1537	843	0	1	04	01	H1537_843_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H1544	001	0	1	20	08	H1544_001_0	1																																																																																																																													
H1544	002	0	1	20	08	H1544_002_0	1																																																																																																																													
H1587	001	0	1	02	01	H1587_001_0	9	1	01	2	1										1		300.00	3		2				1	011	20	20	20	20			2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					1	111111	20	20	20	20	20	20	20	20	20	20	20	20	2		2														2	2
H1587	003	0	1	02	01	H1587_003_0	11	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1607	012	0	1	04	01	H1607_012_0	9	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H1607	015	0	1	04	01	H1607_015_0	13	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1	2	2	1	275.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H1607	809	0	1	04	01	H1607_809_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1607	811	0	1	04	01	H1607_811_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1607	812	0	1	04	01	H1607_812_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1607	813	0	1	04	01	H1607_813_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1607	815	0	1	04	01	H1607_815_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1607	816	0	1	04	01	H1607_816_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1607	817	0	2	04	01	H1607_817_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1607	819	0	2	04	01	H1607_819_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1607	820	0	2	04	01	H1607_820_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1607	821	0	1	04	01	H1607_821_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1607	822	0	1	04	01	H1607_822_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1607	823	0	2	04	01	H1607_823_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1607	824	0	2	04	01	H1607_824_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1608	001	0	1	04	01	H1608_001_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	260.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	012	0	1	04	01	H1608_012_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	220.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	013	0	1	04	01	H1608_013_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	016	0	1	04	01	H1608_016_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	017	0	1	04	01	H1608_017_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	320.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	018	0	1	04	01	H1608_018_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	021	0	1	04	01	H1608_021_0	5	1	11	2	2	1	3		Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	375.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	024	0	1	04	01	H1608_024_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	026	0	1	04	01	H1608_026_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	027	0	1	04	01	H1608_027_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	028	0	1	04	01	H1608_028_0	5	1	11	2	2	1	3		Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	029	0	1	04	01	H1608_029_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	210.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	031	0	1	04	01	H1608_031_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	185.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	037	0	1	04	01	H1608_037_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	370.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	038	0	1	04	01	H1608_038_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	360.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	040	0	1	04	01	H1608_040_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	165.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	041	0	1	04	01	H1608_041_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	165.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	043	0	1	04	01	H1608_043_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	305.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	048	0	1	04	01	H1608_048_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	050	0	1	04	01	H1608_050_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	280.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	051	0	1	04	01	H1608_051_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	052	0	1	04	01	H1608_052_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	345.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	054	0	1	04	01	H1608_054_0	5	1	11	2	2	1	3		Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	061	0	1	04	01	H1608_061_0	4	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	062	0	1	04	01	H1608_062_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	450.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	064	0	1	04	01	H1608_064_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	065	0	1	04	01	H1608_065_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	260.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	067	0	1	04	01	H1608_067_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	360.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	068	0	1	04	01	H1608_068_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	425.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	070	0	1	04	01	H1608_070_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	071	0	1	04	01	H1608_071_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	072	0	1	04	01	H1608_072_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	073	0	1	04	01	H1608_073_0	5	1	11	2	2	1	3		Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	385.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	074	0	1	04	01	H1608_074_0	3	1	11	2	2	1	3		Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	075	0	1	04	01	H1608_075_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	076	0	1	04	01	H1608_076_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	077	0	1	04	01	H1608_077_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	360.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	078	0	1	04	01	H1608_078_0	5	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	385.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	079	0	1	04	01	H1608_079_0	5	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1608	801	0	1	04	01	H1608_801_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1608	802	0	1	04	01	H1608_802_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1609	001	0	1	02	01	H1609_001_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	380.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1609	016	0	1	01	01	H1609_016_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	2	3												2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	017	0	1	01	01	H1609_017_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	018	0	1	01	01	H1609_018_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	019	0	1	01	01	H1609_019_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	020	0	1	01	01	H1609_020_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	021	0	1	01	01	H1609_021_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	10.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	022	0	1	01	01	H1609_022_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	5.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	025	0	1	01	01	H1609_025_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	026	0	1	01	01	H1609_026_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	027	0	1	01	01	H1609_027_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	10.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	028	0	1	02	01	H1609_028_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	2	3												2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	034	0	1	01	01	H1609_034_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	2	3												2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	035	0	1	01	01	H1609_035_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	038	0	1	01	01	H1609_038_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	2	3												2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	041	0	1	01	01	H1609_041_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	20.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	2	3												2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	042	0	1	01	01	H1609_042_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	10.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	043	0	1	01	01	H1609_043_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	044	0	1	01	01	H1609_044_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	045	0	1	01	01	H1609_045_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	046	0	1	01	01	H1609_046_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	047	0	1	01	01	H1609_047_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	048	0	1	01	01	H1609_048_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	049	0	1	01	01	H1609_049_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	052	0	1	01	01	H1609_052_0	3	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	2	3												2	1		2	1	200.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	053	0	1	01	01	H1609_053_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	2	3												2	1		2	1	200.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	055	0	1	01	01	H1609_055_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	056	0	1	01	01	H1609_056_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	058	0	1	02	01	H1609_058_0	3	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1609	059	0	1	01	01	H1609_059_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	10.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	2	3												2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	060	0	1	01	01	H1609_060_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	2	3												2	1		2	1	200.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	061	0	1	01	01	H1609_061_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	062	0	1	01	01	H1609_062_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	063	0	1	01	01	H1609_063_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	2	3												2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	064	0	1	01	01	H1609_064_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	065	0	1	01	01	H1609_065_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	066	0	1	01	01	H1609_066_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	067	0	1	01	01	H1609_067_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	5.00	0.00	0.00	0.00	0.00	2		2	2	1	11100	2	1				2	2	3	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H1609	068	0	1	02	01	H1609_068_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1609	069	0	1	02	01	H1609_069_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	370.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1609	801	0	1	01	01	H1609_801_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1609	807	0	1	01	01	H1609_807_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1610	001	0	1	01	01	H1610_001_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exam	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1610	002	0	1	01	01	H1610_002_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	475.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1610	003	0	1	01	01	H1610_003_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1619	001	0	1	04	01	H1619_001_0	10	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		2														2	2
H1619	002	0	1	04	01	H1619_002_0	11	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H1622	001	0	1	20	08	H1622_001_0	1																																																																																																																													
H1622	003	0	1	20	08	H1622_003_0	1																																																																																																																													
H1644	001	0	1	01	01	H1644_001_0	4	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	2																		2					2														2		2														2	2
H1651	001	0	1	18	06	H1651_001_0	3	1	01	2	2	1	3								2					2				2								2								2		2	2	2																																														2					2														2		2														2	2
H1651	002	0	1	18	06	H1651_002_0	3	2																		2				2								2								2		2	2	2																																														2					2														2		2														2	2
H1651	003	0	1	18	06	H1651_003_0	3	1	01	2	2	1	3								2					2				2								2								2		2	2	2																																														2					2														2		2														2	2
H1651	004	0	1	18	06	H1651_004_0	3	1	01	2	2	1	3								2					2				2								2								2		2	2	2																																														2					2														2		2														2	2
H1651	005	0	1	18	06	H1651_005_0	3	1	01	2	2	1	3								2					2				2								2								2		2	2	2																																														2					2														2		2														2	2
H1651	008	0	1	18	06	H1651_008_0	3	1	01	2	2	1	3								2					2				2								2								2		2	2	2																																														2					2														2		2														2	2
H1651	009	0	1	18	06	H1651_009_0	3	1	01	2	2	1	3								2					2				2								2								2		2	2	2																																														2					2														2		2														2	2
H1651	011	0	1	18	06	H1651_011_0	3	1	01	2	2	1	3								2					2				2								2								2		2	2	2																																														2					2														2		2														2	2
H1651	013	0	1	18	06	H1651_013_0	3	1	01	2	2	1	3								2					2				2								2								2		2	2	2																																														2					2														2		2														2	2
H1651	015	0	1	18	06	H1651_015_0	3	1	01	2	2	1	3								2					2				2								2								2		2	2	2																																														2					2														2		2														2	2
H1651	016	0	1	18	06	H1651_016_0	3	1	01	2	2	1	3								2					2				2								2								2		2	2	2																																														2					2														2		2														2	2
H1651	017	0	1	18	06	H1651_017_0	3	1	01	2	2	1	3								2					2				2								2								2		2	2	2																																														2					2														2		2														2	2
H1651	025	0	1	18	06	H1651_025_0	3	1	01	2	2	1	3								2					2				2								2								2		2	2	2																																														2					2														2		2														2	2
H1659	002	0	1	04	01	H1659_002_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1659	003	0	1	04	01	H1659_003_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1664	001	0	1	01	01	H1664_001_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1664	004	0	1	01	01	H1664_004_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1664	005	0	1	01	01	H1664_005_0	19	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1664	006	0	1	01	01	H1664_006_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1664	007	0	1	01	01	H1664_007_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1666	003	0	1	04	01	H1666_003_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	40.00	40.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H1666	006	0	1	04	01	H1666_006_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	1				2	1					1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H1666	008	0	1	04	01	H1666_008_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	1				2	1					1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H1666	012	0	1	04	01	H1666_012_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H1666	013	0	1	04	01	H1666_013_0	5	1	01	2	2	1	3								2					2				1	011	0	0	0	0			2								2		2	2	2																																														2					1	010000	0	0											2		2														2	2
H1666	014	0	1	04	01	H1666_014_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H1666	015	0	1	04	01	H1666_015_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H1666	016	0	1	04	01	H1666_016_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H1666	018	0	1	04	01	H1666_018_0	5	1	01	2	2	1	3								2					2				1	011	0	0	0	0			2								2		2	2	2																																														2					1	010000	0	0											2		2														2	2
H1666	801	0	1	04	01	H1666_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1666	803	0	1	04	01	H1666_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1666	805	0	1	04	01	H1666_805_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1666	807	0	1	04	01	H1666_807_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1666	808	0	1	04	01	H1666_808_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1692	002	0	1	02	01	H1692_002_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1692	003	0	1	02	01	H1692_003_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	285.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1692	005	0	1	01	01	H1692_005_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1692	006	0	1	02	01	H1692_006_0	3	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1692	007	0	1	02	01	H1692_007_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H1692	801	0	1	01	01	H1692_801_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1692	802	0	1	01	01	H1692_802_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1693	002	0	1	20	08	H1693_002_0	1																																																																																																																													
H1693	003	0	1	20	08	H1693_003_0	1																																																																																																																													
H1714	001	0	1	20	08	H1714_001_0	2																																																																																																																													
H1714	002	0	1	20	08	H1714_002_0	2																																																																																																																													
H1722	002	0	1	01	01	H1722_002_0	12	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	300.00	2																		2					2														2		2														1	2
H1723	001	0	1	48	05	H1723_001_0	13	2																		2				2								2								2		2	2	2																																														2					2														2		2														2	2
H1732	001	0	1	01	01	H1732_001_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	350.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H1732	003	0	1	01	01	H1732_003_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H1737	001	0	1	01	01	H1737_001_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H1737	801	0	1	01	01	H1737_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1737	802	0	1	01	01	H1737_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1737	803	0	1	01	01	H1737_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1742	001	0	1	20	08	H1742_001_0	1																																																																																																																													
H1742	002	0	1	20	08	H1742_002_0	1																																																																																																																													
H1748	001	0	1	01	01	H1748_001_0	10	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														2	2
H1748	003	0	1	01	01	H1748_003_0	10	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														2	2
H1748	004	0	1	01	01	H1748_004_0	10	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														2	2
H1748	005	0	1	01	01	H1748_005_0	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	500.00	3																		2					2														2		2														2	2
H1748	010	0	1	01	01	H1748_010_0	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															2																							2					2														2		1	010000	40.00	40.00											2	2
H1774	001	0	1	04	01	H1774_001_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1787	001	0	1	01	01	H1787_001_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	2				01100	100.00	3		300.00	3											2					2														2		2														2	2
H1787	002	0	1	01	01	H1787_002_0	9	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	2				01100	100.00	3		275.00	3											2					2														2		2														2	2
H1799	001	0	1	01	01	H1799_001_0	6	2																		2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	2																		2					1	010000	20	20											2		2														2	2
H1799	002	0	1	01	01	H1799_002_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	2																		2					1	010000	20	20											2		2														2	2
H1822	001	0	1	01	01	H1822_001_0	7	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					1	010000	20	20											2		2														1	1
H1822	002	0	1	01	01	H1822_002_0	7	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					1	010000	20	20											2		2														1	1
H1822	003	0	1	01	01	H1822_003_0	10	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					1	010000	20	20											2		2														1	1
H1822	004	0	1	01	01	H1822_004_0	6	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					1	010000	20	20											2		2														1	1
H1822	005	0	1	02	01	H1822_005_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														2	2
H1822	006	0	1	01	01	H1822_006_0	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					1	010000	20	20											2		2														1	1
H1822	801	0	1	01	01	H1822_801_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1822	802	0	1	01	01	H1822_802_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1846	004	0	1	04	01	H1846_004_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H1846	005	0	1	04	01	H1846_005_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H1846	006	0	1	04	01	H1846_006_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H1846	007	0	1	04	01	H1846_007_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H1846	801	0	1	04	01	H1846_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1846	803	0	1	04	01	H1846_803_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1846	804	0	1	04	01	H1846_804_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1846	805	0	1	04	01	H1846_805_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1848	001	0	1	04	01	H1848_001_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1848	002	0	1	04	01	H1848_002_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1848	003	0	1	04	01	H1848_003_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1862	001	0	1	01	01	H1862_001_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1889	002	1	1	04	01	H1889_002_1	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	2	3													1	2	2	1	550.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1889	002	2	1	04	01	H1889_002_2	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	2	3													1	2	2	1	550.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1889	005	0	1	04	01	H1889_005_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	400.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H1889	006	0	1	04	01	H1889_006_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	400.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H1889	007	0	1	04	01	H1889_007_0	13	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1889	008	0	1	04	01	H1889_008_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	300.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H1889	009	0	1	04	01	H1889_009_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1889	010	0	1	04	01	H1889_010_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1889	011	0	1	04	01	H1889_011_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1889	012	0	1	04	01	H1889_012_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1889	013	0	1	04	01	H1889_013_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1889	014	0	1	04	01	H1889_014_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1889	015	0	1	04	01	H1889_015_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1889	016	0	1	04	01	H1889_016_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1889	017	0	1	04	01	H1889_017_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1889	018	0	1	04	01	H1889_018_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1889	019	0	1	04	01	H1889_019_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1889	020	0	1	04	01	H1889_020_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1889	021	0	1	04	01	H1889_021_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1889	022	0	1	04	01	H1889_022_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1889	023	0	1	04	01	H1889_023_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1894	002	0	1	01	01	H1894_002_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	350.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H1894	008	0	1	01	01	H1894_008_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H1904	001	0	1	20	08	H1904_001_0	1																																																																																																																													
H1904	002	0	1	20	08	H1904_002_0	1																																																																																																																													
H1914	001	0	1	04	01	H1914_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1914	002	0	1	04	01	H1914_002_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1914	006	0	1	04	01	H1914_006_0	19	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H1917	001	0	1	20	08	H1917_001_0	1																																																																																																																													
H1917	002	0	1	20	08	H1917_002_0	1																																																																																																																													
H1944	001	0	1	02	01	H1944_001_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1944	004	0	1	02	01	H1944_004_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1944	005	0	1	02	01	H1944_005_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1944	006	0	1	02	01	H1944_006_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1944	009	0	1	02	01	H1944_009_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1944	010	0	1	02	01	H1944_010_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1944	011	0	1	02	01	H1944_011_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1944	014	0	1	02	01	H1944_014_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1944	015	0	1	02	01	H1944_015_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1944	016	0	1	02	01	H1944_016_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1944	017	0	1	02	01	H1944_017_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1		2	1	200.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1944	018	0	1	02	01	H1944_018_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H1944	024	0	1	02	01	H1944_024_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1944	030	0	1	02	01	H1944_030_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1944	031	0	1	02	01	H1944_031_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1		2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1944	032	0	1	02	01	H1944_032_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1		2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1944	033	0	1	02	01	H1944_033_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1944	034	0	1	02	01	H1944_034_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1944	035	0	1	02	01	H1944_035_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1944	805	0	1	01	01	H1944_805_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H1944	806	0	1	01	01	H1944_806_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H1944	807	0	1	01	01	H1944_807_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H1947	001	0	1	01	01	H1947_001_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H1947	003	0	1	01	01	H1947_003_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H1951	013	0	1	01	01	H1951_013_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	024	0	1	01	01	H1951_024_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	028	0	1	01	01	H1951_028_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	032	0	1	01	01	H1951_032_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	038	0	1	01	01	H1951_038_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	039	0	1	01	01	H1951_039_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	041	0	1	01	01	H1951_041_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	044	0	1	01	01	H1951_044_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	047	1	1	01	01	H1951_047_1	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	047	2	1	01	01	H1951_047_2	7	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	048	1	1	01	01	H1951_048_1	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	048	2	1	01	01	H1951_048_2	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	049	1	1	01	01	H1951_049_1	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	049	2	1	01	01	H1951_049_2	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	049	3	1	01	01	H1951_049_3	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	051	0	1	01	01	H1951_051_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	550.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	052	0	1	01	01	H1951_052_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	053	0	1	01	01	H1951_053_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	054	0	1	01	01	H1951_054_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	055	0	1	01	01	H1951_055_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	056	0	1	01	01	H1951_056_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	057	0	1	01	01	H1951_057_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H1951	801	0	1	01	01	H1951_801_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1951	804	0	1	01	01	H1951_804_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1951	807	0	1	01	01	H1951_807_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1951	808	0	1	01	01	H1951_808_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H1961	003	0	1	02	01	H1961_003_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1961	014	1	1	02	01	H1961_014_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1961	014	2	1	02	01	H1961_014_2	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1961	014	3	1	02	01	H1961_014_3	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1961	014	4	1	02	01	H1961_014_4	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1961	017	0	1	02	01	H1961_017_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1961	019	0	1	02	01	H1961_019_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1961	020	0	1	02	01	H1961_020_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H1961	801	0	1	02	01	H1961_801_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H1961	802	0	1	02	01	H1961_802_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H1961	803	0	1	01	01	H1961_803_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H1961	804	0	1	01	01	H1961_804_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H1969	002	0	1	01	01	H1969_002_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H1969	006	0	1	01	01	H1969_006_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H1969	007	3	1	01	01	H1969_007_3	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H1969	007	4	1	01	01	H1969_007_4	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H1977	001	0	1	48	05	H1977_001_0	4	1	01	2	2	1	2								2									2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			2																												2														2		2														1	2
H1980	001	0	1	20	08	H1980_001_0	1																																																																																																																													
H1980	002	0	1	20	08	H1980_002_0	1																																																																																																																													
H1993	001	0	1	01	01	H1993_001_0	10	1	01	2	2	1	3								2					2				2								1	001			0.00	0.00			2		1	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	125.00	2																		2					2														2		2														2	2
H1993	007	0	1	01	01	H1993_007_0	12	1	01	2	2	1	3								2					2				2								2								2		1	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	2																		2					2														2		2														2	2
H1993	008	0	1	01	01	H1993_008_0	11	1	01	2	2	1	3								2					2				2								2								2		1	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	2																		2					2														2		2														2	2
H1993	010	0	1	01	01	H1993_010_0	13	1	01	2	2	1	3								2					2				2								2								2		1	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	2																		2					2														2		2														2	2
H1994	001	0	1	01	01	H1994_001_0	11	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								1	010	20.00	20.00					2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H1994	002	0	1	01	01	H1994_002_0	13	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								1	010	40.00	40.00					2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H1994	003	0	1	01	01	H1994_003_0	7	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								1	010	20.00	20.00					2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H1994	004	0	1	01	01	H1994_004_0	7	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								1	010	20.00	20.00					2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H1994	007	0	1	01	01	H1994_007_0	12	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								1	010	20.00	20.00					2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H1994	008	0	1	01	01	H1994_008_0	10	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								1	010	10.00	10.00					2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	300.00	3																		2					2														2		2														2	2
H1994	012	0	1	01	01	H1994_012_0	8	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								2								2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	300.00	3																		2					2														2		2														2	2
H1994	013	0	1	01	01	H1994_013_0	7	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								1	010	50.00	50.00					2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H1994	014	0	1	01	01	H1994_014_0	7	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								1	010	50.00	50.00					2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H1994	015	0	1	01	01	H1994_015_0	9	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								2								2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	300.00	3																		2					2														2		2														2	2
H1994	016	0	1	01	01	H1994_016_0	7	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								1	010	40.00	40.00					2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H1994	017	0	1	01	01	H1994_017_0	8	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								1	010	20.00	20.00					2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H1994	021	0	1	01	01	H1994_021_0	7	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								2								2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	300.00	3																		2					2														2		2														2	2
H1994	022	0	1	01	01	H1994_022_0	8	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								1	010	20.00	20.00					2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H1994	023	0	1	01	01	H1994_023_0	7	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								1	010	20.00	20.00					2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H1994	024	0	1	01	01	H1994_024_0	7	1	11	2	1				Determination of Refraction	2	1				2					2				2								1	010	20.00	20.00					2		2	2	1	11100	2	1				2	1														2	2																							2					2														2		2														2	2
H1994	025	0	1	01	01	H1994_025_0	7	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								1	010	30.00	30.00					2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H1994	027	0	1	01	01	H1994_027_0	7	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								1	010	25.00	25.00					2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	250.00	3																		2					2														2		2														2	2
H1994	028	0	1	01	01	H1994_028_0	7	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								2								2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	400.00	3																		2					2														2		2														2	2
H1994	029	0	1	01	01	H1994_029_0	7	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								1	010	35.00	35.00					2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H1994	030	0	1	01	01	H1994_030_0	8	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								1	010	25.00	25.00					2		2	2	1	11100	2	1				2	2	1	3												2	1		2	1	250.00	3																		2					2														2		2														2	2
H1994	031	0	1	01	01	H1994_031_0	8	1	11	2	1				Determination of Refraction	2	1				2					2				2								1	010	25.00	25.00					2		2	2	1	11100	2	1				2	1														2	2																							2					2														2		2														2	2
H1994	801	0	1	01	01	H1994_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1994	802	0	1	01	01	H1994_802_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1994	803	0	1	01	01	H1994_803_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H1997	002	0	1	01	01	H1997_002_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H1997	008	0	1	01	01	H1997_008_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H1997	012	1	1	01	01	H1997_012_1	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H1997	012	2	1	01	01	H1997_012_2	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H2001	001	0	1	04	01	H2001_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2001	010	0	1	04	01	H2001_010_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2001	017	0	1	04	01	H2001_017_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2001	018	0	1	04	01	H2001_018_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2001	019	0	1	04	01	H2001_019_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2001	021	0	1	04	01	H2001_021_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2001	023	0	1	04	01	H2001_023_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2001	816	0	1	04	01	H2001_816_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	817	0	1	04	01	H2001_817_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	818	0	1	04	01	H2001_818_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	819	0	2	04	01	H2001_819_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	820	0	2	04	01	H2001_820_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	821	0	2	04	01	H2001_821_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	822	0	1	04	01	H2001_822_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	823	0	1	04	01	H2001_823_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	824	0	1	04	01	H2001_824_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	825	0	1	04	01	H2001_825_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	826	0	1	04	01	H2001_826_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	827	0	1	04	01	H2001_827_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	828	0	1	04	01	H2001_828_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	829	0	1	04	01	H2001_829_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	830	0	1	04	01	H2001_830_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	831	0	1	04	01	H2001_831_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	832	0	2	04	01	H2001_832_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	833	0	2	04	01	H2001_833_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	834	0	2	04	01	H2001_834_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	835	0	1	04	01	H2001_835_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	836	0	1	04	01	H2001_836_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	837	0	1	04	01	H2001_837_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	838	0	1	04	01	H2001_838_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	839	0	2	04	01	H2001_839_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	840	0	1	04	01	H2001_840_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	841	0	1	04	01	H2001_841_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	842	0	1	04	01	H2001_842_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	843	0	1	04	01	H2001_843_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	844	0	1	04	01	H2001_844_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	845	0	1	04	01	H2001_845_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	846	0	1	04	01	H2001_846_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	847	0	1	04	01	H2001_847_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	848	0	1	04	01	H2001_848_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	849	0	1	04	01	H2001_849_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	850	0	1	04	01	H2001_850_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	851	0	1	04	01	H2001_851_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	852	0	1	04	01	H2001_852_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	853	0	1	04	01	H2001_853_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	854	0	1	04	01	H2001_854_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	855	0	1	04	01	H2001_855_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	856	0	1	04	01	H2001_856_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	857	0	1	04	01	H2001_857_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	858	0	1	04	01	H2001_858_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	859	0	1	04	01	H2001_859_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	860	0	1	04	01	H2001_860_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	861	0	1	04	01	H2001_861_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	862	0	1	04	01	H2001_862_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	863	0	1	04	01	H2001_863_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	864	0	1	04	01	H2001_864_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	865	0	1	04	01	H2001_865_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	866	0	1	04	01	H2001_866_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	867	0	1	04	01	H2001_867_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	868	0	1	04	01	H2001_868_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	869	0	1	04	01	H2001_869_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	870	0	1	04	01	H2001_870_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	871	0	1	04	01	H2001_871_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	872	0	1	04	01	H2001_872_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	873	0	1	04	01	H2001_873_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	874	0	1	04	01	H2001_874_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	875	0	1	04	01	H2001_875_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	876	0	1	04	01	H2001_876_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	877	0	1	04	01	H2001_877_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	878	0	1	04	01	H2001_878_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	879	0	1	04	01	H2001_879_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	880	0	1	04	01	H2001_880_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	881	0	1	04	01	H2001_881_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	882	0	1	04	01	H2001_882_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	883	0	1	04	01	H2001_883_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2001	884	0	1	04	01	H2001_884_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2029	001	0	1	04	01	H2029_001_0	12	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	8.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1	2	2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2029	801	0	1	04	01	H2029_801_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2029	802	0	1	04	01	H2029_802_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2029	805	0	2	04	01	H2029_805_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2029	806	0	2	04	01	H2029_806_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2029	809	0	1	04	01	H2029_809_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2029	810	0	1	04	01	H2029_810_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2029	811	0	1	04	01	H2029_811_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2029	812	0	1	04	01	H2029_812_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2029	815	0	1	04	01	H2029_815_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2029	816	0	1	04	01	H2029_816_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2029	821	0	1	04	01	H2029_821_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2029	822	0	1	04	01	H2029_822_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2032	001	0	1	04	01	H2032_001_0	16	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														2	2
H2032	002	0	1	04	01	H2032_002_0	16	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														2	2
H2032	003	0	1	04	01	H2032_003_0	17	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	150.00	3																		2					2														2		2														2	2
H2032	801	0	1	04	01	H2032_801_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2032	802	0	1	04	01	H2032_802_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2032	803	0	1	04	01	H2032_803_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2032	804	0	1	04	01	H2032_804_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2034	001	0	1	01	01	H2034_001_0	5	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2056	001	0	1	02	01	H2056_001_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	305.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2056	002	0	1	02	01	H2056_002_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2056	003	0	1	02	01	H2056_003_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2056	004	0	1	02	01	H2056_004_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	280.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2056	005	0	1	02	01	H2056_005_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	255.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2056	010	0	1	02	01	H2056_010_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2056	011	0	1	02	01	H2056_011_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	265.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2056	012	0	1	02	01	H2056_012_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2056	013	0	1	02	01	H2056_013_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2056	801	0	1	01	01	H2056_801_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2056	802	0	1	01	01	H2056_802_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2064	001	0	1	20	08	H2064_001_0	1																																																																																																																													
H2064	002	0	1	20	08	H2064_002_0	1																																																																																																																													
H2085	001	0	1	20	08	H2085_001_0	1																																																																																																																													
H2085	002	0	1	20	08	H2085_002_0	1																																																																																																																													
H2108	022	0	1	01	01	H2108_022_0	9	1	01	2	2	1	3								2					2				2								1	010	0.00	55.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H2108	029	0	1	01	01	H2108_029_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H2108	030	0	1	01	01	H2108_030_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H2108	036	0	1	01	01	H2108_036_0	9	1	01	2	2	1	3								2					2				2								1	010	0.00	55.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H2108	039	0	1	01	01	H2108_039_0	8	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H2108	040	0	1	01	01	H2108_040_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H2108	041	0	1	01	01	H2108_041_0	8	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H2108	042	1	1	01	01	H2108_042_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H2108	042	2	1	01	01	H2108_042_2	8	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H2108	043	1	1	01	01	H2108_043_1	8	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H2108	043	2	1	01	01	H2108_043_2	8	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H2108	801	0	1	01	01	H2108_801_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2109	001	0	1	20	08	H2109_001_0	1																																																																																																																													
H2109	002	0	1	20	08	H2109_002_0	1																																																																																																																													
H2117	001	0	1	04	01	H2117_001_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2117	002	0	1	04	01	H2117_002_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2117	003	0	1	04	01	H2117_003_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2128	002	0	1	04	01	H2128_002_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2128	004	0	1	04	01	H2128_004_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2128	005	0	1	04	01	H2128_005_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2134	001	0	1	01	01	H2134_001_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2134	003	0	1	01	01	H2134_003_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2134	005	0	1	01	01	H2134_005_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2162	001	0	1	01	01	H2162_001_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2168	001	0	1	01	01	H2168_001_0	11	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	350.00	3																		2					1	010000	20	20											2		2														1	2
H2168	002	0	1	01	01	H2168_002_0	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	350.00	3																		2					1	010000	20	20											2		2														1	2
H2168	003	0	1	01	01	H2168_003_0	11	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					1	010000	20	20											2		2														1	2
H2168	004	0	1	01	01	H2168_004_0	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	350.00	3																		2					1	010000	20	20											2		2														1	2
H2171	001	0	1	01	01	H2171_001_0	11	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		2														2	2
H2171	003	0	1	01	01	H2171_003_0	11	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		2														2	2
H2171	801	0	1	01	01	H2171_801_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2171	802	0	1	01	01	H2171_802_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2171	803	0	1	01	01	H2171_803_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2171	804	0	1	01	01	H2171_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2172	001	0	1	02	01	H2172_001_0	9	1	01	2	1										2					2				2								1	011	0.00	30.00	5.00	30.00			2		1	1	1	01111	4	1				4	1				4	1				4	1					1		2	1	250.00	2																		2					1	010000	20	20											2		2														1	1
H2172	002	0	1	02	01	H2172_002_0	10	1	01	2	1										2					2				2								1	011	0.00	35.00	10.00	35.00			2		1	1	1	01111	4	1				4	1				4	1				4	1					1		2	1	225.00	2																		2					1	010000	20	20											2		2														1	1
H2172	003	0	1	02	01	H2172_003_0	9	1	01	2	1										2					2				2								1	011	0.00	40.00	5.00	40.00			2		1	1	1	01111	4	1				4	1				4	1				4	1					1		2	1	250.00	2																		2					1	010000	20	20											2		2														1	1
H2172	004	0	1	02	01	H2172_004_0	10	1	01	2	1										2					2				2								1	011	0.00	35.00	5.00	35.00			2		1	1	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	2																		2					1	010000	20	20											2		2														1	1
H2172	005	0	1	01	01	H2172_005_0	6	1	01	2	1										2					2				2								1	011	0.00	40.00	15.00	40.00			2		1	1	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	2																		2					1	010000	20	20											2		2														1	1
H2172	006	0	1	01	01	H2172_006_0	9	1	01	2	1										2					2				2								1	011	0.00	40.00	10.00	40.00			2		1	1	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	2																		2					1	010000	20	20											2		2														1	1
H2172	008	0	1	02	01	H2172_008_0	9	1	01	2	1										2					2				2								1	011	0.00	35.00	10.00	35.00			2		1	1	1	01111	4	1				4	1				4	1				4	1					1		2	1	250.00	2																		2					1	010000	20	20											2		2														1	1
H2172	009	0	1	02	01	H2172_009_0	9	1	01	2	1										2					2				2								1	011	0.00	35.00	0.00	35.00			2		1	1	1	01111	4	1				4	1				4	1				4	1					1		2	1	250.00	2																		2					1	010000	20	20											2		2														1	1
H2172	010	0	1	02	01	H2172_010_0	9	1	01	2	1										2					2				2								1	011	0.00	40.00	5.00	40.00			2		1	1	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	2																		2					1	010000	20	20											2		2														1	1
H2172	011	0	1	01	01	H2172_011_0	9	1	01	2	1										2					2				2								1	011	0.00	40.00	10.00	40.00			2		1	1	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	2																		2					1	010000	20	20											2		2														1	1
H2172	012	0	1	02	01	H2172_012_0	9	1	01	2	1										2					2				2								1	011	0.00	40.00	5.00	40.00			2		1	1	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	2																		2					1	010000	20	20											2		2														1	1
H2172	013	0	1	02	01	H2172_013_0	9	1	01	2	1										2					2				2								1	011	0.00	40.00	5.00	40.00			2		1	1	1	01111	4	1				4	1				4	1				4	1					1		2	1	250.00	2																		2					1	010000	20	20											2		2														1	1
H2172	801	0	1	01	01	H2172_801_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2172	803	0	1	01	01	H2172_803_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2172	804	0	2	01	01	H2172_804_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2172	805	0	1	01	01	H2172_805_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2174	001	0	1	01	01	H2174_001_0	19	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2185	001	0	1	01	01	H2185_001_0	11	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					2														2		2														2	2
H2185	003	0	1	02	01	H2185_003_0	8	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H2218	001	0	1	20	08	H2218_001_0	1																																																																																																																													
H2218	002	0	1	20	08	H2218_002_0	1																																																																																																																													
H2219	001	0	1	20	08	H2219_001_0	1																																																																																																																													
H2219	002	0	1	20	08	H2219_002_0	1																																																																																																																													
H2220	001	0	1	20	08	H2220_001_0	1																																																																																																																													
H2220	002	0	1	20	08	H2220_002_0	1																																																																																																																													
H2221	001	0	1	20	08	H2221_001_0	1																																																																																																																													
H2221	002	0	1	20	08	H2221_002_0	1																																																																																																																													
H2222	002	0	1	20	08	H2222_002_0	2																																																																																																																													
H2222	003	0	1	20	08	H2222_003_0	2																																																																																																																													
H2223	001	0	1	20	08	H2223_001_0	1																																																																																																																													
H2223	002	0	1	20	08	H2223_002_0	1																																																																																																																													
H2224	001	0	1	01	01	H2224_001_0	6	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H2224	003	0	1	01	01	H2224_003_0	6	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H2225	001	0	1	01	01	H2225_001_0	9	2																		2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	350.00	3																		2					2														2		2														2	2
H2226	001	0	1	01	01	H2226_001_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2226	003	0	1	01	01	H2226_003_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2230	002	0	1	04	01	H2230_002_0	6	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	200.00	2																		2					2														2		2														2	2
H2230	017	0	1	04	01	H2230_017_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	200.00	2																		2					2														2		2														2	2
H2230	018	1	1	04	01	H2230_018_1	6	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	200.00	2																		2					2														2		2														2	2
H2230	018	2	1	04	01	H2230_018_2	6	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	200.00	2																		2					2														2		2														2	2
H2230	801	0	1	04	01	H2230_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2230	809	0	1	04	01	H2230_809_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2230	813	0	1	04	01	H2230_813_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2235	001	0	1	01	01	H2235_001_0	15	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	1	1	11100	2	2	1	3		2	2	1	3												2	1		2	2				11100	350.00	3		300.00	3								300.00	3		2					2														2		2														2	2
H2235	002	0	1	01	01	H2235_002_0	15	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	1	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	150.00	3																		2					2														2		2														2	2
H2235	003	0	1	01	01	H2235_003_0	15	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	2				11100	350.00	3		300.00	3								300.00	3		2					2														2		2														2	2
H2235	005	0	1	01	01	H2235_005_0	15	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	1	1	11100	2	2	1	3		2	2	1	3												2	1		2	2				11100	350.00	3		300.00	3								300.00	3		2					2														2		2														2	2
H2235	006	0	1	02	01	H2235_006_0	15	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	1	1	11100	2	2	1	3		2	2	1	3												2	1		2	2				11100	350.00	3		300.00	3								300.00	3		2					2														2		2														2	2
H2237	001	0	1	01	01	H2237_001_0	7	1	01	2	2	1	3								1		50.00	3		2				1	010	20	20					1	001			0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	400.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	1
H2237	007	0	1	01	01	H2237_007_0	7	1	01	2	2	1	3								1		50.00	3		2				1	010	20	20					1	001			0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	400.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	1
H2246	018	0	1	04	01	H2246_018_0	11	1	11	2	2	1	3		Determination of Refractions	2	2	1	3		2					2				2								1	010	25.00	25.00					2		2	2	1	11100	2	1				2	2	1	3												2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H2246	019	0	1	04	01	H2246_019_0	7	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								1	010	35.00	35.00					2		2	2	1	11100	2	1				2	1														2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H2246	020	0	1	04	01	H2246_020_0	6	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								2								2		2	2	1	11100	2	1				2	2	1	3												2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H2246	026	0	1	04	01	H2246_026_0	9	1	11	2	2	1	3		Determination of Refraction	2	2	1	3		2					2				2								1	010	30.00	30.00					2		2	2	1	11100	2	1				2	2	1	3												2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H2246	032	0	1	04	01	H2246_032_0	7	1	11	2	2	1	3		Determination of Refractions	2	2	1	3		2					2				2								1	010	35.00	35.00					2		2	2	1	11100	2	1				2	2	1	3												2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H2247	001	0	1	02	01	H2247_001_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H2247	003	0	1	02	01	H2247_003_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H2256	001	1	1	01	01	H2256_001_1	7	1	01	2	2	1	3								2					2				2								1	011	10.00	15.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	001	2	1	01	01	H2256_001_2	7	1	01	2	2	1	3								2					2				2								1	011	10.00	15.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	001	6	1	01	01	H2256_001_6	7	1	01	2	2	1	3								2					2				2								1	011	10.00	15.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	015	1	1	01	01	H2256_015_1	7	1	01	2	2	1	3								2					2				2								1	011	10.00	15.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	015	2	1	01	01	H2256_015_2	7	1	01	2	2	1	3								2					2				2								1	011	10.00	15.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	015	6	1	01	01	H2256_015_6	7	1	01	2	2	1	3								2					2				2								1	011	10.00	15.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	016	1	1	01	01	H2256_016_1	5	1	01	2	2	1	3								2					2				2								1	011	10.00	15.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	016	2	1	01	01	H2256_016_2	5	1	01	2	2	1	3								2					2				2								1	011	10.00	15.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	018	1	1	01	01	H2256_018_1	7	1	01	2	2	1	3								2					2				2								1	011	10.00	25.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	018	7	1	01	01	H2256_018_7	7	1	01	2	2	1	3								2					2				2								1	011	10.00	25.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	018	8	1	01	01	H2256_018_8	6	1	01	2	2	1	3								2					2				2								1	011	10.00	25.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	019	1	1	01	01	H2256_019_1	5	1	01	2	2	1	3								2					2				2								1	011	10.00	25.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	019	7	1	01	01	H2256_019_7	5	1	01	2	2	1	3								2					2				2								1	011	10.00	25.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	026	1	1	01	01	H2256_026_1	7	1	01	2	2	1	3								2					2				2								1	011	10.00	40.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	026	2	1	01	01	H2256_026_2	7	1	01	2	2	1	3								2					2				2								1	011	10.00	40.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	026	3	1	01	01	H2256_026_3	7	1	01	2	2	1	3								2					2				2								1	011	10.00	40.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	028	0	1	01	01	H2256_028_0	5	1	01	2	2	1	3								2					2				2								1	011	10.00	45.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	033	0	1	01	01	H2256_033_0	7	1	01	2	2	1	3								2					2				2								1	011	10.00	15.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	034	0	1	01	01	H2256_034_0	8	1	01	2	2	1	3								2					2				2								1	011	10.00	25.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	036	0	1	01	01	H2256_036_0	8	1	01	2	2	1	3								2					2				2								1	011	10.00	40.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	039	0	1	01	01	H2256_039_0	5	1	01	2	2	1	3								2					2				2								1	011	10.00	15.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	040	0	1	01	01	H2256_040_0	5	1	01	2	2	1	3								2					2				2								1	011	10.00	25.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	041	0	1	01	01	H2256_041_0	5	1	01	2	2	1	3								2					2				2								1	011	10.00	40.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	042	0	1	01	01	H2256_042_0	5	1	01	2	2	1	3								2					2				2								1	011	10.00	40.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	046	0	1	01	01	H2256_046_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2256	801	0	1	01	01	H2256_801_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	2
H2256	802	0	1	01	01	H2256_802_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	2
H2256	803	0	1	01	01	H2256_803_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	2
H2256	808	0	1	01	01	H2256_808_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	2
H2261	005	0	1	01	01	H2261_005_0	6	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	2																		2					2														2		2														2	2
H2261	022	1	1	01	01	H2261_022_1	6	1	01	2	2	1	3								2					2				2								1	010	10.00	40.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	2																		2					2														2		2														2	2
H2261	022	2	1	01	01	H2261_022_2	6	1	01	2	2	1	3								2					2				2								1	010	10.00	40.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	2																		2					2														2		2														2	2
H2261	023	1	1	02	01	H2261_023_1	6	1	01	2	2	1	3								2					2				2								1	010	10.00	35.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	2																		2					2														2		2														2	2
H2261	023	2	1	02	01	H2261_023_2	6	1	01	2	2	1	3								2					2				2								1	010	10.00	35.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	2																		2					2														2		2														2	2
H2261	024	0	1	01	01	H2261_024_0	6	1	01	2	2	1	3								2					2				2								1	010	10.00	45.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	2																		2					2														2		2														2	2
H2261	801	0	1	01	01	H2261_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2261	809	0	1	01	01	H2261_809_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2272	001	0	1	02	01	H2272_001_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2292	001	0	1	04	01	H2292_001_0	5	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2292	002	0	1	04	01	H2292_002_0	5	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2292	003	0	1	04	01	H2292_003_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2293	001	0	1	04	01	H2293_001_0	5	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	002	0	1	04	01	H2293_002_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	450.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	003	0	1	04	01	H2293_003_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	004	0	1	04	01	H2293_004_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	005	0	1	04	01	H2293_005_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	450.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	006	0	1	04	01	H2293_006_0	5	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	007	0	1	04	01	H2293_007_0	5	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	008	0	1	04	01	H2293_008_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	009	0	1	04	01	H2293_009_0	2	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	010	0	1	04	01	H2293_010_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	0.00	50.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	011	0	1	04	01	H2293_011_0	5	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	20.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	013	0	1	04	01	H2293_013_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	014	0	1	04	01	H2293_014_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	015	0	1	04	01	H2293_015_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	016	0	1	04	01	H2293_016_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	017	0	1	04	01	H2293_017_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	018	0	1	04	01	H2293_018_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	019	0	1	04	01	H2293_019_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	021	0	1	04	01	H2293_021_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	450.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	022	0	1	04	01	H2293_022_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2293	023	0	1	04	01	H2293_023_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2318	001	0	1	20	08	H2318_001_0	1																																																																																																																													
H2318	002	0	1	20	08	H2318_002_0	1																																																																																																																													
H2320	022	1	1	02	01	H2320_022_1	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		2														2	2
H2320	022	2	1	02	01	H2320_022_2	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		2														2	2
H2320	022	3	1	02	01	H2320_022_3	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		2														2	2
H2320	022	4	1	02	01	H2320_022_4	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		2														2	2
H2320	022	5	1	02	01	H2320_022_5	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		2														2	2
H2320	028	1	1	02	01	H2320_028_1	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	111	40.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		2														2	2
H2320	028	2	1	02	01	H2320_028_2	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	111	40.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		2														2	2
H2320	028	3	1	02	01	H2320_028_3	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	111	40.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		2														2	2
H2320	028	4	1	02	01	H2320_028_4	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	111	40.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		2														2	2
H2320	028	5	1	02	01	H2320_028_5	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	111	40.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		2														2	2
H2320	029	1	1	02	01	H2320_029_1	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		2														2	2
H2320	029	2	1	02	01	H2320_029_2	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		2														2	2
H2320	029	3	1	02	01	H2320_029_3	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		2														2	2
H2320	029	4	1	02	01	H2320_029_4	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		2														2	2
H2320	029	5	1	02	01	H2320_029_5	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		2														2	2
H2320	030	1	1	02	01	H2320_030_1	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	35.00	35.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	175.00	3																		2					2														2		2														2	2
H2320	030	2	1	02	01	H2320_030_2	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	35.00	35.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	175.00	3																		2					2														2		2														2	2
H2320	802	0	1	02	01	H2320_802_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2320	803	0	1	02	01	H2320_803_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2320	804	0	1	01	01	H2320_804_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2320	805	0	1	01	01	H2320_805_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2320	810	0	1	01	01	H2320_810_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2320	811	0	1	01	01	H2320_811_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2320	812	0	1	02	01	H2320_812_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2320	813	0	1	02	01	H2320_813_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2320	814	0	1	01	01	H2320_814_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2322	008	0	1	04	01	H2322_008_0	17	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	150.00	3																		2					2														2		2														2	2
H2322	011	0	1	04	01	H2322_011_0	19	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	150.00	3																		2					2														2		2														2	2
H2322	801	0	1	04	01	H2322_801_0	10	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2322	803	0	1	04	01	H2322_803_0	10	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2334	005	0	1	04	01	H2334_005_0	9	1	01	2	2	1	3								2					2				2								1	010	50.00	50.00					2		2	2	1	00100						2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H2354	015	0	1	01	01	H2354_015_0	16	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2354	018	0	1	01	01	H2354_018_0	17	1	01	2	2	1	3								2					2				2								1	010	0.00	50.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2354	019	0	1	01	01	H2354_019_0	15	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2354	021	0	1	02	01	H2354_021_0	17	1	01	2	2	1	3								2					2				2								1	010	15.00	40.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2354	025	0	1	01	01	H2354_025_0	17	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					2														2		2														2	2
H2354	028	0	1	01	01	H2354_028_0	18	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H2354	801	0	1	01	01	H2354_801_0	12	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2354	802	0	1	02	01	H2354_802_0	12	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2368	001	0	1	20	08	H2368_001_0	1																																																																																																																													
H2368	002	0	1	20	08	H2368_002_0	1																																																																																																																													
H2384	001	0	1	20	08	H2384_001_0	1																																																																																																																													
H2384	002	0	1	20	08	H2384_002_0	1																																																																																																																													
H2386	001	0	1	20	08	H2386_001_0	2																																																																																																																													
H2386	002	0	1	20	08	H2386_002_0	2																																																																																																																													
H2392	001	0	1	01	01	H2392_001_0	4	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2392	003	0	1	01	01	H2392_003_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2400	001	0	1	01	01	H2400_001_0	3	1	11	2	2	1	3		Glaucoma Testing	2	2	1	3		2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					1	010000	20	20											2		2														2	2
H2400	002	0	1	01	01	H2400_002_0	3	1	11	2	2	1	3		Glaucoma Testing	2	2	1	3		2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					1	010000	20	20											2		2														2	2
H2406	008	0	1	04	01	H2406_008_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	009	0	1	04	01	H2406_009_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	010	0	1	04	01	H2406_010_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	011	0	1	04	01	H2406_011_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	012	0	1	04	01	H2406_012_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	013	0	1	04	01	H2406_013_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	014	0	1	04	01	H2406_014_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	015	0	1	04	01	H2406_015_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	016	0	1	04	01	H2406_016_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	017	0	1	04	01	H2406_017_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	018	0	1	04	01	H2406_018_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	019	0	1	04	01	H2406_019_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	031	0	1	04	01	H2406_031_0	5	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	032	0	1	04	01	H2406_032_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	033	0	1	04	01	H2406_033_0	5	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	034	0	1	04	01	H2406_034_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	035	0	1	04	01	H2406_035_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	036	0	1	04	01	H2406_036_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	037	0	1	04	01	H2406_037_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	038	0	1	04	01	H2406_038_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	039	0	1	04	01	H2406_039_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	040	0	1	04	01	H2406_040_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	041	0	1	04	01	H2406_041_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	042	0	1	04	01	H2406_042_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	043	0	1	04	01	H2406_043_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	044	0	1	04	01	H2406_044_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	045	0	1	04	01	H2406_045_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	046	0	1	04	01	H2406_046_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	047	0	1	04	01	H2406_047_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	048	0	1	04	01	H2406_048_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	049	0	1	04	01	H2406_049_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	050	0	1	04	01	H2406_050_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	051	0	1	04	01	H2406_051_0	5	2																		2				2								1	010	0.00	0.00					2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H2406	052	0	1	04	01	H2406_052_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	053	0	1	04	01	H2406_053_0	3	2																		2				2								1	010	0.00	0.00					2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H2406	054	0	1	04	01	H2406_054_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	055	0	1	04	01	H2406_055_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	056	0	1	04	01	H2406_056_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	057	0	1	04	01	H2406_057_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	058	0	1	04	01	H2406_058_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	059	0	1	04	01	H2406_059_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	060	0	1	04	01	H2406_060_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	061	0	1	04	01	H2406_061_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	200.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	062	0	1	04	01	H2406_062_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	063	0	1	04	01	H2406_063_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	064	0	1	04	01	H2406_064_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	065	0	1	04	01	H2406_065_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	066	0	1	04	01	H2406_066_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	067	0	1	04	01	H2406_067_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	068	0	1	04	01	H2406_068_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	069	0	1	04	01	H2406_069_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	070	0	1	04	01	H2406_070_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	071	0	1	04	01	H2406_071_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	072	0	1	04	01	H2406_072_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	073	0	1	04	01	H2406_073_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	074	0	1	04	01	H2406_074_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	075	0	1	04	01	H2406_075_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	076	0	1	04	01	H2406_076_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	077	0	1	04	01	H2406_077_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	078	0	1	04	01	H2406_078_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	079	0	1	04	01	H2406_079_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	080	0	1	04	01	H2406_080_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	081	0	1	04	01	H2406_081_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	300.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	082	0	1	04	01	H2406_082_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	083	0	1	04	01	H2406_083_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	084	0	1	04	01	H2406_084_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	085	0	1	04	01	H2406_085_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	086	0	1	04	01	H2406_086_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	087	0	1	04	01	H2406_087_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	088	0	1	04	01	H2406_088_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	089	0	1	04	01	H2406_089_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	090	0	1	04	01	H2406_090_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	091	0	1	04	01	H2406_091_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	092	0	1	04	01	H2406_092_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	093	0	1	04	01	H2406_093_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	094	0	1	04	01	H2406_094_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	095	0	1	04	01	H2406_095_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	096	0	1	04	01	H2406_096_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	097	0	1	04	01	H2406_097_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	098	0	1	04	01	H2406_098_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	099	0	1	04	01	H2406_099_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	250.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H2406	100	0	1	04	01	H2406_100_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	101	0	1	04	01	H2406_101_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H2406	102	0	1	04	01	H2406_102_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	103	0	1	04	01	H2406_103_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H2406	104	0	1	04	01	H2406_104_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	105	0	1	04	01	H2406_105_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	106	0	1	04	01	H2406_106_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	107	0	1	04	01	H2406_107_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	108	0	1	04	01	H2406_108_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	110	0	1	04	01	H2406_110_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	111	0	1	04	01	H2406_111_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	112	0	1	04	01	H2406_112_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	113	0	1	04	01	H2406_113_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	114	0	1	04	01	H2406_114_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	115	0	1	04	01	H2406_115_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	117	0	1	04	01	H2406_117_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	119	0	1	04	01	H2406_119_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	121	0	1	04	01	H2406_121_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	122	0	1	04	01	H2406_122_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	123	0	1	04	01	H2406_123_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	124	0	1	04	01	H2406_124_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	125	0	1	04	01	H2406_125_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	126	0	1	04	01	H2406_126_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2406	805	0	1	04	01	H2406_805_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	806	0	1	04	01	H2406_806_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	807	0	1	04	01	H2406_807_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	808	0	2	04	01	H2406_808_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	809	0	2	04	01	H2406_809_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	810	0	2	04	01	H2406_810_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	811	0	1	04	01	H2406_811_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	812	0	1	04	01	H2406_812_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	813	0	1	04	01	H2406_813_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	814	0	1	04	01	H2406_814_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	815	0	1	04	01	H2406_815_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	816	0	1	04	01	H2406_816_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	817	0	2	04	01	H2406_817_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	818	0	2	04	01	H2406_818_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	819	0	1	04	01	H2406_819_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	820	0	1	04	01	H2406_820_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	821	0	1	04	01	H2406_821_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	822	0	1	04	01	H2406_822_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	823	0	1	04	01	H2406_823_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	824	0	1	04	01	H2406_824_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	825	0	1	04	01	H2406_825_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	826	0	1	04	01	H2406_826_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	827	0	1	04	01	H2406_827_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	828	0	2	04	01	H2406_828_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	829	0	1	04	01	H2406_829_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	830	0	1	04	01	H2406_830_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	831	0	1	04	01	H2406_831_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	832	0	1	04	01	H2406_832_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	833	0	1	04	01	H2406_833_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	834	0	1	04	01	H2406_834_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2406	835	0	1	04	01	H2406_835_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2416	001	0	1	01	01	H2416_001_0	14	2																		2				1	010	20	20					2								2		2	2	1	10000																					2	1		2	2				10000													100.00	3		2					2														2		2														2	2
H2417	001	0	1	01	01	H2417_001_0	11	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2419	001	0	1	01	01	H2419_001_0	9	2																		2				1	010	20	20					2								2		2	2	1	10000																					2	1		2	1	148.80	3																		2					1	010000	20	20											2		2														2	2
H2422	002	0	1	01	01	H2422_002_0	7	2																		2				1	010	20	20					2								2		2	2	1	10000																					2	2																							2					1	010000	20	20											2		2														2	2
H2425	001	0	1	01	01	H2425_001_0	8	2																		2				1	010	20	20					2								2		2	2	1	10000																					2	2																							2					1	010000	20	20											2		2														1	2
H2450	001	0	1	18	06	H2450_001_0	6	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H2450	002	0	1	18	06	H2450_002_0	5	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	011	0.00	10.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H2450	007	0	1	18	06	H2450_007_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2450	016	0	1	18	06	H2450_016_0	6	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H2450	030	0	1	18	06	H2450_030_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2450	032	0	1	18	06	H2450_032_0	5	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H2450	033	0	1	18	06	H2450_033_0	4	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	011	0.00	10.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H2450	034	0	1	18	06	H2450_034_0	4	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H2450	035	0	1	18	06	H2450_035_0	5	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H2450	036	0	1	18	06	H2450_036_0	4	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H2450	037	0	1	18	06	H2450_037_0	5	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H2450	038	0	1	18	06	H2450_038_0	4	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H2450	039	0	1	18	06	H2450_039_0	5	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H2450	040	0	1	18	06	H2450_040_0	5	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	011	0.00	10.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H2450	041	0	1	18	06	H2450_041_0	6	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	011	0.00	10.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H2450	042	0	1	18	06	H2450_042_0	4	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H2450	043	0	1	18	06	H2450_043_0	4	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H2450	044	0	1	18	06	H2450_044_0	4	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	011	15.00	50.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		1	010000	45.00	45.00											2	2
H2450	045	0	1	18	06	H2450_045_0	4	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H2450	046	0	1	18	06	H2450_046_0	4	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H2450	047	0	1	18	06	H2450_047_0	4	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H2450	048	0	1	18	06	H2450_048_0	4	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H2450	049	0	1	18	06	H2450_049_0	5	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	011	15.00	50.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		1	010000	45.00	45.00											2	2
H2450	050	0	1	18	06	H2450_050_0	4	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	011	15.00	50.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		1	010000	45.00	45.00											2	2
H2450	801	0	1	18	06	H2450_801_0	4																																																																																																																													
H2456	002	0	1	01	01	H2456_002_0	8	2																		2				1	010	20	20					2								2		2	2	1	10000																					2	2																							2					1	010000	20	20											2		2														2	2
H2458	002	0	1	01	01	H2458_002_0	6	2																		2				1	010	20	20					2								2		2	2	1	10000																					2	2																							2					1	010000	20	20											2		2														2	2
H2459	001	0	1	02	01	H2459_001_0	10	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		2														2	2
H2459	021	1	1	02	01	H2459_021_1	8	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H2459	021	2	1	02	01	H2459_021_2	8	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H2459	021	3	1	02	01	H2459_021_3	8	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H2459	023	1	1	02	01	H2459_023_1	8	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		2														2	2
H2459	023	2	1	02	01	H2459_023_2	8	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		2														2	2
H2459	024	0	1	02	01	H2459_024_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		2														2	2
H2459	026	1	1	02	01	H2459_026_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H2459	026	3	1	02	01	H2459_026_3	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H2459	026	4	1	02	01	H2459_026_4	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H2459	029	0	1	02	01	H2459_029_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		2														2	2
H2459	030	0	1	02	01	H2459_030_0	10	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		2														2	2
H2459	031	0	1	01	01	H2459_031_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H2459	032	0	1	01	01	H2459_032_0	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					1	010000	20	20											2		2														2	2
H2459	801	0	1	02	01	H2459_801_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2461	005	0	1	18	06	H2461_005_0	5	2																		2				2								2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2461	006	0	1	18	06	H2461_006_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	125.00	3																		2					1	010000	20	20											2		2														2	2
H2461	007	0	1	18	06	H2461_007_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H2461	008	0	1	18	06	H2461_008_0	9	2																		2				2								2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2461	009	0	1	18	06	H2461_009_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	125.00	3																		2					1	010000	20	20											2		2														2	2
H2461	010	0	1	18	06	H2461_010_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H2462	022	0	1	18	06	H2462_022_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					2														2		2														2	2
H2462	023	0	1	18	06	H2462_023_0	5	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		2														2	2
H2462	024	0	1	18	06	H2462_024_0	4	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H2462	025	0	1	18	06	H2462_025_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H2462	026	0	1	18	06	H2462_026_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					2														2		2														2	2
H2462	027	0	1	18	06	H2462_027_0	4	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	2																																														2					2														2		2														2	2
H2462	028	0	1	18	06	H2462_028_0	5	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	2																																														2					2														2		2														2	2
H2462	029	0	1	18	06	H2462_029_0	7	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		2														2	2
H2462	801	0	1	18	06	H2462_801_0	1																																																																																																																													
H2462	802	0	1	18	06	H2462_802_0	1																																																																																																																													
H2463	001	0	1	01	01	H2463_001_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H2478	001	0	1	01	01	H2478_001_0	5	2																		2				2								2								2		2	2	2																																														2					2														2		2														2	2
H2478	002	0	1	01	01	H2478_002_0	7	1	01	2	1										1		200.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					1	010000	20	20											2		2														2	2
H2486	003	0	1	01	01	H2486_003_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H2486	005	0	1	01	01	H2486_005_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H2486	006	0	1	01	01	H2486_006_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H2486	007	0	1	01	01	H2486_007_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H2486	009	0	1	01	01	H2486_009_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H2486	010	0	1	01	01	H2486_010_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	55.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H2486	801	0	1	01	01	H2486_801_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2486	802	0	1	01	01	H2486_802_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2486	805	0	1	01	01	H2486_805_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2486	806	0	1	01	01	H2486_806_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2491	004	0	1	01	01	H2491_004_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2491	009	0	1	01	01	H2491_009_0	20	1	01	2	2	1	3								2					2				2								1	011	0.00	55.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2491	010	0	1	01	01	H2491_010_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2491	011	0	1	01	01	H2491_011_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2491	012	0	1	01	01	H2491_012_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2491	015	0	1	01	01	H2491_015_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2491	016	0	1	01	01	H2491_016_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2491	017	0	1	01	01	H2491_017_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2491	021	0	1	01	01	H2491_021_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2491	022	0	1	01	01	H2491_022_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2491	025	0	1	01	01	H2491_025_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2491	026	0	1	01	01	H2491_026_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2491	027	1	1	01	01	H2491_027_1	18	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2491	027	2	1	01	01	H2491_027_2	18	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2491	027	3	1	01	01	H2491_027_3	18	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2506	001	0	1	48	05	H2506_001_0	3	1	11	2	2	1	3		Eye exams for diseases (e.g., diabetes or glaucoma)	2	2	9999	6	As medically necessary.	2									2								2								2		2	2	1	01110	2	2	9999	6	As medically necessary.	2	2	1	2		2	2	9999	6	As medically necessary.							2																												2														2		2														2	2
H2509	001	0	1	02	01	H2509_001_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	2	3													1		2	1	550.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2509	002	0	1	02	01	H2509_002_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	2	3													1		2	1	550.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2526	001	0	1	04	01	H2526_001_0	10	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					2														2		2														2	2
H2531	001	0	1	48	05	H2531_001_0	2	1	01	2	2	1	6	One time per 12-month period for members under 21 and over 59 years of age, or per 24-month period for members 21 through 59 years of age.							2									2								2								2		2	2	1	01111	2	2	1	6	One time per 12-month period for members under 21 and over 59 years of age or per 24- month period for members 21 through 59 years of age.	2	2	1	6	One time per 12-month period for members under 21 and over 59 years of age or per 24-month period for members 21 through 59 years of age.	2	2	1	6	One time per 12-month period for members under 21 and over 59 years of age or per 24- month period for members 21 through 59 years of age.	2	2	1	6	One time per 12-month period for members under 21 and over 59 years of age or per 24-month period for members 21 through 59 years of age.		2																												2														2		2														1	2
H2533	001	0	1	48	05	H2533_001_0	6	1	01	2	1										1		300.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					2														2		2														1	2
H2537	001	0	1	20	08	H2537_001_0	1																																																																																																																													
H2537	002	0	1	20	08	H2537_002_0	1																																																																																																																													
H2541	001	0	1	20	08	H2541_001_0	1																																																																																																																													
H2541	002	0	1	20	08	H2541_002_0	1																																																																																																																													
H2563	004	0	1	01	01	H2563_004_0	11	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	300.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							2	2
H2563	005	1	1	01	01	H2563_005_1	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2563	005	2	1	01	01	H2563_005_2	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2563	008	0	1	01	01	H2563_008_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2563	009	0	1	01	01	H2563_009_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2563	014	0	1	01	01	H2563_014_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2563	015	0	1	01	01	H2563_015_0	11	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2563	016	0	1	01	01	H2563_016_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2563	017	1	1	01	01	H2563_017_1	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2563	017	2	1	01	01	H2563_017_2	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2563	018	0	1	01	01	H2563_018_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H2563	019	0	1	01	01	H2563_019_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2563	020	0	1	01	01	H2563_020_0	10	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	300.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							2	2
H2563	801	0	1	01	01	H2563_801_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2563	802	0	1	01	01	H2563_802_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2563	803	0	1	01	01	H2563_803_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2563	804	0	1	01	01	H2563_804_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2577	001	1	1	04	01	H2577_001_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	001	2	1	04	01	H2577_001_2	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	002	0	1	04	01	H2577_002_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	003	1	1	04	01	H2577_003_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H2577	003	2	1	04	01	H2577_003_2	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H2577	004	0	1	04	01	H2577_004_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	005	0	1	04	01	H2577_005_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	006	0	1	04	01	H2577_006_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	007	0	1	04	01	H2577_007_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	008	0	1	04	01	H2577_008_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	009	0	1	04	01	H2577_009_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	011	0	1	04	01	H2577_011_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	013	0	1	04	01	H2577_013_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	014	0	1	04	01	H2577_014_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	015	0	1	04	01	H2577_015_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	016	0	1	04	01	H2577_016_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	017	0	1	04	01	H2577_017_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	018	0	1	04	01	H2577_018_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	019	0	1	04	01	H2577_019_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	020	0	1	04	01	H2577_020_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	021	0	1	04	01	H2577_021_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	022	0	1	04	01	H2577_022_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	023	0	1	04	01	H2577_023_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	026	0	1	04	01	H2577_026_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	300.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	027	0	1	04	01	H2577_027_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	028	0	1	04	01	H2577_028_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	030	0	1	04	01	H2577_030_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2577	031	0	1	04	01	H2577_031_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2582	002	0	1	02	01	H2582_002_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2582	004	0	1	02	01	H2582_004_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2582	005	0	1	02	01	H2582_005_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2591	801	0	1	04	01	H2591_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2591	802	0	1	04	01	H2591_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2591	803	0	1	04	01	H2591_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2593	001	0	1	01	01	H2593_001_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2593	003	0	1	01	01	H2593_003_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	350.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2593	005	0	1	01	01	H2593_005_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	175.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2593	006	0	1	01	01	H2593_006_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	175.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2593	029	0	1	01	01	H2593_029_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	2																																														2					1	010000	20	20											2		2														2	2
H2593	031	0	1	02	01	H2593_031_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2593	032	0	1	01	01	H2593_032_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2593	040	0	1	01	01	H2593_040_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2593	043	0	1	01	01	H2593_043_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2593	044	0	1	01	01	H2593_044_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	600.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2593	045	0	1	01	01	H2593_045_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	450.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2593	046	0	1	01	01	H2593_046_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	550.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2593	047	0	1	01	01	H2593_047_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	575.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2593	048	0	1	01	01	H2593_048_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	575.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2593	049	0	1	01	01	H2593_049_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	500.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2593	051	0	1	01	01	H2593_051_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2593	053	0	1	01	01	H2593_053_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	500.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2593	054	0	1	01	01	H2593_054_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	600.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2593	055	0	1	01	01	H2593_055_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	350.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2593	056	0	1	01	01	H2593_056_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	550.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2610	005	0	1	01	01	H2610_005_0	4	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	1	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					1	100000											80	90	2		1	100000											15.00	65.00	2	2
H2610	006	0	1	01	01	H2610_006_0	4	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	1	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					1	100000											80	90	2		1	100000											15.00	65.00	2	2
H2610	011	0	1	01	01	H2610_011_0	4	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	1	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					1	100000											80	90	2		1	100000											15.00	65.00	2	2
H2610	015	0	1	01	01	H2610_015_0	4	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					1	100000											80	90	2		1	100000											15.00	65.00	2	2
H2610	016	0	1	01	01	H2610_016_0	4	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	1	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					1	100000											80	90	2		1	100000											15.00	65.00	2	2
H2610	019	0	1	01	01	H2610_019_0	4	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	1	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					1	100000											80	90	2		1	100000											15.00	65.00	2	2
H2610	021	0	1	01	01	H2610_021_0	5	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	1	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					1	100000											80	90	2		1	100000											15.00	65.00	2	2
H2610	023	0	1	01	01	H2610_023_0	5	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					1	100000											80	90	2		1	100000											15.00	65.00	2	2
H2610	803	0	1	01	01	H2610_803_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2610	804	0	1	01	01	H2610_804_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2610	805	0	1	01	01	H2610_805_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2610	806	0	1	01	01	H2610_806_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2610	807	0	1	02	01	H2610_807_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2610	808	0	1	02	01	H2610_808_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2610	809	0	1	02	01	H2610_809_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2610	810	0	1	02	01	H2610_810_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2624	001	0	1	01	01	H2624_001_0	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		2														2	2
H2624	004	0	1	01	01	H2624_004_0	11	1	01	2	1										1		1100.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H2624	802	0	1	01	01	H2624_802_0	5	1	01	2	1										1		1000.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H2624	803	0	1	01	01	H2624_803_0	5	1	01	2	1										1		1000.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H2663	002	0	1	01	01	H2663_002_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	340.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	005	0	1	01	01	H2663_005_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	405.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	006	0	1	02	01	H2663_006_0	9	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	017	0	1	01	01	H2663_017_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	360.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	021	0	1	02	01	H2663_021_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	440.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	022	0	1	02	01	H2663_022_0	4	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	023	0	1	02	01	H2663_023_0	7	1	11	2	2	1	3		Follow up Diabetic Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	420.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	025	0	1	02	01	H2663_025_0	4	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	026	0	1	02	01	H2663_026_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	355.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	028	0	1	02	01	H2663_028_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	360.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	029	0	1	02	01	H2663_029_0	4	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	034	0	1	01	01	H2663_034_0	8	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	038	0	1	01	01	H2663_038_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	230.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	039	0	1	01	01	H2663_039_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	315.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	040	0	1	01	01	H2663_040_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	320.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	041	0	1	01	01	H2663_041_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	370.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	042	0	1	01	01	H2663_042_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	430.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	043	0	1	02	01	H2663_043_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	360.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	052	0	1	01	01	H2663_052_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	375.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	053	0	1	01	01	H2663_053_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	410.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	054	0	1	01	01	H2663_054_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	380.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	055	0	1	01	01	H2663_055_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	375.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	056	0	1	01	01	H2663_056_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	430.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	057	0	1	01	01	H2663_057_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	375.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	059	0	1	01	01	H2663_059_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	365.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	061	0	1	02	01	H2663_061_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	425.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	062	0	1	02	01	H2663_062_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	063	0	1	02	01	H2663_063_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	064	0	1	01	01	H2663_064_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	415.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	065	0	1	01	01	H2663_065_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	320.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	066	0	1	01	01	H2663_066_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	265.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	067	0	1	01	01	H2663_067_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	385.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2663	805	0	1	01	01	H2663_805_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2663	810	0	1	01	01	H2663_810_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2686	001	0	1	04	01	H2686_001_0	10	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H2686	002	0	1	04	01	H2686_002_0	11	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					2														2		2														2	2
H2686	003	0	1	04	01	H2686_003_0	11	1	01	2	2	1	3								2					2				2								1	010	50.00	50.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H2694	001	0	1	04	01	H2694_001_0	5	1	01	2	1										2					2				2								1	010	15.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H2694	002	0	1	04	01	H2694_002_0	5	1	01	2	1										2					2				2								1	010	45.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H2697	001	0	1	01	01	H2697_001_0	11	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H2697	002	0	1	01	01	H2697_002_0	10	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H2697	003	0	1	01	01	H2697_003_0	10	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H2697	004	0	1	01	01	H2697_004_0	11	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H2697	005	0	1	01	01	H2697_005_0	10	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	450.00	3																		2					2														2		2														2	2
H2697	006	0	1	01	01	H2697_006_0	10	1	01	2	2	1	3								2					2				2								1	010	50.00	50.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H2697	007	0	1	01	01	H2697_007_0	11	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H2697	008	0	1	01	01	H2697_008_0	11	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	450.00	3																		2					2														2		2														2	2
H2697	009	0	1	01	01	H2697_009_0	10	1	01	2	2	1	3								2					2				2								1	010	50.00	50.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H2697	010	0	1	01	01	H2697_010_0	13	1	01	2	2	1	3								2					2				1	010	40	40					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H2697	011	0	1	01	01	H2697_011_0	12	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H2715	001	0	1	01	01	H2715_001_0	6	1	01	2	1										1		250.00	3		2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					1	010000	20	20											2		2														2	2
H2722	002	0	1	02	01	H2722_002_0	6	1	01	2	2	1	3								2					2				2								1	011	35.00	35.00	0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2722	003	0	1	02	01	H2722_003_0	8	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2722	004	0	1	02	01	H2722_004_0	6	1	01	2	2	1	3								2					2				2								1	011	35.00	35.00	0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2722	005	0	1	02	01	H2722_005_0	6	1	01	2	2	1	3								2					2				2								1	011	35.00	35.00	0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2722	801	0	1	02	01	H2722_801_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2737	001	0	1	04	01	H2737_001_0	7	1	11	2	2	1	3		Eye Refraction	2	2	2	3		2					2				2								1	010	45.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	2																		2					2														2		2														2	2
H2737	002	0	1	04	01	H2737_002_0	7	1	11	2	2	1	3		Eye refraction	2	2	2	3		2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	2																		2					2														2		2														2	2
H2737	801	0	1	04	01	H2737_801_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2737	802	0	1	04	01	H2737_802_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2737	803	0	1	04	01	H2737_803_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2752	002	0	1	01	01	H2752_002_0	8	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H2752	003	0	1	01	01	H2752_003_0	7	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H2765	001	0	1	02	01	H2765_001_0	6	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11100	2	2	1	2		2	2	1	2												2	1		2	1	100.00	2																		2					2														2		2														2	2
H2765	002	0	1	02	01	H2765_002_0	8	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11100	2	2	1	2		2	2	1	2												2	1		2	1	100.00	2																		2					2														2		2														2	2
H2765	003	0	1	02	01	H2765_003_0	8	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11100	2	2	1	2		2	2	1	2												2	1		2	1	100.00	2																		2					2														2		2														2	2
H2765	004	0	1	02	01	H2765_004_0	7	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11100	2	2	1	2		2	2	1	2												2	1		2	1	100.00	2																		2					2														2		2														2	2
H2775	105	0	1	04	01	H2775_105_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2775	106	0	1	04	01	H2775_106_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2775	109	0	1	04	01	H2775_109_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2775	111	0	1	04	01	H2775_111_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2775	112	0	1	04	01	H2775_112_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2775	113	0	1	04	01	H2775_113_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2775	114	0	1	04	01	H2775_114_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2775	115	0	1	04	01	H2775_115_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2782	002	0	1	01	01	H2782_002_0	8	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	111	25.00	25.00	25.00	25.00	25.00	25.00	2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	100.00	2																		2					2														2		1	010000	25.00	25.00											2	2
H2782	004	0	1	01	01	H2782_004_0	8	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	111	25.00	25.00	25.00	25.00	25.00	25.00	2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	100.00	2																		2					2														2		1	010000	25.00	25.00											2	2
H2782	801	0	1	01	01	H2782_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2782	802	0	1	01	01	H2782_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2782	803	0	1	01	01	H2782_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2782	804	0	1	01	01	H2782_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2802	001	0	1	02	01	H2802_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	007	0	1	02	01	H2802_007_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	008	0	1	02	01	H2802_008_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	010	0	1	02	01	H2802_010_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	012	0	1	02	01	H2802_012_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	016	0	1	02	01	H2802_016_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	018	0	1	02	01	H2802_018_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	024	0	1	02	01	H2802_024_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	025	0	1	02	01	H2802_025_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	027	0	1	02	01	H2802_027_0	4	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	028	0	1	02	01	H2802_028_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	029	0	1	02	01	H2802_029_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	030	0	1	02	01	H2802_030_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	031	0	1	02	01	H2802_031_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	032	0	1	02	01	H2802_032_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	033	0	1	02	01	H2802_033_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	034	0	1	02	01	H2802_034_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	035	0	1	02	01	H2802_035_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	041	0	1	02	01	H2802_041_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	044	0	1	02	01	H2802_044_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	048	0	1	02	01	H2802_048_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	049	0	1	02	01	H2802_049_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	050	0	1	02	01	H2802_050_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	052	0	1	02	01	H2802_052_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	053	0	1	02	01	H2802_053_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H2802	054	0	1	02	01	H2802_054_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	055	0	1	02	01	H2802_055_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	056	0	1	02	01	H2802_056_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	057	0	1	02	01	H2802_057_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	058	0	1	02	01	H2802_058_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	059	0	1	02	01	H2802_059_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	060	0	1	02	01	H2802_060_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	061	0	1	02	01	H2802_061_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	062	0	1	02	01	H2802_062_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	063	0	1	02	01	H2802_063_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H2802	801	0	1	01	01	H2802_801_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2802	802	0	1	01	01	H2802_802_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2802	803	0	1	01	01	H2802_803_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2802	804	0	1	01	01	H2802_804_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2802	805	0	1	01	01	H2802_805_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2802	806	0	1	01	01	H2802_806_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2802	807	0	1	01	01	H2802_807_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2802	808	0	1	01	01	H2802_808_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2802	809	0	1	01	01	H2802_809_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2802	816	0	1	01	01	H2802_816_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2802	817	0	1	01	01	H2802_817_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2802	818	0	1	01	01	H2802_818_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2802	819	0	1	01	01	H2802_819_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2802	820	0	1	01	01	H2802_820_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2802	821	0	1	01	01	H2802_821_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2802	822	0	1	01	01	H2802_822_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2802	823	0	1	01	01	H2802_823_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2802	824	0	1	01	01	H2802_824_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H2815	001	0	1	20	08	H2815_001_0	1																																																																																																																													
H2815	002	0	1	20	08	H2815_002_0	1																																																																																																																													
H2816	013	0	1	09	04	H2816_013_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H2816	019	0	1	09	04	H2816_019_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H2816	037	0	1	09	04	H2816_037_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H2816	038	0	1	09	04	H2816_038_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H2816	040	0	1	09	04	H2816_040_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H2819	001	0	1	01	01	H2819_001_0	5	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	1	1	01011	2	1									2	2	1	3		2	2	1	2			1		2	2				01001	375.00	3								375.00	2					2					1	010000	20	20											2		2														2	1
H2819	002	0	1	01	01	H2819_002_0	6	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	1	1	01011	2	1									2	2	1	3		2	2	1	2			1		2	2				01001	370.00	3								370.00	2					2					1	010000	20	20											2		2														2	1
H2819	003	0	1	01	01	H2819_003_0	5	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	1	1	01011	2	1									2	2	1	3		2	2	1	2			1		2	2				01001	350.00	3								350.00	2					2					1	010000	20	20											2		2														2	1
H2835	001	0	1	20	08	H2835_001_0	1																																																																																																																													
H2835	002	0	1	20	08	H2835_002_0	1																																																																																																																													
H2836	005	0	1	04	01	H2836_005_0	6	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2836	006	0	1	04	01	H2836_006_0	6	1	01	2	2	1	3								1	2	69.00	3		2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	250.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H2853	801	0	1	01	01	H2853_801_0	12	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H2879	001	0	1	01	01	H2879_001_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		2														2	2
H2879	002	0	1	01	01	H2879_002_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H2879	003	0	1	01	01	H2879_003_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H2879	004	0	1	01	01	H2879_004_0	5	2																		2				2								2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H2879	005	0	1	01	01	H2879_005_0	5	1	01	2	1										1		500.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					1	010000	20	20											2		2														2	2
H2882	003	0	1	20	08	H2882_003_0	1																																																																																																																													
H2882	004	0	1	20	08	H2882_004_0	1																																																																																																																													
H2915	002	0	1	01	01	H2915_002_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2915	003	0	1	01	01	H2915_003_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2915	007	0	1	01	01	H2915_007_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2915	011	0	1	01	01	H2915_011_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2915	013	0	1	01	01	H2915_013_0	15	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2915	016	0	1	01	01	H2915_016_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H2918	001	0	1	20	08	H2918_001_0	2																																																																																																																													
H2918	002	0	1	20	08	H2918_002_0	2																																																																																																																													
H2923	001	0	1	01	01	H2923_001_0	11	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														2	2
H2926	001	0	1	01	01	H2926_001_0	13	2																		2				1	010	20	20					2								2		2	2	1	10000																					2	1		2	2				10000													100.00	3		2					2														2		2														2	2
H2936	001	0	1	20	08	H2936_001_0	1																																																																																																																													
H2936	002	0	1	20	08	H2936_002_0	1																																																																																																																													
H2937	001	0	1	20	08	H2937_001_0	1																																																																																																																													
H2937	002	0	1	20	08	H2937_002_0	1																																																																																																																													
H2941	001	0	1	20	08	H2941_001_0	1																																																																																																																													
H2941	002	0	1	20	08	H2941_002_0	1																																																																																																																													
H2942	001	0	1	01	01	H2942_001_0	9	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H2944	013	0	1	09	04	H2944_013_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2				1	01100	2	2	1	3		2	2	1	3													1	1	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00								
H2960	009	0	1	01	01	H2960_009_0	4	1	01	2	2	1	3								1		20.00	3		2				2								1	011	40.00	40.00	0.00	0.00			2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H2960	012	0	1	01	01	H2960_012_0	6	1	01	2	2	1	3								1		20.00	3		2				2								1	010	40.00	40.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H2960	018	0	1	01	01	H2960_018_0	6	1	01	2	2	1	3								1		15.00	3		2				2								1	011	15.00	15.00	0.00	0.00			2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H2960	019	0	1	01	01	H2960_019_0	4	1	01	2	2	1	3								1		20.00	3		2				2								1	001			0.00	0.00			2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H2960	023	0	1	01	01	H2960_023_0	5	1	01	2	2	1	3								1		20.00	3		2				2								1	011	35.00	35.00	0.00	0.00			2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H2960	024	0	1	01	01	H2960_024_0	5	1	01	2	2	1	3								1		20.00	3		2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					1	010000	20	20											2		2														2	2
H2960	803	0	1	01	01	H2960_803_0	3	1	01	2	2	1	3								1		20.00	3		2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H2962	001	0	1	01	01	H2962_001_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		1	100000											30.00	50.00	2	2
H2962	021	0	1	01	01	H2962_021_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		1	100000											30.00	50.00	2	2
H2962	022	0	1	01	01	H2962_022_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		1	100000											30.00	50.00	2	2
H2962	023	0	1	01	01	H2962_023_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		1	100000											30.00	50.00	2	2
H2962	025	0	1	01	01	H2962_025_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		1	100000											30.00	50.00	2	2
H2962	026	0	1	01	01	H2962_026_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		1	100000											30.00	50.00	2	2
H2962	028	0	1	01	01	H2962_028_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		1	100000											30.00	50.00	2	2
H2962	029	0	1	01	01	H2962_029_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		1	100000											30.00	50.00	2	2
H2962	033	0	1	01	01	H2962_033_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		1	100000											30.00	50.00	2	2
H2962	035	0	1	01	01	H2962_035_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	500.00	3																		2					2														2		2														2	2
H2962	036	0	1	01	01	H2962_036_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	500.00	3																		2					2														2		2														2	2
H2962	045	0	1	01	01	H2962_045_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	350.00	3																		2					2														2		1	100000											30.00	50.00	2	2
H2962	046	0	1	01	01	H2962_046_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		1	100000											30.00	50.00	2	2
H2962	047	0	1	01	01	H2962_047_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		1	100000											30.00	50.00	2	2
H2962	050	0	1	01	01	H2962_050_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		1	100000											30.00	50.00	2	2
H2962	051	0	1	01	01	H2962_051_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		1	100000											30.00	50.00	2	2
H2962	052	0	1	01	01	H2962_052_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		1	100000											30.00	50.00	2	2
H2992	001	0	1	20	08	H2992_001_0	1																																																																																																																													
H2992	002	0	1	20	08	H2992_002_0	1																																																																																																																													
H2992	003	0	1	20	08	H2992_003_0	1																																																																																																																													
H2992	004	0	1	20	08	H2992_004_0	1																																																																																																																													
H3015	001	0	1	01	01	H3015_001_0	5	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H3038	001	0	1	01	01	H3038_001_0	4	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					1	010000	20	20											2		2														2	2
H3038	002	0	1	01	01	H3038_002_0	4	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		2														2	2
H3038	003	0	1	01	01	H3038_003_0	3	1	01	2	1										1		500.00	3		2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					1	010000	20	20											2		2														2	2
H3041	001	0	1	01	01	H3041_001_0	11	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H3047	001	0	1	04	01	H3047_001_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H3047	002	0	1	04	01	H3047_002_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H3060	001	0	1	20	08	H3060_001_0	1																																																																																																																													
H3060	002	0	1	20	08	H3060_002_0	1																																																																																																																													
H3071	002	0	1	01	01	H3071_002_0	9	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	00100						2	2	1	3													1		2	1	300.00	3																		2					2														2		2														2	2
H3080	001	0	1	01	01	H3080_001_0	11	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														2	2
H3080	002	0	1	01	01	H3080_002_0	10	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H3080	003	0	1	01	01	H3080_003_0	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H3080	004	0	1	01	01	H3080_004_0	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H3080	006	0	1	01	01	H3080_006_0	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H3080	007	0	1	01	01	H3080_007_0	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H3084	001	0	1	20	08	H3084_001_0	1																																																																																																																													
H3084	002	0	1	20	08	H3084_002_0	1																																																																																																																													
H3113	001	0	1	01	01	H3113_001_0	5	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3113	005	0	1	01	01	H3113_005_0	3	2																		2				2								1	010	0.00	0.00					2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H3113	008	0	1	02	01	H3113_008_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3113	009	0	1	02	01	H3113_009_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H3113	010	0	1	02	01	H3113_010_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3113	011	0	1	02	01	H3113_011_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	450.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H3113	013	0	1	02	01	H3113_013_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H3113	014	0	1	02	01	H3113_014_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	250.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H3138	001	0	1	04	01	H3138_001_0	12	1	01	2	1										2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	400.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3138	002	0	1	04	01	H3138_002_0	7	1	01	2	1										2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	400.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3146	001	0	1	02	01	H3146_001_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	245.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3146	002	0	1	01	01	H3146_002_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3146	003	0	1	01	01	H3146_003_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3146	004	0	1	02	01	H3146_004_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	20.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3146	006	0	1	01	01	H3146_006_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	20.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	315.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3146	007	0	1	02	01	H3146_007_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3146	008	0	1	01	01	H3146_008_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3146	009	0	1	01	01	H3146_009_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3146	011	0	1	01	01	H3146_011_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3146	012	0	1	01	01	H3146_012_0	8	1	11	2	2	1	3		Follow up diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3146	013	0	1	01	01	H3146_013_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3146	014	0	1	02	01	H3146_014_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	12.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	330.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3146	015	0	1	01	01	H3146_015_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3146	016	0	1	01	01	H3146_016_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3146	017	0	1	01	01	H3146_017_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3146	018	0	1	01	01	H3146_018_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3146	019	0	1	01	01	H3146_019_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3146	020	0	1	02	01	H3146_020_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	10.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3146	801	0	1	01	01	H3146_801_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3146	802	0	1	01	01	H3146_802_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3152	022	0	1	02	01	H3152_022_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3152	045	0	1	01	01	H3152_045_0	5	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3152	048	0	1	02	01	H3152_048_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3152	080	0	1	02	01	H3152_080_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3152	082	0	1	01	01	H3152_082_0	10	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	175.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3152	084	0	1	01	01	H3152_084_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3152	088	0	1	01	01	H3152_088_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3152	801	0	1	01	01	H3152_801_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3152	804	0	1	01	01	H3152_804_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3170	003	1	1	01	01	H3170_003_1	4	1	01	2	2	1	3								2					2				2								1	011	40.00	40.00	10.00	10.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H3170	003	2	1	01	01	H3170_003_2	6	1	01	2	2	1	3								2					2				2								1	011	40.00	40.00	10.00	10.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H3186	001	0	1	04	01	H3186_001_0	8	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H3186	002	0	1	04	01	H3186_002_0	8	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	1	100.00	3																		2					2														2		2														2	2
H3189	001	0	1	01	01	H3189_001_0	5	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					1	100000											80	90	2		1	100000											15.00	65.00	2	2
H3189	801	0	1	01	01	H3189_801_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H3189	802	0	1	01	01	H3189_802_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H3189	803	0	1	01	01	H3189_803_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H3189	804	0	1	01	01	H3189_804_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H3192	001	0	1	02	01	H3192_001_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	440.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3192	002	0	1	02	01	H3192_002_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3192	003	0	1	02	01	H3192_003_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	230.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3192	004	0	1	02	01	H3192_004_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	255.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3192	005	0	1	02	01	H3192_005_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	255.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3192	006	0	1	02	01	H3192_006_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3192	007	0	1	01	01	H3192_007_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3192	008	0	1	01	01	H3192_008_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	525.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3192	009	0	1	01	01	H3192_009_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	570.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3192	010	0	1	02	01	H3192_010_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3192	011	0	1	02	01	H3192_011_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	280.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3192	012	0	1	02	01	H3192_012_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	255.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3192	013	0	1	02	01	H3192_013_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3192	017	0	1	02	01	H3192_017_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3192	020	0	1	02	01	H3192_020_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	165.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3192	801	0	1	01	01	H3192_801_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3192	802	0	1	01	01	H3192_802_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3204	001	0	1	01	01	H3204_001_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	5.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	265.00	3																		2					1	010000	20	20											2		2														2	2
H3204	007	0	1	01	01	H3204_007_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H3204	008	0	1	01	01	H3204_008_0	6	1	01	2	2	1	3								2					2				2								1	010	0.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H3204	013	4	1	01	01	H3204_013_4	8	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					1	010000	20	20											2		2														2	2
H3204	013	5	1	01	01	H3204_013_5	6	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					1	010000	20	20											2		2														2	2
H3204	015	0	1	02	01	H3204_015_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	215.00	5																		2					1	010000	20	20											2		2														2	2
H3204	801	0	1	01	01	H3204_801_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3204	802	0	1	01	01	H3204_802_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3204	803	0	1	01	01	H3204_803_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3204	808	0	1	02	01	H3204_808_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3204	809	0	1	02	01	H3204_809_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3204	810	0	1	02	01	H3204_810_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3206	001	0	1	04	01	H3206_001_0	9	1	01	2	2	1	3								2					2				2								1	010	0.00	5.00					2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3206	003	0	1	04	01	H3206_003_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	15.00					2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3206	801	0	1	04	01	H3206_801_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3206	802	0	1	04	01	H3206_802_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3206	803	0	1	04	01	H3206_803_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3219	001	0	1	04	01	H3219_001_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3219	002	0	1	04	01	H3219_002_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	175.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3219	003	0	1	04	01	H3219_003_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	20.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3219	004	0	1	04	01	H3219_004_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3219	005	0	1	04	01	H3219_005_0	5	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3219	007	0	1	04	01	H3219_007_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3219	008	0	1	04	01	H3219_008_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3219	801	0	1	04	01	H3219_801_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3219	802	0	1	04	01	H3219_802_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3239	001	0	1	01	01	H3239_001_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	550.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3239	002	0	1	01	01	H3239_002_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	425.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3239	003	0	1	01	01	H3239_003_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	600.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3239	005	0	1	01	01	H3239_005_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	450.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3239	006	0	1	01	01	H3239_006_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	550.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3239	007	0	1	01	01	H3239_007_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3239	008	0	1	01	01	H3239_008_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	560.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3239	010	0	1	01	01	H3239_010_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3239	011	0	1	01	01	H3239_011_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3239	012	0	1	01	01	H3239_012_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	20.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3239	013	0	1	01	01	H3239_013_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3239	014	0	1	01	01	H3239_014_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3239	015	0	1	01	01	H3239_015_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	485.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3239	016	0	1	01	01	H3239_016_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3239	017	0	1	01	01	H3239_017_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3239	018	0	1	01	01	H3239_018_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	600.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3239	019	0	1	01	01	H3239_019_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3239	020	0	1	01	01	H3239_020_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3240	013	0	1	01	01	H3240_013_0	6	2																		2				1	010	20	20					1	010	0.00	0.00					2		1	2	2																																														2					1	010000	20	20											2		2														2	2
H3240	017	0	1	02	01	H3240_017_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		2														2	2
H3240	021	0	1	01	01	H3240_021_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3240	022	0	1	01	01	H3240_022_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3240	024	0	1	02	01	H3240_024_0	7	2																		2				1	010	20	20					1	010	0.00	0.00					2		1	2	2																																														2					1	010000	20	20											2		2														2	2
H3251	002	0	1	01	01	H3251_002_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H3251	029	0	1	01	01	H3251_029_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11011	2	1									2	1				2	1				2	1		2	1	250.00	3																		2					1	010000	20	20											2		1	101011			0.00	0.00			0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3251	804	0	1	01	01	H3251_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3256	001	0	1	04	01	H3256_001_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3256	002	0	1	04	01	H3256_002_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3259	001	0	1	01	01	H3259_001_0	5	1	01	2	1										1		800.00	3		2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		1																					2					1	010000	20	20											2		2														2	2
H3259	002	0	1	01	01	H3259_002_0	4	1	01	2	1										1		800.00	3		2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		1																					2					1	010000	20	20											2		2														2	2
H3259	003	0	1	01	01	H3259_003_0	6	1	01	2	1										1		3000.00	3		2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		1																					2					1	010000	20	20											2		2														2	2
H3274	001	0	1	01	01	H3274_001_0	12	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	10111						2	1				2	1				2	1				2	1		2	1	275.00	3																		2					1	010000	20	20											2		2														2	2
H3274	002	0	1	01	01	H3274_002_0	11	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					1	010000	20	20											2		2														2	2
H3274	003	0	1	01	01	H3274_003_0	11	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H3274	004	0	1	01	01	H3274_004_0	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H3276	001	0	1	02	01	H3276_001_0	12	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	750.00	3																		2					1	010000	20	20											2		2														2	2
H3276	003	0	1	02	01	H3276_003_0	11	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	750.00	3																		2					1	010000	20	20											2		2														2	2
H3284	001	0	1	20	08	H3284_001_0	1																																																																																																																													
H3284	002	0	1	20	08	H3284_002_0	1																																																																																																																													
H3288	001	0	1	04	01	H3288_001_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	002	0	1	04	01	H3288_002_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	003	0	1	04	01	H3288_003_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	004	0	1	04	01	H3288_004_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	005	0	1	04	01	H3288_005_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	006	0	1	04	01	H3288_006_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	007	0	1	04	01	H3288_007_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	375.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	008	0	1	04	01	H3288_008_0	11	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	009	0	1	04	01	H3288_009_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	011	0	1	04	01	H3288_011_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	016	0	1	04	01	H3288_016_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	017	0	1	04	01	H3288_017_0	8	1	11	2	2	1	3		Follow up Diabetic Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	018	0	1	04	01	H3288_018_0	9	1	11	2	2	1	3		Follow up Diabetic Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	019	0	1	04	01	H3288_019_0	9	1	11	2	2	1	3		Follow up Diabetic Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	020	0	1	04	01	H3288_020_0	9	1	11	2	2	1	3		Follow up Diabetic Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	021	0	1	04	01	H3288_021_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	027	0	1	04	01	H3288_027_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	340.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	031	0	1	04	01	H3288_031_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	315.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	034	0	1	04	01	H3288_034_0	3	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	042	0	1	04	01	H3288_042_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	280.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	045	0	1	04	01	H3288_045_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	0.00	50.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	046	0	1	04	01	H3288_046_0	9	1	11	2	2	1	3		Follow up Diabetic Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	047	0	1	04	01	H3288_047_0	9	1	11	2	2	1	3		Follow up Diabetic Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	048	0	1	04	01	H3288_048_0	9	1	11	2	2	1	3		Follow up Diabetic Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	051	0	1	04	01	H3288_051_0	8	1	11	2	2	1	3		Follow up Diabetic Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3288	801	0	1	04	01	H3288_801_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3288	802	0	1	04	01	H3288_802_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3291	001	0	1	01	01	H3291_001_0	4	1	11	2	2	1	3		Glaucoma Testing	2	2	1	3		2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H3291	002	0	1	01	01	H3291_002_0	5	1	11	2	2	1	3		Glaucoma Testing	2	2	1	3		2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H3291	003	0	1	01	01	H3291_003_0	7	1	11	2	2	1	3		Glaucoma Testing	2	2	1	3		2					2				2								1	010	10.00	10.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H3305	007	0	1	02	01	H3305_007_0	8	1	01	2	2	1	3								1		300.00	3		2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					1	010000	20	20											2		2														2	2
H3305	015	0	1	02	01	H3305_015_0	10	1	01	2	2	1	3								1		300.00	3		2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					1	010000	20	20											2		2														2	2
H3305	020	0	1	02	01	H3305_020_0	9	1	01	2	2	1	3								1		300.00	3		2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					1	010000	20	20											2		2														2	2
H3305	021	0	1	02	01	H3305_021_0	10	1	01	2	2	1	3								1		300.00	3		2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					1	010000	20	20											2		2														2	2
H3305	022	0	1	02	01	H3305_022_0	10	1	01	2	2	1	3								1		300.00	3		2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	175.00	3																		2					1	010000	20	20											2		2														2	2
H3305	030	0	1	02	01	H3305_030_0	10	1	01	2	2	1	3								1		300.00	3		2				2								1	010	45.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H3305	032	0	1	02	01	H3305_032_0	10	1	01	2	2	1	3								1		300.00	3		2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	175.00	3																		2					1	010000	20	20											2		2														2	2
H3305	033	0	1	01	01	H3305_033_0	10	2																		2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H3305	034	0	1	01	01	H3305_034_0	11	2																		2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H3305	035	0	1	01	01	H3305_035_0	11	2																		2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H3305	801	0	1	02	01	H3305_801_0	4	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H3305	803	0	1	02	01	H3305_803_0	4	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H3305	804	0	1	02	01	H3305_804_0	4	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H3307	002	0	1	02	01	H3307_002_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3307	012	0	1	02	01	H3307_012_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H3307	015	0	1	02	01	H3307_015_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3307	018	0	1	02	01	H3307_018_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3307	023	0	1	02	01	H3307_023_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3307	802	0	1	01	01	H3307_802_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H3307	804	0	1	01	01	H3307_804_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H3307	805	0	1	01	01	H3307_805_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H3312	002	0	1	01	01	H3312_002_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3312	018	0	1	01	01	H3312_018_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3312	048	0	1	01	01	H3312_048_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	310.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3312	062	0	1	02	01	H3312_062_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3312	064	0	1	01	01	H3312_064_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				1		150.00	3		2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3312	065	0	1	02	01	H3312_065_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3312	069	0	1	01	01	H3312_069_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3312	070	0	1	01	01	H3312_070_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3312	072	0	1	01	01	H3312_072_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3312	073	0	1	01	01	H3312_073_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3312	074	0	1	01	01	H3312_074_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3312	801	0	1	01	01	H3312_801_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3312	804	0	1	01	01	H3312_804_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3321	001	0	1	20	08	H3321_001_0	1																																																																																																																													
H3321	003	0	1	20	08	H3321_003_0	1																																																																																																																													
H3322	001	0	1	20	08	H3322_001_0	1																																																																																																																													
H3322	002	0	1	20	08	H3322_002_0	1																																																																																																																													
H3329	001	0	1	20	08	H3329_001_0	1																																																																																																																													
H3329	002	0	1	20	08	H3329_002_0	1																																																																																																																													
H3330	021	1	1	01	01	H3330_021_1	10	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		1	010000	25.00	25.00											2	2
H3330	021	2	1	01	01	H3330_021_2	9	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		1	010000	25.00	25.00											2	2
H3330	021	3	1	01	01	H3330_021_3	9	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		1	010000	25.00	25.00											2	2
H3330	038	0	1	01	01	H3330_038_0	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	150.00	3																		2					2														2		2														2	2
H3330	045	0	1	01	01	H3330_045_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	600.00	3																		2					2														2		1	010000	40.00	40.00											2	2
H3330	814	0	1	01	01	H3330_814_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3330	815	0	1	01	01	H3330_815_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3330	820	0	1	02	01	H3330_820_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3330	821	0	1	02	01	H3330_821_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3331	001	0	1	20	08	H3331_001_0	1																																																																																																																													
H3331	002	0	1	20	08	H3331_002_0	1																																																																																																																													
H3335	015	0	1	04	01	H3335_015_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1	2	2	1	250.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H3335	018	0	1	04	01	H3335_018_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1	2	2	1	120.00	3																		2					2														2		1	010000	40.00	40.00											2	2
H3335	038	0	1	04	01	H3335_038_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1	2	2	1	200.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H3335	043	0	1	04	01	H3335_043_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1	2	2	1	250.00	3																		2					2														2		1	010000	35.00	35.00											2	2
H3335	044	0	1	04	01	H3335_044_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1	2	2	1	250.00	3																		2					2														2		1	010000	35.00	35.00											2	2
H3335	053	0	1	04	01	H3335_053_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1	2	2	1	350.00	3																		2					2														2		1	010000	35.00	35.00											2	2
H3335	055	0	1	04	01	H3335_055_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1	2	2	1	250.00	3																		2					2														2		1	010000	40.00	40.00											2	2
H3335	056	0	1	04	01	H3335_056_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1	2	2	1	200.00	3																		2					2														2		1	010000	35.00	35.00											2	2
H3335	057	0	1	04	01	H3335_057_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1	2	2	1	200.00	3																		2					2														2		1	010000	35.00	35.00											2	2
H3335	058	0	1	04	01	H3335_058_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1	2	2	1	200.00	3																		2					2														2		1	010000	35.00	35.00											2	2
H3335	801	0	1	04	01	H3335_801_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3335	811	0	1	04	01	H3335_811_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3335	813	0	1	04	01	H3335_813_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3335	819	0	1	04	01	H3335_819_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3335	820	0	1	04	01	H3335_820_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3335	822	0	1	04	01	H3335_822_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3342	023	1	1	04	01	H3342_023_1	6	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H3342	023	2	1	04	01	H3342_023_2	6	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H3344	005	0	1	04	01	H3344_005_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	01100	2	1				2	1															1	2	2	1	200.00	3																		2					2														2		2														2	2
H3344	010	0	1	04	01	H3344_010_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	01100	2	1				2	1															1	2	2	1	200.00	3																		2					2														2		2														2	2
H3344	012	0	1	04	01	H3344_012_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	01100	2	1				2	1															1	2	2	1	200.00	3																		2					2														2		2														2	2
H3344	801	0	1	04	01	H3344_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3344	804	0	1	04	01	H3344_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3344	805	0	1	04	01	H3344_805_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3347	002	0	1	02	01	H3347_002_0	10	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3347	003	0	1	02	01	H3347_003_0	11	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3347	007	0	1	02	01	H3347_007_0	10	2																		2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3347	009	0	1	02	01	H3347_009_0	10	1	01	2	2	1	3								2					2				2								1	011	25.00	25.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3347	015	0	1	02	01	H3347_015_0	9	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	2																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3347	016	0	1	02	01	H3347_016_0	10	1	01	2	2	1	3								2					2				2								1	011	25.00	25.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3347	018	0	1	02	01	H3347_018_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	2																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3351	001	0	1	02	01	H3351_001_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	250.00	3																		2					2														2		1	010000	35.00	35.00											2	2
H3351	002	0	1	02	01	H3351_002_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	250.00	3																		2					2														2		1	010000	25.00	25.00											2	2
H3351	006	0	1	02	01	H3351_006_0	6	1	01	2	2	1	3								2					2				2								1	011	40.00	40.00	40.00	40.00			2		2	2	1	01100	2	1				2	1															1		2	1	275.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H3351	007	0	1	02	01	H3351_007_0	5	1	01	2	2	1	3								2					2				2								1	011	40.00	40.00	40.00	40.00			2		2	2	1	01100	2	1				2	1															1		2	1	250.00	3																		2					2														2		1	010000	35.00	35.00											2	2
H3351	012	0	1	02	01	H3351_012_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	010000	35.00	35.00											2	2
H3351	013	0	1	02	01	H3351_013_0	6	1	01	2	2	1	3								2					2				2								1	011	45.00	45.00	45.00	45.00			2		2	2	1	01100	2	1				2	1															1		2	1	225.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H3351	016	0	1	01	01	H3351_016_0	6	1	01	2	2	1	3								2					2				2								1	011	50.00	50.00	50.00	50.00			2		2	2	1	01100	2	1				2	1															1		2	1	125.00	3																		2					2														2		1	010000	45.00	45.00											2	2
H3351	017	0	1	01	01	H3351_017_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	350.00	3																		2					2														2		1	010000	35.00	35.00											2	2
H3351	018	0	1	02	01	H3351_018_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	150.00	3																		2					2														2		1	010000	40.00	40.00											2	2
H3351	019	0	1	02	01	H3351_019_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	150.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H3351	020	0	1	01	01	H3351_020_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	250.00	3																		2					2														2		1	010000	45.00	45.00											2	2
H3351	021	0	1	01	01	H3351_021_0	6	1	01	2	2	1	3								2					2				2								1	011	50.00	50.00	50.00	50.00			2		2	2	1	01100	2	1				2	1															1		2	1	125.00	3																		2					2														2		1	010000	50.00	50.00											2	2
H3351	801	0	1	02	01	H3351_801_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3351	802	0	1	02	01	H3351_802_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3351	803	0	1	02	01	H3351_803_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3351	804	0	1	02	01	H3351_804_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3351	805	0	1	02	01	H3351_805_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3351	806	0	1	02	01	H3351_806_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3359	001	0	1	01	01	H3359_001_0	12	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	150.00	3																		2					2														2		2														1	2
H3359	019	0	1	01	01	H3359_019_0	12	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														1	2
H3359	021	0	1	01	01	H3359_021_0	17	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	2	1	3													1		2	1	350.00	3																		2					2														2		2														1	2
H3359	034	0	1	01	01	H3359_034_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	550.00	3																		2					2														2		2														1	2
H3359	038	0	1	01	01	H3359_038_0	12	2																		2				1	010	20	20					2								2		2	2	2																																														2					2														2		2														1	2
H3359	808	0	1	01	01	H3359_808_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					2														2		2														1	2
H3359	809	0	1	01	01	H3359_809_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					2														2		2														1	2
H3362	016	0	1	01	01	H3362_016_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														2	2
H3362	017	0	1	01	01	H3362_017_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														2	2
H3362	020	0	1	01	01	H3362_020_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	2	1	3													1		2	1	150.00	3																		2					2														2		2														2	2
H3362	033	0	1	01	01	H3362_033_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														2	2
H3362	038	0	1	01	01	H3362_038_0	9	1	01	2	1										2					2				2								1	010	0.00	40.00					2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														2	2
H3362	039	0	1	01	01	H3362_039_0	7	1	01	2	1										2					2				2								1	010	0.00	45.00					2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														2	2
H3362	040	0	1	01	01	H3362_040_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		2														2	2
H3362	801	0	1	01	01	H3362_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3362	807	0	1	02	01	H3362_807_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3362	819	0	1	02	01	H3362_819_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3362	820	0	1	01	01	H3362_820_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3362	822	0	1	02	01	H3362_822_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3379	001	0	1	02	01	H3379_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3379	002	0	1	01	01	H3379_002_0	5	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3379	022	0	1	02	01	H3379_022_0	5	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3379	039	0	1	02	01	H3379_039_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3379	040	0	1	02	01	H3379_040_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3379	041	0	1	02	01	H3379_041_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3379	043	0	1	02	01	H3379_043_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3379	045	0	1	02	01	H3379_045_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3379	046	0	1	02	01	H3379_046_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3379	050	0	1	02	01	H3379_050_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3379	051	0	1	02	01	H3379_051_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3384	013	0	1	01	01	H3384_013_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	26.00	25.00	25.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H3384	019	0	1	01	01	H3384_019_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	25.00	25.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H3384	022	0	1	01	01	H3384_022_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	25.00	25.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		2														2	2
H3384	058	0	1	01	01	H3384_058_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	25.00	25.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H3384	059	0	1	01	01	H3384_059_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	25.00	25.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H3384	062	0	1	01	01	H3384_062_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	25.00	25.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		2														2	2
H3384	063	0	1	01	01	H3384_063_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	25.00	25.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		2														2	2
H3384	067	0	1	01	01	H3384_067_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	25.00	25.00			2		2	2	2																																														2					2														2		2														2	2
H3384	805	0	1	01	01	H3384_805_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3384	806	0	1	01	01	H3384_806_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3384	811	0	1	02	01	H3384_811_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3384	812	0	1	02	01	H3384_812_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3384	813	0	1	01	01	H3384_813_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3387	013	0	1	01	01	H3387_013_0	3	2																		2				2								1	010	0.00	0.00					2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H3387	014	1	1	02	01	H3387_014_1	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H3387	014	2	1	02	01	H3387_014_2	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	350.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H3387	015	1	1	02	01	H3387_015_1	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H3387	015	2	1	02	01	H3387_015_2	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H3388	001	0	1	01	01	H3388_001_0	3	1	01	2	2	1	3								2					2				2								1	011	25.00	25.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H3388	002	0	1	01	01	H3388_002_0	6	1	01	2	2	1	3								2					2				2								1	011	25.00	25.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H3388	004	0	1	01	01	H3388_004_0	5	1	01	2	2	1	3								2					2				2								1	011	30.00	30.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H3388	013	0	1	01	01	H3388_013_0	5	1	01	2	2	1	3								2					2				2								1	011	35.00	35.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	240.00	3																		2					1	010000	20	20											2		2														2	2
H3388	014	0	1	01	01	H3388_014_0	5	1	01	2	2	1	3								2					2				2								1	011	35.00	35.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H3388	018	0	1	01	01	H3388_018_0	7	1	01	2	2	1	3								2					2				2								1	011	35.00	35.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H3388	801	0	1	01	01	H3388_801_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3388	803	0	1	01	01	H3388_803_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3388	804	0	1	01	01	H3388_804_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3404	003	1	1	04	01	H3404_003_1	6	1	11	2	2	1	3		Contact Lens	2	2	1	3		2					2				2								1	111	0.00	15.00	15.00	15.00	15.00	15.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3404	003	2	1	04	01	H3404_003_2	7	1	11	2	2	1	3		Contact Lens	2	2	1	3		2					2				2								1	111	0.00	25.00	25.00	25.00	25.00	25.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3404	004	0	1	04	01	H3404_004_0	6	2																		2				1	010	20	20					1	010	0.00	0.00					2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H3404	801	0	1	04	01	H3404_801_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3404	810	0	1	04	01	H3404_810_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3404	811	0	1	04	01	H3404_811_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3407	001	0	1	01	01	H3407_001_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		2														2	2
H3416	001	6	1	04	01	H3416_001_6	4	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2					2														2		2														2	2
H3416	001	7	1	04	01	H3416_001_7	4	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2					2														2		2														2	2
H3416	002	4	1	04	01	H3416_002_4	5	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2					2														2		2														2	2
H3416	002	5	1	04	01	H3416_002_5	5	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2					2														2		2														2	2
H3416	801	0	1	04	01	H3416_801_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3416	803	0	1	04	01	H3416_803_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3418	001	0	1	04	01	H3418_001_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3418	002	0	1	04	01	H3418_002_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3418	003	0	1	04	01	H3418_003_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3418	004	0	1	04	01	H3418_004_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3418	005	0	1	04	01	H3418_005_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3418	006	0	1	04	01	H3418_006_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3418	007	0	1	04	01	H3418_007_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3418	008	0	1	04	01	H3418_008_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3418	009	0	1	04	01	H3418_009_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3418	010	0	1	04	01	H3418_010_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3419	001	0	1	01	01	H3419_001_0	11	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	10111						2	1				2	1				2	1				2	1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H3419	003	0	1	01	01	H3419_003_0	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	10111						2	1				2	1				2	1				2	1		2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H3419	004	0	1	01	01	H3419_004_0	11	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	10111						2	1				2	1				2	1				2	1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H3430	001	0	1	20	08	H3430_001_0	1																																																																																																																													
H3430	002	0	1	20	08	H3430_002_0	1																																																																																																																													
H3443	001	0	1	01	01	H3443_001_0	16	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														2	2
H3443	002	0	1	01	01	H3443_002_0	16	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														2	2
H3443	003	0	1	01	01	H3443_003_0	14	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H3443	005	0	1	01	01	H3443_005_0	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	100.00	2																		2					2														2		2														2	2
H3443	006	0	1	01	01	H3443_006_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	500.00	2																		2					2														2		2														2	2
H3443	801	0	1	01	01	H3443_801_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H3443	802	0	1	01	01	H3443_802_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H3443	803	0	1	01	01	H3443_803_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H3443	804	0	1	01	01	H3443_804_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H3447	001	0	1	01	01	H3447_001_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	003	0	1	01	01	H3447_003_0	7	1	01	2	2	1	2								2					2				2								1	011	0.00	20.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	004	0	1	01	01	H3447_004_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	005	0	1	01	01	H3447_005_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	010	0	1	01	01	H3447_010_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	011	0	1	01	01	H3447_011_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	013	0	1	01	01	H3447_013_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	018	0	1	01	01	H3447_018_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	525.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	020	0	1	01	01	H3447_020_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	024	0	1	01	01	H3447_024_0	11	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	025	0	1	01	01	H3447_025_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	026	0	1	01	01	H3447_026_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	028	0	1	01	01	H3447_028_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	030	0	1	01	01	H3447_030_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	425.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	033	0	1	01	01	H3447_033_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	037	0	1	01	01	H3447_037_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	038	1	1	01	01	H3447_038_1	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	038	2	1	01	01	H3447_038_2	8	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	039	0	1	01	01	H3447_039_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	042	1	1	01	01	H3447_042_1	9	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	175.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	042	2	1	01	01	H3447_042_2	9	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	042	3	1	01	01	H3447_042_3	10	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	042	4	1	01	01	H3447_042_4	9	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	043	0	1	01	01	H3447_043_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	044	0	1	01	01	H3447_044_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	450.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	045	0	1	01	01	H3447_045_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	425.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	046	0	1	01	01	H3447_046_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	047	0	1	01	01	H3447_047_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	048	0	1	01	01	H3447_048_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3447	804	0	1	01	01	H3447_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3447	805	0	1	01	01	H3447_805_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3447	806	0	2	01	01	H3447_806_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3447	807	0	2	01	01	H3447_807_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3447	809	0	1	01	01	H3447_809_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3447	811	0	1	01	01	H3447_811_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3447	812	0	1	01	01	H3447_812_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3447	813	0	2	01	01	H3447_813_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3447	814	0	2	01	01	H3447_814_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3447	816	0	1	01	01	H3447_816_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3447	818	0	1	01	01	H3447_818_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3447	819	0	1	01	01	H3447_819_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3447	820	0	2	01	01	H3447_820_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3447	821	0	2	01	01	H3447_821_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3447	823	0	1	01	01	H3447_823_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3447	825	0	2	01	01	H3447_825_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3447	826	0	2	01	01	H3447_826_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3447	827	0	2	01	01	H3447_827_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3449	012	0	1	02	01	H3449_012_0	7	1	11	2	2	1	3		Contact Lens	2	2	1	3		2					2				2								1	111	0.00	25.00	25.00	25.00	25.00	25.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3449	023	1	1	02	01	H3449_023_1	10	1	11	2	2	1	3		Contact Lens	2	2	1	3		2					2				2								1	111	0.00	15.00	15.00	15.00	15.00	15.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3449	023	2	1	02	01	H3449_023_2	10	1	11	2	2	1	3		Contact Lens	2	2	1	3		2					2				2								1	111	0.00	15.00	15.00	15.00	15.00	15.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3449	023	4	1	02	01	H3449_023_4	10	1	11	2	2	1	3		Contact Lens	2	2	1	3		2					2				2								1	111	0.00	25.00	25.00	25.00	25.00	25.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3449	023	5	1	02	01	H3449_023_5	10	1	11	2	2	1	3		Contact Lens	2	2	1	3		2					2				2								1	111	0.00	25.00	25.00	25.00	25.00	25.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3449	024	1	1	02	01	H3449_024_1	10	1	11	2	2	1	3		Contact Lens	2	2	1	3		2					2				2								1	111	0.00	15.00	15.00	15.00	15.00	15.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3449	024	2	1	02	01	H3449_024_2	10	1	11	2	2	1	3		Contact Lens	2	2	1	3		2					2				2								1	111	0.00	15.00	15.00	15.00	15.00	15.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3449	024	3	1	02	01	H3449_024_3	10	1	11	2	2	1	3		Contact Lens	2	2	1	3		2					2				2								1	111	0.00	15.00	15.00	15.00	15.00	15.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3449	026	0	1	01	01	H3449_026_0	11	1	11	2	2	1	3		Contact Lens	2	2	1	3		2					2				2								1	111	0.00	10.00	10.00	10.00	10.00	10.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3449	027	1	1	01	01	H3449_027_1	10	1	11	2	2	1	3		Contact Lens	2	2	1	3		2					2				2								1	111	0.00	25.00	25.00	25.00	25.00	25.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3449	027	2	1	01	01	H3449_027_2	10	1	11	2	2	1	3		Contact Lens	2	2	1	3		2					2				2								1	111	0.00	25.00	25.00	25.00	25.00	25.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3449	805	0	1	01	01	H3449_805_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3449	814	0	1	01	01	H3449_814_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3449	815	0	1	01	01	H3449_815_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3467	001	0	1	02	01	H3467_001_0	5	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	175.00	3																		2					1	010000	20	20											2		2														2	2
H3471	001	0	1	01	01	H3471_001_0	7	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	2																																														2					2														2		2														2	2
H3471	002	0	1	01	01	H3471_002_0	6	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	2																																														2					2														2		2														2	2
H3471	003	0	1	01	01	H3471_003_0	5	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	2																																														2					2														2		2														2	2
H3471	004	0	1	01	01	H3471_004_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H3471	005	0	1	01	01	H3471_005_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H3471	006	0	1	01	01	H3471_006_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	2																																														2					2														2		2														2	2
H3471	010	0	1	01	01	H3471_010_0	6	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	2																																														2					2														2		2														2	2
H3471	017	0	1	01	01	H3471_017_0	6	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	2																																														2					2														2		2														2	2
H3471	018	0	1	02	01	H3471_018_0	6	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	2																																														2					2														2		2														2	2
H3471	019	0	1	02	01	H3471_019_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H3471	801	0	1	01	01	H3471_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3471	802	0	1	01	01	H3471_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3471	803	0	1	01	01	H3471_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3471	804	0	1	02	01	H3471_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3471	805	0	1	02	01	H3471_805_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3471	806	0	1	02	01	H3471_806_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3473	001	0	1	20	08	H3473_001_0	1																																																																																																																													
H3473	002	0	1	20	08	H3473_002_0	1																																																																																																																													
H3493	001	0	1	20	08	H3493_001_0	1																																																																																																																													
H3493	002	0	1	20	08	H3493_002_0	1																																																																																																																													
H3499	002	0	1	01	01	H3499_002_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H3499	005	0	1	01	01	H3499_005_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H3499	008	0	1	01	01	H3499_008_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H3517	001	0	1	20	08	H3517_001_0	1																																																																																																																													
H3517	002	0	1	20	08	H3517_002_0	1																																																																																																																													
H3522	001	0	1	20	08	H3522_001_0	1																																																																																																																													
H3522	002	0	1	20	08	H3522_002_0	1																																																																																																																													
H3528	003	0	1	02	01	H3528_003_0	7	1	01	2	2	1	3								2					2				2								1	011	10.00	10.00	10.00	10.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	500.00	3																		2					2														2		2														2	2
H3528	010	0	1	02	01	H3528_010_0	12	1	01	2	2	1	3								2					2				2								1	011	45.00	45.00	45.00	45.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		2														2	2
H3528	011	1	1	02	01	H3528_011_1	10	1	01	2	2	1	3								2					2				2								1	011	50.00	50.00	50.00	50.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														2	2
H3528	011	2	1	02	01	H3528_011_2	11	1	01	2	2	1	3								2					2				2								1	011	50.00	50.00	50.00	50.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														2	2
H3528	014	0	1	02	01	H3528_014_0	12	1	01	2	2	1	3								2					2				2								1	011	45.00	45.00	45.00	45.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	500.00	3																		2					2														2		2														2	2
H3528	015	0	1	02	01	H3528_015_0	10	1	01	2	2	1	3								2					2				2								1	011	35.00	35.00	35.00	35.00			2		2	2	2																																														2					2														2		2														2	2
H3528	016	0	1	02	01	H3528_016_0	10	1	01	2	2	1	3								2					2				2								1	011	30.00	30.00	30.00	30.00			2		2	2	2																																														2					2														2		2														2	2
H3528	801	0	1	01	01	H3528_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3528	805	0	1	01	01	H3528_805_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3528	806	0	1	02	01	H3528_806_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3528	807	0	1	02	01	H3528_807_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3533	002	0	1	01	01	H3533_002_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H3533	006	0	1	01	01	H3533_006_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H3533	010	0	1	01	01	H3533_010_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H3533	013	0	1	01	01	H3533_013_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H3533	027	0	1	01	01	H3533_027_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H3533	032	1	1	01	01	H3533_032_1	6	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H3533	032	2	1	01	01	H3533_032_2	6	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H3533	033	0	1	01	01	H3533_033_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H3533	034	1	1	01	01	H3533_034_1	6	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H3533	034	2	1	01	01	H3533_034_2	6	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H3533	802	0	1	01	01	H3533_802_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H3533	803	0	1	01	01	H3533_803_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H3533	805	0	1	01	01	H3533_805_0	7	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H3533	806	0	1	01	01	H3533_806_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H3536	002	0	1	01	01	H3536_002_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3536	004	0	1	01	01	H3536_004_0	8	1	01	2	2	1	3								2					2				1	010	20	20					1	011	50.00	50.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3536	006	0	1	01	01	H3536_006_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3536	801	0	1	01	01	H3536_801_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3536	802	0	1	01	01	H3536_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3536	803	0	2	01	01	H3536_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3536	804	0	2	01	01	H3536_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3536	806	0	1	01	01	H3536_806_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3536	808	0	2	01	01	H3536_808_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3551	001	0	1	01	01	H3551_001_0	8	1	01	2	1										2					2				2								1	010	15.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H3551	002	0	1	01	01	H3551_002_0	8	1	01	2	1										2					2				2								1	010	10.00	10.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H3551	003	0	1	02	01	H3551_003_0	6	1	01	2	1										2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H3554	002	0	1	04	01	H3554_002_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	1	100.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H3554	007	0	1	04	01	H3554_007_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	1	200.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H3554	011	0	1	04	01	H3554_011_0	2	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	1	150.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H3554	801	0	1	04	01	H3554_801_0	1	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H3554	802	0	1	04	01	H3554_802_0	1	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H3554	803	0	1	04	01	H3554_803_0	1	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H3554	804	0	1	04	01	H3554_804_0	1	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H3557	001	0	1	04	01	H3557_001_0	9	1	01	2	2	1	3								2					2				2								1	011	25.00	25.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	300.00	3																		2					2														2		2														2	2
H3557	801	0	1	04	01	H3557_801_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H3557	802	0	1	04	01	H3557_802_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H3557	803	0	1	04	01	H3557_803_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H3561	001	0	1	01	01	H3561_001_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H3561	007	0	1	01	01	H3561_007_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H3561	008	0	1	01	01	H3561_008_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H3561	009	0	1	01	01	H3561_009_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H3563	001	0	1	20	08	H3563_001_0	1																																																																																																																													
H3563	002	0	1	20	08	H3563_002_0	1																																																																																																																													
H3597	001	0	1	01	01	H3597_001_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	315.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3597	007	0	1	01	01	H3597_007_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3597	009	0	1	01	01	H3597_009_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3597	011	0	1	02	01	H3597_011_0	8	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	2	1	3		2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3597	012	0	1	02	01	H3597_012_0	8	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3597	014	0	1	01	01	H3597_014_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	175.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3597	801	0	1	01	01	H3597_801_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3597	802	0	1	01	01	H3597_802_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3613	001	0	1	20	08	H3613_001_0	1																																																																																																																													
H3613	002	0	1	20	08	H3613_002_0	1																																																																																																																													
H3653	004	0	1	02	01	H3653_004_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3653	015	0	1	02	01	H3653_015_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3653	018	0	1	02	01	H3653_018_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3653	022	0	1	02	01	H3653_022_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3653	024	0	1	02	01	H3653_024_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3653	026	0	1	02	01	H3653_026_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3653	027	0	1	02	01	H3653_027_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3653	803	0	1	01	01	H3653_803_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3653	806	0	2	01	01	H3653_806_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3653	809	0	1	01	01	H3653_809_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3655	033	0	1	01	01	H3655_033_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3655	034	0	1	01	01	H3655_034_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3655	041	0	1	01	01	H3655_041_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3655	042	0	1	01	01	H3655_042_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	225.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3655	045	1	1	01	01	H3655_045_1	10	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	175.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3655	045	2	1	01	01	H3655_045_2	10	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3655	045	3	1	01	01	H3655_045_3	9	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3655	045	4	1	01	01	H3655_045_4	14	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3655	047	0	1	01	01	H3655_047_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3655	048	0	1	01	01	H3655_048_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3655	801	0	1	01	01	H3655_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3655	803	0	1	01	01	H3655_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3655	805	0	2	01	01	H3655_805_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3655	806	0	2	01	01	H3655_806_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3655	808	0	1	01	01	H3655_808_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3655	810	0	2	01	01	H3655_810_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3660	028	0	1	02	01	H3660_028_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H3660	029	0	1	02	01	H3660_029_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	305.00	3																		2					2														2		2														2	2
H3660	044	0	1	01	01	H3660_044_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		2														2	2
H3660	050	0	1	01	01	H3660_050_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	270.00	3																		2					2														2		2														2	2
H3660	052	1	1	01	01	H3660_052_1	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H3660	052	2	1	01	01	H3660_052_2	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H3660	053	1	1	01	01	H3660_053_1	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	365.00	3																		2					2														2		2														2	2
H3660	053	2	1	01	01	H3660_053_2	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	365.00	3																		2					2														2		2														2	2
H3660	056	1	1	01	01	H3660_056_1	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	265.00	3																		2					2														2		2														2	2
H3660	056	2	1	01	01	H3660_056_2	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	240.00	3																		2					2														2		2														2	2
H3660	801	0	1	01	01	H3660_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3660	802	0	1	01	01	H3660_802_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3660	805	0	1	02	01	H3660_805_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3660	806	0	1	02	01	H3660_806_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3664	014	0	1	02	01	H3664_014_0	10	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01100	2	1				2	1															1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H3664	017	0	1	02	01	H3664_017_0	13	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	01100	2	1				2	1															1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H3664	020	0	1	02	01	H3664_020_0	13	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	01100	2	1				2	1															1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H3664	021	0	1	02	01	H3664_021_0	13	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01100	2	1				2	1															1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H3664	023	0	1	02	01	H3664_023_0	13	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01100	2	1				2	1															1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H3664	801	0	1	02	01	H3664_801_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3664	802	0	1	02	01	H3664_802_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3664	803	0	1	02	01	H3664_803_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3664	805	0	2	02	01	H3664_805_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3664	806	0	2	02	01	H3664_806_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3664	807	0	1	02	01	H3664_807_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3668	013	0	1	01	01	H3668_013_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3668	018	1	1	01	01	H3668_018_1	8	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	275.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3668	018	2	1	01	01	H3668_018_2	8	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	275.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3668	019	1	1	01	01	H3668_019_1	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3668	019	2	1	01	01	H3668_019_2	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3668	020	0	1	01	01	H3668_020_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3668	022	0	1	01	01	H3668_022_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	225.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3668	023	0	1	01	01	H3668_023_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	225.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3668	025	0	1	01	01	H3668_025_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3668	026	0	1	01	01	H3668_026_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3668	029	0	1	01	01	H3668_029_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3668	030	0	1	01	01	H3668_030_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3668	031	0	1	01	01	H3668_031_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3668	802	0	1	01	01	H3668_802_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3668	803	0	1	01	01	H3668_803_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3668	804	0	1	01	01	H3668_804_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3668	811	0	1	01	01	H3668_811_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3668	812	0	1	01	01	H3668_812_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3672	013	0	1	01	01	H3672_013_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H3672	014	0	1	01	01	H3672_014_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H3672	019	0	1	01	01	H3672_019_0	13	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H3672	020	0	1	01	01	H3672_020_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H3672	021	0	1	01	01	H3672_021_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H3672	023	0	1	01	01	H3672_023_0	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H3672	024	0	1	01	01	H3672_024_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H3672	805	0	1	01	01	H3672_805_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3706	001	0	1	01	01	H3706_001_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H3706	009	0	1	02	01	H3706_009_0	2	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					2														2		2														2	2
H3706	023	0	1	01	01	H3706_023_0	5	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H3706	024	0	1	01	01	H3706_024_0	4	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H3706	025	0	1	01	01	H3706_025_0	6	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	2																		2					2														2		2														2	2
H3706	028	0	1	01	01	H3706_028_0	6	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	100.00	3																		2					2														2		2														2	2
H3706	029	0	1	01	01	H3706_029_0	5	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					2														2		2														2	2
H3706	803	0	1	01	01	H3706_803_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3708	001	0	1	01	01	H3708_001_0	4	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3727	001	1	1	01	01	H3727_001_1	5	1	01	2	1										1		250.00	3		2				2								2								2		2	2	1	01100	2	1				2	1															1		1																					2					2														2		2														2	2
H3727	001	2	1	01	01	H3727_001_2	5	1	01	2	1										1		250.00	3		2				2								2								2		2	2	1	01100	2	1				2	1															1		1																					2					2														2		2														2	2
H3727	001	3	1	01	01	H3727_001_3	5	1	01	2	1										1		250.00	3		2				2								2								2		2	2	1	01100	2	1				2	1															1		1																					2					2														2		2														2	2
H3727	002	1	1	01	01	H3727_002_1	7	1	01	2	1										1		250.00	3		2				2								2								2		2	2	1	00100						2	1															1		1																					2					2														2		2														2	2
H3727	002	2	1	01	01	H3727_002_2	4	1	01	2	1										1		250.00	3		2				2								2								2		2	2	1	00100						2	1															1		1																					2					2														2		2														2	2
H3727	002	3	1	01	01	H3727_002_3	4	1	01	2	1										1		350.00	3		2				2								2								2		2	2	1	00100						2	1															1		1																					2					2														2		2														2	2
H3727	004	1	1	01	01	H3727_004_1	5	1	01	2	1										1		350.00	3		2				2								2								2		2	2	1	01100	2	1				2	1															1		1																					2					2														2		2														2	2
H3727	004	2	1	01	01	H3727_004_2	5	1	01	2	1										1		200.00	3		2				2								2								2		2	2	1	01100	2	1				2	1															1		1																					2					2														2		2														2	2
H3727	004	3	1	01	01	H3727_004_3	5	1	01	2	1										1		300.00	3		2				2								2								2		2	2	1	01100	2	1				2	1															1		1																					2					2														2		2														2	2
H3727	005	1	1	01	01	H3727_005_1	5	1	01	2	1										1		350.00	3		2				2								2								2		2	2	1	01100	2	1				2	1															1		1																					2					2														2		2														2	2
H3727	005	2	1	01	01	H3727_005_2	5	1	01	2	1										1		350.00	3		2				2								2								2		2	2	1	01100	2	1				2	1															1		1																					2					2														2		2														2	2
H3727	005	3	1	01	01	H3727_005_3	5	1	01	2	1										1		350.00	3		2				2								2								2		2	2	1	01100	2	1				2	1															1		1																					2					2														2		2														2	2
H3748	001	0	1	02	01	H3748_001_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	230.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3748	003	0	1	02	01	H3748_003_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	270.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3748	004	0	1	02	01	H3748_004_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3748	006	0	1	02	01	H3748_006_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	320.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3748	007	0	1	02	01	H3748_007_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	320.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3748	008	0	1	02	01	H3748_008_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	315.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3748	009	0	1	02	01	H3748_009_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3748	010	0	1	02	01	H3748_010_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	175.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3748	013	0	1	02	01	H3748_013_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	375.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3748	801	0	1	01	01	H3748_801_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3748	802	0	1	01	01	H3748_802_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3749	001	0	1	02	01	H3749_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3749	017	0	1	02	01	H3749_017_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3749	018	0	1	02	01	H3749_018_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3749	020	0	1	02	01	H3749_020_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3749	801	0	1	01	01	H3749_801_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H3749	803	0	1	01	01	H3749_803_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H3749	804	0	1	01	01	H3749_804_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H3755	001	0	1	01	01	H3755_001_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		2														2	2
H3755	002	0	1	01	01	H3755_002_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														2	2
H3755	004	0	1	01	01	H3755_004_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														2	2
H3755	005	0	1	01	01	H3755_005_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		2														2	2
H3755	801	0	1	01	01	H3755_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3777	001	2	1	01	01	H3777_001_2	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3777	001	3	1	01	01	H3777_001_3	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3777	001	4	1	01	01	H3777_001_4	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3794	002	0	1	02	01	H3794_002_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H3794	004	0	1	02	01	H3794_004_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	250.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H3800	001	0	1	01	01	H3800_001_0	5	1	01	2	2	1	3								2					2				1	011	20	20	0	0			2								2		2	2	1	01011	2	1									2	1				2	1					1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H3805	001	0	1	02	01	H3805_001_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3805	015	0	1	02	01	H3805_015_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H3805	017	0	1	02	01	H3805_017_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H3805	032	0	1	02	01	H3805_032_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H3805	033	0	1	02	01	H3805_033_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3805	034	0	1	02	01	H3805_034_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3805	035	0	1	02	01	H3805_035_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3805	037	0	1	02	01	H3805_037_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H3805	039	1	1	02	01	H3805_039_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3805	039	2	1	02	01	H3805_039_2	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H3805	801	0	1	01	01	H3805_801_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H3805	803	0	1	01	01	H3805_803_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H3805	804	0	1	01	01	H3805_804_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H3805	805	0	1	01	01	H3805_805_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H3805	806	0	1	01	01	H3805_806_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H3805	807	0	1	01	01	H3805_807_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H3809	001	0	1	20	08	H3809_001_0	2																																																																																																																													
H3809	002	0	1	20	08	H3809_002_0	2																																																																																																																													
H3810	001	0	1	01	01	H3810_001_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	45.00	45.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	2																		2					2														2		2														2	2
H3810	003	0	1	01	01	H3810_003_0	11	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	45.00	45.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	2																		2					2														2		2														2	2
H3810	021	0	1	01	01	H3810_021_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	2																		2					2														2		2														2	2
H3810	022	0	1	01	01	H3810_022_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	210.00	3																		2					2														2		2														2	2
H3810	023	0	1	01	01	H3810_023_0	6	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	315.00	3																		2					1	010000	20	20											2		2														2	2
H3810	024	0	1	01	01	H3810_024_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	345.00	3																		2					1	010000	20	20											2		2														2	2
H3811	001	0	1	01	01	H3811_001_0	3	1	01	2	2	1	3								2					2				2								1	011	40.00	40.00	20.00	20.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	125.00	3																		2					2														2		2														2	2
H3811	002	0	1	01	01	H3811_002_0	8	1	01	2	2	1	3								2					2				2								1	011	30.00	30.00	10.00	10.00			2		2	2	1	11101	2	1				2	1									2	1				2	1		2	1	225.00	3																		2					2														2		2														2	2
H3811	003	0	1	01	01	H3811_003_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			20.00	20.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	175.00	3																		2					2														2		2														2	2
H3811	009	0	1	01	01	H3811_009_0	8	1	01	2	2	1	3								2					2				2								1	011	30.00	30.00	5.00	5.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					2														2		2														2	2
H3813	001	0	1	04	01	H3813_001_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11100	2	2	1	2		2	2	1	2												2	1	2	2	1	100.00	2																		2					2														2		2														2	2
H3813	010	0	1	04	01	H3813_010_0	6	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11100	2	2	1	2		2	2	1	2												2	1	2	2	1	100.00	2																		2					2														2		2														1	2
H3813	012	0	1	04	01	H3813_012_0	7	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11100	2	2	1	2		2	2	1	2												2	1	2	2	1	100.00	2																		2					2														2		2														2	2
H3813	013	0	1	04	01	H3813_013_0	8	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11100	2	2	1	2		2	2	1	2												2	1	2	2	1	100.00	2																		2					2														2		2														2	2
H3813	014	0	1	04	01	H3813_014_0	7	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11100	2	2	1	2		2	2	1	2												2	1	2	2	1	100.00	2																		2					2														2		2														2	2
H3813	016	0	1	04	01	H3813_016_0	6	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11100	2	2	1	2		2	2	1	2												2	1	2	2	1	100.00	2																		2					2														2		2														2	2
H3813	017	0	1	04	01	H3813_017_0	6	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11100	2	2	1	2		2	2	1	2												2	1	2	2	1	100.00	2																		2					2														2		2														2	2
H3813	018	0	1	04	01	H3813_018_0	7	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11100	2	2	1	2		2	2	1	2												2	1	2	2	1	100.00	2																		2					2														2		2														2	2
H3813	019	0	1	04	01	H3813_019_0	7	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11100	2	2	1	2		2	2	1	2												2	1	2	2	1	100.00	2																		2					2														2		2														2	2
H3813	804	0	1	04	01	H3813_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3814	007	0	1	01	01	H3814_007_0	8	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	2																		2					2														2		2														2	2
H3814	030	0	1	01	01	H3814_030_0	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	2																		2					2														2		2														2	2
H3814	031	0	1	01	01	H3814_031_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	2				11111	100.00	3		150.00	3		150.00	3		150.00	3		0.00	3		2					2														2		2														2	2
H3815	001	0	1	01	01	H3815_001_0	16	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
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H3815	010	0	1	01	01	H3815_010_0	16	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		2														2	2
H3815	011	0	1	01	01	H3815_011_0	14	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H3815	013	0	1	01	01	H3815_013_0	15	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	2				01111	100.00	3		200.00	3		200.00	3		200.00	3					2					2														2		2														2	2
H3815	016	0	1	02	01	H3815_016_0	17	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														2	2
H3815	019	0	1	01	01	H3815_019_0	16	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	150.00	2																		2					2														2		2														2	2
H3815	020	0	1	01	01	H3815_020_0	16	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	150.00	2																		2					2														2		2														2	2
H3815	021	0	1	01	01	H3815_021_0	16	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	150.00	2																		2					2														2		2														2	2
H3815	023	0	1	01	01	H3815_023_0	16	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	150.00	2																		2					2														2		2														2	2
H3815	026	0	1	02	01	H3815_026_0	14	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H3815	028	0	1	01	01	H3815_028_0	15	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H3815	030	0	1	01	01	H3815_030_0	15	1	01	2	2	1	3								2					2				2								2								2		2	1	1	11111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2		2	1		2	1	500.00	2																		2					2														2		2														2	2
H3815	031	0	1	01	01	H3815_031_0	14	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	150.00	3																		2					2														2		2														2	2
H3815	033	0	1	01	01	H3815_033_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		2														2	2
H3815	034	0	1	01	01	H3815_034_0	16	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2		2	1		2	1	350.00	2																		2					2														2		2														2	2
H3815	035	0	1	01	01	H3815_035_0	16	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														2	2
H3815	036	0	1	01	01	H3815_036_0	17	1	01	2	2	1	3								1		600.00	3		2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		1																					2					2														2		2														2	2
H3815	037	0	1	01	01	H3815_037_0	15	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	300.00	2																		2					2														2		2														2	2
H3815	038	0	1	01	01	H3815_038_0	15	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	100.00	2																		2					2														2		2														2	2
H3815	039	0	1	01	01	H3815_039_0	16	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	500.00	2																		2					2														2		2														2	2
H3815	040	0	1	01	01	H3815_040_0	15	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	100.00	2																		2					2														2		2														2	2
H3815	801	0	1	01	01	H3815_801_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H3815	802	0	1	01	01	H3815_802_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H3815	803	0	1	01	01	H3815_803_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H3815	804	0	1	01	01	H3815_804_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H3817	008	1	1	04	01	H3817_008_1	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H3817	008	2	1	04	01	H3817_008_2	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H3817	008	4	1	04	01	H3817_008_4	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H3817	009	1	1	04	01	H3817_009_1	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	150.00	3								150.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H3817	009	2	1	04	01	H3817_009_2	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	150.00	3								150.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H3817	010	0	1	04	01	H3817_010_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H3817	011	1	1	04	01	H3817_011_1	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H3817	011	2	1	04	01	H3817_011_2	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H3817	011	3	1	04	01	H3817_011_3	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H3817	801	0	1	04	01	H3817_801_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3817	802	0	1	04	01	H3817_802_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3817	803	0	1	04	01	H3817_803_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3817	804	0	1	04	01	H3817_804_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3822	001	0	1	01	01	H3822_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		1	011011	35.00	35.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H3822	002	0	1	01	01	H3822_002_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	35.00	35.00											2	2
H3822	007	0	1	02	01	H3822_007_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	100.00	3																		2					2														2		1	011011	35.00	35.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H3822	008	0	1	02	01	H3822_008_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H3822	012	0	1	01	01	H3822_012_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	100.00	3																		2					2														2		1	011011	25.00	25.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H3822	014	0	1	01	01	H3822_014_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		1	011011	35.00	35.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H3822	801	0	1	01	01	H3822_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3822	802	0	1	01	01	H3822_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3822	805	0	1	01	01	H3822_805_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3822	806	0	1	01	01	H3822_806_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3822	809	0	1	01	01	H3822_809_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3822	810	0	1	01	01	H3822_810_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3822	813	0	1	01	01	H3822_813_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3822	814	0	1	01	01	H3822_814_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3822	815	0	1	01	01	H3822_815_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3822	816	0	1	01	01	H3822_816_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3822	817	0	1	01	01	H3822_817_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3822	818	0	1	01	01	H3822_818_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3828	001	0	1	04	01	H3828_001_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H3828	801	0	1	04	01	H3828_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3828	802	0	1	04	01	H3828_802_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3832	007	0	1	04	01	H3832_007_0	7	1	01	2	2	1	3								2					2				2								1	011	10.00	10.00	10.00	10.00			2		2	2	1	01100	2	1				2	1															1	2	2	1	300.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3832	008	0	1	04	01	H3832_008_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1	2	2	1	300.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3832	009	0	1	04	01	H3832_009_0	7	1	01	2	2	1	3								2					2				2								1	011	10.00	10.00	10.00	10.00			2		2	2	1	01100	2	1				2	1															1	2	2	1	300.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3832	010	0	1	04	01	H3832_010_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1	2	2	1	300.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3832	011	0	1	04	01	H3832_011_0	9	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01100	2	1				2	1															1	2	2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H3832	801	0	1	04	01	H3832_801_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3832	802	0	1	04	01	H3832_802_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3832	805	0	1	04	01	H3832_805_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3832	807	0	1	04	01	H3832_807_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3864	002	0	1	02	01	H3864_002_0	4	1	11	2	2	1	3		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	250.00	3																		2					2														2		2														2	2
H3864	006	0	1	01	01	H3864_006_0	5	1	11	2	2	1	2		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	2																		2					2														2		2														2	2
H3864	014	0	1	02	01	H3864_014_0	6	1	11	2	2	1	3		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H3864	024	0	1	02	01	H3864_024_0	5	1	11	2	2	1	3		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H3864	027	0	1	01	01	H3864_027_0	6	1	11	2	2	1	2		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	2																		2					2														2		2														2	2
H3864	029	0	1	02	01	H3864_029_0	5	1	11	2	2	1	3		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H3864	030	0	1	02	01	H3864_030_0	4	1	11	2	2	1	3		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	250.00	3																		2					2														2		2														2	2
H3864	032	0	1	02	01	H3864_032_0	6	1	11	2	2	1	3		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H3864	034	0	1	02	01	H3864_034_0	5	1	11	2	2	1	3		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H3864	036	0	1	02	01	H3864_036_0	6	1	11	2	2	1	3		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3864	040	0	1	01	01	H3864_040_0	5	1	11	2	2	1	3		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H3864	041	0	1	01	01	H3864_041_0	6	1	11	2	2	1	2		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				2								1	001			35.00	35.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	2																		2					2														2		2														2	2
H3864	043	0	1	01	01	H3864_043_0	5	1	11	2	2	1	3		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H3864	801	0	1	01	01	H3864_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3864	803	0	1	01	01	H3864_803_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3864	805	0	1	02	01	H3864_805_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3864	806	0	1	02	01	H3864_806_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3890	001	0	1	04	01	H3890_001_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	300.00	3																		2					2														2		2														2	2
H3890	002	0	1	04	01	H3890_002_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	150.00	3																		2					2														2		2														2	2
H3890	004	0	1	04	01	H3890_004_0	10	1	01	2	2	1	3								2					2				2								1	011	10.00	10.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	400.00	2																		2					2														2		2														2	2
H3890	005	0	1	04	01	H3890_005_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	200.00	3																		2					2														2		2														2	2
H3890	801	0	1	04	01	H3890_801_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3907	002	0	1	01	01	H3907_002_0	7	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H3907	006	0	1	01	01	H3907_006_0	11	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	010	25.00	25.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H3907	029	0	1	01	01	H3907_029_0	11	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	010	25.00	25.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	225.00	3																		2					2														2		2														2	2
H3907	037	0	1	01	01	H3907_037_0	8	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	010	35.00	35.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	150.00	3																		2					2														2		2														2	2
H3907	046	0	1	01	01	H3907_046_0	10	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	010	30.00	30.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H3907	050	0	1	01	01	H3907_050_0	9	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	010	30.00	30.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H3907	052	0	1	01	01	H3907_052_0	11	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	010	30.00	30.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H3907	057	1	1	01	01	H3907_057_1	12	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	010	35.00	35.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H3907	057	2	1	01	01	H3907_057_2	12	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	010	35.00	35.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H3907	057	3	1	01	01	H3907_057_3	12	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	010	35.00	35.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H3907	057	4	1	01	01	H3907_057_4	12	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	010	35.00	35.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H3907	057	5	1	01	01	H3907_057_5	13	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	010	35.00	35.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	200.00	3																		2					2														2		2														2	2
H3907	801	0	1	01	01	H3907_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3907	802	0	1	01	01	H3907_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3907	803	0	1	01	01	H3907_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3908	001	0	1	20	08	H3908_001_0	1																																																																																																																													
H3908	002	0	1	20	08	H3908_002_0	1																																																																																																																													
H3909	001	0	1	04	01	H3909_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		2														2	2
H3909	007	0	1	04	01	H3909_007_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		2														2	2
H3909	009	0	1	04	01	H3909_009_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		2														2	2
H3909	014	0	1	04	01	H3909_014_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		2														2	2
H3909	015	0	1	04	01	H3909_015_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		2														2	2
H3909	016	0	1	04	01	H3909_016_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3909	017	0	1	04	01	H3909_017_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		2														2	2
H3909	801	0	1	04	01	H3909_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3909	802	0	1	04	01	H3909_802_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3916	001	0	1	04	01	H3916_001_0	7	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	002	0	1	04	01	H3916_002_0	7	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	005	0	1	04	01	H3916_005_0	7	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	012	0	1	04	01	H3916_012_0	5	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	015	0	1	04	01	H3916_015_0	7	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	018	0	1	04	01	H3916_018_0	7	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	022	0	1	04	01	H3916_022_0	8	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	024	0	1	04	01	H3916_024_0	7	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	032	0	1	04	01	H3916_032_0	8	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	033	0	1	04	01	H3916_033_0	8	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	034	1	1	04	01	H3916_034_1	10	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	034	3	1	04	01	H3916_034_3	10	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	034	4	1	04	01	H3916_034_4	10	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	034	5	1	04	01	H3916_034_5	10	1	01	2	2	1	3								2					2				2								1	010	5.00	5.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	035	1	1	04	01	H3916_035_1	10	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	035	2	1	04	01	H3916_035_2	10	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	035	4	1	04	01	H3916_035_4	9	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	036	0	1	04	01	H3916_036_0	10	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	037	1	1	04	01	H3916_037_1	7	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	037	2	1	04	01	H3916_037_2	7	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	037	3	1	04	01	H3916_037_3	7	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	037	4	1	04	01	H3916_037_4	7	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	038	0	1	04	01	H3916_038_0	7	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	039	0	1	04	01	H3916_039_0	7	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	Note	2					2														2		2														2	2
H3916	041	1	1	04	01	H3916_041_1	7	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	Note	2					2														2		2														2	2
H3916	041	2	1	04	01	H3916_041_2	7	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	Note	2					2														2		2														2	2
H3916	042	1	1	04	01	H3916_042_1	5	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	042	2	1	04	01	H3916_042_2	5	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	043	0	1	04	01	H3916_043_0	5	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	044	1	1	04	01	H3916_044_1	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	044	2	1	04	01	H3916_044_2	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	044	3	1	04	01	H3916_044_3	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3916	045	1	1	04	01	H3916_045_1	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	Note	2					2														2		2														2	2
H3916	045	2	1	04	01	H3916_045_2	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	Note	2					2														2		2														2	2
H3916	045	3	1	04	01	H3916_045_3	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	Note	2					2														2		2														2	2
H3916	045	4	1	04	01	H3916_045_4	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	Note	2					2														2		2														2	2
H3916	046	0	1	04	01	H3916_046_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	Note	2					2														2		2														2	2
H3916	801	0	1	04	01	H3916_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3916	802	0	1	04	01	H3916_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3916	804	0	1	04	01	H3916_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3916	805	0	1	04	01	H3916_805_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3916	806	0	1	04	01	H3916_806_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3916	807	0	1	04	01	H3916_807_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3916	808	0	1	04	01	H3916_808_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3916	809	0	1	04	01	H3916_809_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3916	810	0	1	04	01	H3916_810_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3917	001	0	1	20	08	H3917_001_0	1																																																																																																																													
H3917	002	0	1	20	08	H3917_002_0	1																																																																																																																													
H3918	001	0	1	20	08	H3918_001_0	1																																																																																																																													
H3918	002	0	1	20	08	H3918_002_0	1																																																																																																																													
H3919	001	0	1	20	08	H3919_001_0	2																																																																																																																													
H3919	002	0	1	20	08	H3919_002_0	2																																																																																																																													
H3923	013	0	1	04	01	H3923_013_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	10.00	10.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	125.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3923	017	0	1	04	01	H3923_017_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	10.00	10.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	125.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3923	028	0	1	04	01	H3923_028_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	10.00	10.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3923	029	0	1	04	01	H3923_029_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3923	030	0	1	04	01	H3923_030_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	225.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3923	031	0	1	04	01	H3923_031_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	10.00	10.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3923	032	0	1	04	01	H3923_032_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	10.00	10.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3923	033	0	1	04	01	H3923_033_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	10.00	10.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3923	034	0	1	04	01	H3923_034_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	10.00	10.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	225.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3923	035	0	1	04	01	H3923_035_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	10.00	10.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	225.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3923	801	0	1	04	01	H3923_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3923	802	0	1	04	01	H3923_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3923	817	0	1	04	01	H3923_817_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3923	818	0	1	04	01	H3923_818_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3923	819	0	1	04	01	H3923_819_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3923	820	0	1	04	01	H3923_820_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3923	832	0	1	04	01	H3923_832_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3924	059	21	1	04	01	H3924_059_21	5	2		3																2				2								1	010	0.00	25.00					2		2	2	2																																														2					2														2		2														2	2
H3924	059	22	1	04	01	H3924_059_22	5	2		3																2				2								1	010	0.00	25.00					2		2	2	2																																														2					2														2		2														2	2
H3924	062	21	1	04	01	H3924_062_21	4	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					2																							2					2														2		2														2	2
H3924	062	22	1	04	01	H3924_062_22	4	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					2																							2					2														2		2														2	2
H3924	062	23	1	04	01	H3924_062_23	4	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					2																							2					2														2		2														2	2
H3924	062	24	1	04	01	H3924_062_24	4	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					2																							2					2														2		2														2	2
H3924	062	25	1	04	01	H3924_062_25	4	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					2																							2					2														2		2														2	2
H3924	065	0	1	04	01	H3924_065_0	5	2		3																2				2								1	010	0.00	40.00					2		2	2	2																																														2					2														2		2														2	2
H3924	804	0	1	04	01	H3924_804_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3925	001	0	1	20	08	H3925_001_0	1																																																																																																																													
H3925	002	0	1	20	08	H3925_002_0	1																																																																																																																													
H3928	001	0	1	01	01	H3928_001_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3928	801	0	1	01	01	H3928_801_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3928	803	0	1	01	01	H3928_803_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3931	004	0	1	02	01	H3931_004_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	064	0	1	02	01	H3931_064_0	7	1	11	2	2	1	3		Follow up diabetic eye exam	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	070	0	1	02	01	H3931_070_0	6	1	11	2	2	1	3		Follow up diabetic eye exam	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	125.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	091	0	1	02	01	H3931_091_0	6	1	11	2	2	1	3		Follow up diabetic eye exam	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	280.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	092	0	1	02	01	H3931_092_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	094	0	1	02	01	H3931_094_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	095	0	1	02	01	H3931_095_0	8	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	220.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	096	0	1	02	01	H3931_096_0	8	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	097	0	1	02	01	H3931_097_0	8	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	098	0	1	02	01	H3931_098_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	175.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	099	0	1	02	01	H3931_099_0	7	1	11	2	2	1	3		Follow up diabetic eye exams)	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	100	0	1	02	01	H3931_100_0	7	1	11	2	2	1	3		Follow up diabetic eye exam	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	101	0	1	02	01	H3931_101_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	102	0	1	02	01	H3931_102_0	6	1	11	2	2	1	3		Follow up diabetic eye exam	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	105	0	1	02	01	H3931_105_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	107	0	1	02	01	H3931_107_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	230.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	108	0	1	01	01	H3931_108_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	109	0	1	02	01	H3931_109_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	185.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	124	0	1	02	01	H3931_124_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	175.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	126	0	1	02	01	H3931_126_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	240.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	129	0	1	02	01	H3931_129_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	143	0	1	02	01	H3931_143_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	210.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	145	0	1	02	01	H3931_145_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	175.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	146	0	1	02	01	H3931_146_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	147	0	1	02	01	H3931_147_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	215.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	148	0	1	02	01	H3931_148_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	149	0	1	02	01	H3931_149_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	151	0	1	02	01	H3931_151_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	315.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	152	0	1	02	01	H3931_152_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	260.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	153	0	1	02	01	H3931_153_0	8	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	370.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	154	0	1	02	01	H3931_154_0	8	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	380.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	156	0	1	02	01	H3931_156_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	315.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	157	0	1	02	01	H3931_157_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	320.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	158	0	1	02	01	H3931_158_0	8	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	159	0	1	01	01	H3931_159_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	160	0	1	02	01	H3931_160_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	270.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	161	0	1	02	01	H3931_161_0	8	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	20.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	360.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	162	0	1	02	01	H3931_162_0	8	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	20.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	165	0	1	02	01	H3931_165_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	166	0	1	02	01	H3931_166_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	205.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	167	0	1	02	01	H3931_167_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	310.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	168	0	1	02	01	H3931_168_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	265.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	169	0	1	02	01	H3931_169_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	255.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3931	801	0	1	01	01	H3931_801_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3931	804	0	1	01	01	H3931_804_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3933	001	0	1	20	08	H3933_001_0	1																																																																																																																													
H3933	002	0	1	20	08	H3933_002_0	1																																																																																																																													
H3942	001	0	1	20	08	H3942_001_0	1																																																																																																																													
H3942	002	0	1	20	08	H3942_002_0	1																																																																																																																													
H3949	009	0	1	01	01	H3949_009_0	8	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	500.00	3																		2					2														2		2														2	2
H3949	024	0	1	01	01	H3949_024_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	400.00	3																		2					2														2		2														2	2
H3949	026	0	1	01	01	H3949_026_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H3949	030	0	1	01	01	H3949_030_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H3949	031	0	1	01	01	H3949_031_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	400.00	3																		2					2														2		2														2	2
H3949	032	0	1	01	01	H3949_032_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H3949	034	0	1	01	01	H3949_034_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H3949	035	0	1	01	01	H3949_035_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H3949	045	0	1	01	01	H3949_045_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H3949	046	0	1	01	01	H3949_046_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	350.00	3																		2					2														2		2														2	2
H3949	047	0	1	01	01	H3949_047_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H3949	048	0	1	01	01	H3949_048_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	500.00	3																		2					2														2		2														2	2
H3949	049	0	1	01	01	H3949_049_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H3949	050	0	1	01	01	H3949_050_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	400.00	3																		2					2														2		2														2	2
H3949	051	0	1	01	01	H3949_051_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H3949	804	0	1	01	01	H3949_804_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H3952	008	0	1	01	01	H3952_008_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H3952	020	0	1	01	01	H3952_020_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H3952	044	0	1	01	01	H3952_044_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H3952	045	0	1	01	01	H3952_045_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H3952	048	0	1	01	01	H3952_048_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H3952	049	0	1	01	01	H3952_049_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H3952	050	0	1	01	01	H3952_050_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H3952	051	0	1	01	01	H3952_051_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H3952	053	0	1	02	01	H3952_053_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H3952	054	0	1	02	01	H3952_054_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H3952	055	0	1	01	01	H3952_055_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H3952	056	0	1	01	01	H3952_056_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H3952	059	0	1	01	01	H3952_059_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H3952	802	0	1	01	01	H3952_802_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3952	804	0	1	01	01	H3952_804_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3954	097	0	1	01	01	H3954_097_0	5	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	425.00	3																		2					2														2		2														2	2
H3954	157	21	1	01	01	H3954_157_21	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H3954	157	22	1	01	01	H3954_157_22	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H3954	157	23	1	01	01	H3954_157_23	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H3954	158	13	1	01	01	H3954_158_13	4	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	100.00	3																		2					2														2		2														2	2
H3954	158	14	1	01	01	H3954_158_14	4	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	100.00	3																		2					2														2		2														2	2
H3954	160	0	1	01	01	H3954_160_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	100.00	3																		2					2														2		2														2	2
H3954	161	0	1	01	01	H3954_161_0	4	2																		2				2								1	010	0.00	40.00					2		2	2	2																																														2					2														2		2														2	2
H3954	162	0	1	01	01	H3954_162_0	2	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H3954	163	0	1	01	01	H3954_163_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	100.00	3																		2					2														2		2														2	2
H3954	801	0	1	01	01	H3954_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3954	802	0	1	01	01	H3954_802_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3954	805	0	1	01	01	H3954_805_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3957	031	0	1	02	01	H3957_031_0	9	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3957	039	0	1	01	01	H3957_039_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3957	042	1	1	01	01	H3957_042_1	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3957	042	2	1	01	01	H3957_042_2	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3957	042	4	1	01	01	H3957_042_4	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3957	042	5	1	01	01	H3957_042_5	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3957	043	1	1	02	01	H3957_043_1	6	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3957	043	2	1	02	01	H3957_043_2	6	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3957	044	1	1	02	01	H3957_044_1	8	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3957	044	4	1	02	01	H3957_044_4	7	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3957	045	1	1	02	01	H3957_045_1	8	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3957	045	2	1	02	01	H3957_045_2	8	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3957	046	1	1	02	01	H3957_046_1	8	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3957	046	2	1	02	01	H3957_046_2	8	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3957	047	1	1	01	01	H3957_047_1	7	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3957	047	2	1	01	01	H3957_047_2	8	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3957	047	3	1	01	01	H3957_047_3	7	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3957	048	0	1	01	01	H3957_048_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H3957	805	0	1	01	01	H3957_805_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3957	806	0	1	01	01	H3957_806_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3957	808	0	1	01	01	H3957_808_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3957	810	0	1	01	01	H3957_810_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3957	811	0	1	01	01	H3957_811_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3957	812	0	1	01	01	H3957_812_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3957	813	0	1	02	01	H3957_813_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3957	814	0	1	02	01	H3957_814_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3957	815	0	1	02	01	H3957_815_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3957	816	0	1	01	01	H3957_816_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3957	817	0	1	02	01	H3957_817_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3957	818	0	1	01	01	H3957_818_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3959	001	0	1	02	01	H3959_001_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	002	0	1	02	01	H3959_002_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	010	0	1	02	01	H3959_010_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	315.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	011	0	1	02	01	H3959_011_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	285.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	032	0	1	02	01	H3959_032_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	255.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	033	0	1	02	01	H3959_033_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	425.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	035	0	1	01	01	H3959_035_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	036	0	1	01	01	H3959_036_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	600.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	037	0	1	02	01	H3959_037_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	340.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	039	0	1	02	01	H3959_039_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	330.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	041	0	1	02	01	H3959_041_0	3	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	10.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	045	0	1	02	01	H3959_045_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	370.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	046	0	1	02	01	H3959_046_0	8	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	330.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	047	0	1	02	01	H3959_047_0	8	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	415.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	049	0	1	02	01	H3959_049_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	051	0	1	02	01	H3959_051_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	425.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	052	0	1	02	01	H3959_052_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	053	0	1	02	01	H3959_053_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	545.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	055	0	1	02	01	H3959_055_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	370.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	056	0	1	02	01	H3959_056_0	4	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	057	0	1	02	01	H3959_057_0	3	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	063	0	1	01	01	H3959_063_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	600.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	066	0	1	01	01	H3959_066_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	068	0	1	02	01	H3959_068_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H3959	803	0	1	01	01	H3959_803_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3959	804	0	1	01	01	H3959_804_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3962	001	0	1	01	01	H3962_001_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	20.00	20.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	175.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3962	004	0	1	01	01	H3962_004_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	20.00	20.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3962	007	0	1	01	01	H3962_007_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	20.00	20.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3962	021	0	1	01	01	H3962_021_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H3962	801	0	1	01	01	H3962_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3962	802	0	1	01	01	H3962_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3962	813	0	1	01	01	H3962_813_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3962	817	0	1	01	01	H3962_817_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3962	828	0	1	01	01	H3962_828_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3975	001	0	1	04	01	H3975_001_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H3975	002	0	1	04	01	H3975_002_0	15	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H3975	004	0	1	04	01	H3975_004_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H3979	001	0	1	01	01	H3979_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H3979	801	0	1	01	01	H3979_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3979	803	0	1	01	01	H3979_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3979	805	0	1	01	01	H3979_805_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H3991	001	0	1	20	08	H3991_001_0	1																																																																																																																													
H3991	002	0	1	20	08	H3991_002_0	1																																																																																																																													
H4003	009	0	1	01	01	H4003_009_0	7	1	01	2	2	1	3								2					2				2								2								2		1	2	1	01100	2	1				2	1															1		2	1	500.00	3																		2					2														2		2														1	2
H4003	017	0	1	01	01	H4003_017_0	7	2																		2				2								2								2		1	2	1	01100	2	1				2	1															1		2	1	800.00	3																		2					2														2		2														1	2
H4003	019	0	1	02	01	H4003_019_0	5	1	01	2	2	1	3								2					2				2								2								2		1	2	1	01100	2	1				2	1															1		2	1	500.00	3																		2					2														2		2														1	2
H4003	034	0	1	02	01	H4003_034_0	6	1	01	2	2	1	3								2					2				2								2								2		1	2	1	01100	2	1				2	1															1		2	1	500.00	3																		2					2														2		2														1	2
H4003	049	0	1	01	01	H4003_049_0	6	2																		2				2								2								2		1	2	1	01100	2	1				2	1															1		2	1	500.00	3																		2					2														2		2														1	2
H4003	054	0	1	02	01	H4003_054_0	5	1	01	2	2	1	3								2					2				2								2								2		1	2	1	01100	2	1				2	1															1		2	1	500.00	3																		2					2														2		2														1	2
H4003	055	0	1	02	01	H4003_055_0	6	1	01	2	2	1	3								2					2				2								2								2		1	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														1	2
H4003	058	0	1	01	01	H4003_058_0	6	2																		2				2								2								2		1	2	1	01100	2	1				2	1															1		2	1	750.00	3																		2					2														2		2														1	2
H4003	806	0	1	02	01	H4003_806_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4003	807	0	1	02	01	H4003_807_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4003	820	0	1	02	01	H4003_820_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4003	821	0	1	02	01	H4003_821_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4003	822	0	1	02	01	H4003_822_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4003	823	0	1	02	01	H4003_823_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4003	824	0	1	02	01	H4003_824_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4003	825	0	1	02	01	H4003_825_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4003	826	0	1	02	01	H4003_826_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4003	827	0	1	02	01	H4003_827_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4003	828	0	1	02	01	H4003_828_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4003	829	0	1	02	01	H4003_829_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4004	048	0	1	01	01	H4004_048_0	6	2																		2				2								2								2		1	2	1	01100	2	1				2	1															1		2	1	600.00	3																		2					2														2		2														1	2
H4004	056	0	1	02	01	H4004_056_0	5	1	01	2	2	1	3								2					2				2								2								2		1	2	1	01100	2	1				2	1															1		2	1	450.00	3																		2					2														2		2														1	2
H4004	062	0	1	01	01	H4004_062_0	6	2																		2				2								2								2		1	2	1	01100	2	1				2	1															1		2	1	500.00	3																		2					2														2		2														1	2
H4004	063	0	1	02	01	H4004_063_0	5	1	01	2	2	1	3								2					2				2								2								2		1	2	1	01100	2	1				2	1															1		2	1	500.00	3																		2					2														2		2														1	2
H4004	065	0	1	02	01	H4004_065_0	5	1	01	2	2	1	3								2					2				2								2								2		1	2	1	01100	2	1				2	1															1		2	1	500.00	3																		2					2														2		2														1	2
H4004	066	0	1	02	01	H4004_066_0	4	1	01	2	2	1	3								2					2				2								2								2		1	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														1	2
H4004	067	0	1	01	01	H4004_067_0	6	2																		2				2								2								2		1	2	1	01100	2	1				2	1															1		2	1	350.00	3																		2					2														2		2														1	2
H4004	817	0	1	02	01	H4004_817_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4004	818	0	1	02	01	H4004_818_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4004	819	0	1	02	01	H4004_819_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4004	820	0	1	02	01	H4004_820_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4004	822	0	1	02	01	H4004_822_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4004	823	0	1	02	01	H4004_823_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4004	824	0	1	02	01	H4004_824_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4004	825	0	1	02	01	H4004_825_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4004	826	0	1	02	01	H4004_826_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4004	827	0	1	02	01	H4004_827_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4004	828	0	1	02	01	H4004_828_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4004	829	0	1	02	01	H4004_829_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4005	001	0	1	04	01	H4005_001_0	4	1	11	2	2	1	3		Eyewear Eye Exam	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	500.00	3																		2					2														2		2														2	2
H4005	004	0	1	04	01	H4005_004_0	5	1	11	2	2	1	3		Eyewear eye exam	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					2														2		2														2	2
H4005	007	0	1	04	01	H4005_007_0	5	1	11	2	2	1	3		Eyewear Exams	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					2														2		2														2	2
H4005	801	0	1	04	01	H4005_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4005	802	0	1	04	01	H4005_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4005	804	0	1	04	01	H4005_804_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4005	807	0	1	04	01	H4005_807_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4005	808	0	1	04	01	H4005_808_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4007	012	0	1	01	01	H4007_012_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	600.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4007	016	0	1	01	01	H4007_016_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	600.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4007	018	0	1	01	01	H4007_018_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	600.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4007	019	0	1	01	01	H4007_019_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4007	020	0	1	01	01	H4007_020_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	3.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4007	021	0	1	01	01	H4007_021_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	1															1		2	1	600.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H4007	024	0	1	01	01	H4007_024_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	600.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4007	025	0	1	01	01	H4007_025_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	600.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4007	026	0	1	01	01	H4007_026_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	700.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4007	027	0	1	01	01	H4007_027_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	600.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4007	028	0	1	02	01	H4007_028_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	01100	2	1				2	1															1		2	1	1000.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H4007	029	0	1	01	01	H4007_029_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	700.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4007	030	0	1	01	01	H4007_030_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4007	801	0	1	01	01	H4007_801_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4007	802	0	1	01	01	H4007_802_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4007	819	0	1	01	01	H4007_819_0	7	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4007	820	0	1	01	01	H4007_820_0	7	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4007	829	0	1	01	01	H4007_829_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4007	830	0	1	01	01	H4007_830_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4007	833	0	1	02	01	H4007_833_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4007	834	0	1	02	01	H4007_834_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4007	835	0	1	02	01	H4007_835_0	6	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4007	836	0	1	02	01	H4007_836_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4007	837	0	1	02	01	H4007_837_0	6	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4007	838	0	1	02	01	H4007_838_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4036	008	0	1	04	01	H4036_008_0	6	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H4036	017	0	1	04	01	H4036_017_0	10	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4036	020	0	1	04	01	H4036_020_0	7	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1	2	2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4036	022	0	1	04	01	H4036_022_0	9	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1	2	2	1	225.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4036	024	0	1	04	01	H4036_024_0	6	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1	2	2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4036	025	0	1	04	01	H4036_025_0	9	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4036	026	0	1	04	01	H4036_026_0	10	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1	2	2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4036	028	0	1	04	01	H4036_028_0	8	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4036	029	0	1	04	01	H4036_029_0	8	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4036	030	0	1	04	01	H4036_030_0	6	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4036	031	0	1	04	01	H4036_031_0	6	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H4036	032	0	1	04	01	H4036_032_0	6	1	01	2	2	1	3								1	2	69.00	3		2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	425.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4036	033	0	1	04	01	H4036_033_0	6	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H4036	034	0	1	04	01	H4036_034_0	6	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4036	035	0	1	04	01	H4036_035_0	7	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1	2	2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4036	036	0	1	04	01	H4036_036_0	7	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1	2	2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4036	801	0	1	04	01	H4036_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	802	0	1	04	01	H4036_802_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	805	0	1	04	01	H4036_805_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	806	0	2	04	01	H4036_806_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	807	0	1	04	01	H4036_807_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	809	0	2	04	01	H4036_809_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	810	0	2	04	01	H4036_810_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	812	0	1	04	01	H4036_812_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	813	0	1	04	01	H4036_813_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	814	0	1	04	01	H4036_814_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	819	0	1	04	01	H4036_819_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	820	0	1	04	01	H4036_820_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	821	0	2	04	01	H4036_821_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	822	0	2	04	01	H4036_822_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	823	0	1	04	01	H4036_823_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	824	0	1	04	01	H4036_824_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	825	0	2	04	01	H4036_825_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	826	0	2	04	01	H4036_826_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	827	0	1	04	01	H4036_827_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	828	0	1	04	01	H4036_828_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	829	0	2	04	01	H4036_829_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4036	830	0	2	04	01	H4036_830_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4045	001	0	1	01	01	H4045_001_0	4	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	2	1	2													1		2	1	200.00	2																		2					2														2		2														2	2
H4053	001	0	1	20	08	H4053_001_0	1																																																																																																																													
H4053	002	0	1	20	08	H4053_002_0	1																																																																																																																													
H4054	001	0	1	01	01	H4054_001_0	5	1	01	2	2	1	3								2					2				1	011	20	20	0	0			2								2		2	2	1	01011	2	1									2	1				2	1					1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H4073	001	0	1	01	01	H4073_001_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4073	002	0	1	01	01	H4073_002_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4073	003	0	1	01	01	H4073_003_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4074	001	0	1	20	08	H4074_001_0	1																																																																																																																													
H4074	002	0	1	20	08	H4074_002_0	2																																																																																																																													
H4091	001	0	1	04	01	H4091_001_0	5	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1	2	2	1	230.00	3																		2					2														2		2														2	2
H4091	002	0	1	04	01	H4091_002_0	5	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	2	12	3		2	2	1	3													1	1	2	1	300.00	3																		2					2														2		2														2	2
H4091	003	0	1	04	01	H4091_003_0	7	1	11	2	2	1	3		Glaucoma Testing	2	2	1	3		2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		2														2	2
H4093	001	0	1	01	01	H4093_001_0	5	1	01	2	2	1	3								2					2				1	011	20	20	0	0			2								2		2	2	1	01011	2	1									2	1				2	1					1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H4093	004	0	1	01	01	H4093_004_0	5	1	01	2	2	1	3								2					2				1	011	20	20	0	0			2								2		2	2	1	01011	2	1									2	1				2	1					1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H4094	001	0	1	02	01	H4094_001_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4105	001	0	1	20	08	H4105_001_0	1																																																																																																																													
H4105	002	0	1	20	08	H4105_002_0	1																																																																																																																													
H4118	001	0	1	20	08	H4118_001_0	1																																																																																																																													
H4118	002	0	1	20	08	H4118_002_0	1																																																																																																																													
H4140	001	0	1	01	01	H4140_001_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														2	2
H4140	002	0	1	01	01	H4140_002_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														2	2
H4140	004	0	1	01	01	H4140_004_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														2	2
H4140	005	0	1	01	01	H4140_005_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H4140	009	0	1	01	01	H4140_009_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H4140	010	0	1	01	01	H4140_010_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														2	2
H4140	011	0	1	01	01	H4140_011_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	125.00	3																		2					2														2		2														2	2
H4140	012	0	1	01	01	H4140_012_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														2	2
H4140	013	0	1	01	01	H4140_013_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														2	2
H4141	003	0	1	01	01	H4141_003_0	8	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	550.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H4141	015	0	1	01	01	H4141_015_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H4141	017	3	1	01	01	H4141_017_3	6	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H4141	017	5	1	01	01	H4141_017_5	5	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H4141	021	0	1	01	01	H4141_021_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	550.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H4141	801	0	1	01	01	H4141_801_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4141	802	0	1	01	01	H4141_802_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4141	805	0	1	01	01	H4141_805_0	6	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4141	806	0	1	01	01	H4141_806_0	6	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4142	001	0	1	20	08	H4142_001_0	1																																																																																																																													
H4142	002	0	1	20	08	H4142_002_0	1																																																																																																																													
H4152	004	0	1	01	01	H4152_004_0	6	1	01	2	2	1	3								2					2				2								1	011	25.00	25.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H4152	005	0	1	01	01	H4152_005_0	7	1	01	2	2	1	3								2					2				2								1	011	25.00	25.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H4152	007	0	1	02	01	H4152_007_0	7	1	01	2	2	1	3								2					2				2								1	011	25.00	25.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H4152	013	0	1	01	01	H4152_013_0	7	1	01	2	2	1	3								2					2				2								1	011	35.00	35.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H4152	018	0	1	02	01	H4152_018_0	7	1	01	2	2	1	3								2					2				2								1	011	25.00	25.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H4152	020	0	1	02	01	H4152_020_0	8	1	01	2	2	1	3								2					2				2								1	011	30.00	30.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H4152	021	0	1	01	01	H4152_021_0	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					2														2		2														2	2
H4152	815	0	1	02	01	H4152_815_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H4152	817	0	1	01	01	H4152_817_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H4161	002	0	1	01	01	H4161_002_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4161	003	0	1	01	01	H4161_003_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4161	004	0	1	01	01	H4161_004_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4161	005	0	1	01	01	H4161_005_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4161	006	0	1	01	01	H4161_006_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4161	007	0	1	01	01	H4161_007_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4161	009	0	1	01	01	H4161_009_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4161	010	0	1	01	01	H4161_010_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4161	011	0	1	01	01	H4161_011_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	350.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			1	2
H4161	012	0	1	01	01	H4161_012_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			1	2
H4161	013	0	1	01	01	H4161_013_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			1	2
H4172	001	0	1	01	01	H4172_001_0	4	1	11	2	2	1	3		Glaucoma Testing	2	2	1	3		2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	270.00	3																		2					2														2		2														2	2
H4172	003	0	1	01	01	H4172_003_0	5	1	11	2	2	1	3		Glaucoma Testing	2	2	1	3		2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	270.00	3																		2					2														2		2														2	2
H4185	001	0	1	20	08	H4185_001_0	1																																																																																																																													
H4185	002	0	1	20	08	H4185_002_0	1																																																																																																																													
H4198	007	0	1	01	01	H4198_007_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														2	2
H4198	008	0	1	01	01	H4198_008_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		2														2	2
H4198	009	0	1	01	01	H4198_009_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		2														2	2
H4198	803	0	1	01	01	H4198_803_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4203	001	0	1	20	08	H4203_001_0	1																																																																																																																													
H4203	002	0	1	20	08	H4203_002_0	1																																																																																																																													
H4213	016	1	1	09	04	H4213_016_1	2	2																		2				2								1	010	0.00	50.00					2		2	2	2																																														2					2														2		1	010000	50.00	50.00											2	2
H4213	016	3	1	09	04	H4213_016_3	2	2																		2				2								1	010	0.00	50.00					2		2	2	2																																														2					2														2		1	010000	50.00	50.00											2	2
H4213	016	4	1	09	04	H4213_016_4	2	2																		2				2								1	010	0.00	50.00					2		2	2	2																																														2					2														2		1	010000	50.00	50.00											2	2
H4213	017	1	1	09	04	H4213_017_1	3	2																		2				2								1	010	0.00	50.00					2		2	2	2																																														2					2														2		1	010000	50.00	50.00											2	2
H4213	017	5	1	09	04	H4213_017_5	3	2																		2				2								1	010	0.00	50.00					2		2	2	2																																														2					2														2		1	010000	50.00	50.00											2	2
H4213	017	6	1	09	04	H4213_017_6	3	2																		2				2								1	010	0.00	50.00					2		2	2	2																																														2					2														2		1	010000	50.00	50.00											2	2
H4227	001	0	1	01	01	H4227_001_0	9	1	01	2	2	1	3								2					2				1	010	0	0					2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		2														2	2
H4227	002	0	1	01	01	H4227_002_0	9	1	01	2	2	1	3								2					2				1	010	0	0					2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		2														2	2
H4232	001	0	1	01	01	H4232_001_0	4	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4232	003	0	1	01	01	H4232_003_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4235	001	0	1	20	08	H4235_001_0	1																																																																																																																													
H4235	002	0	1	20	08	H4235_002_0	1																																																																																																																													
H4256	001	0	1	20	08	H4256_001_0	2																																																																																																																													
H4256	002	0	1	20	08	H4256_002_0	2																																																																																																																													
H4277	001	0	1	04	01	H4277_001_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1	1	2	1	300.00	3																		2					2														2		2														2	2
H4279	001	0	1	01	01	H4279_001_0	8	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				1	010	20	20					2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	575.00	3																		2					1	010000	20	20											2		2														2	2
H4279	004	0	1	01	01	H4279_004_0	8	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				1	010	20	20					2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	575.00	3																		2					1	010000	20	20											2		2														2	2
H4286	001	0	1	01	01	H4286_001_0	10	1	01	2	2	1	3								2					2				2								2								2		1	1	1	11111	2	2	180	3		2	2	3	3		2	2	3	3		2	2	3	3		2	1		2	2				01100	210.00	3		500.00	3											2					2														2		2														1	1
H4286	002	0	1	01	01	H4286_002_0	11	1	01	2	2	1	3								2					2				2								2								2		1	1	1	11111	2	2	180	3		2	2	3	3		2	2	3	3		2	2	3	3		2	1		2	2				01100	210.00	3		525.00	3											2					2														2		2														1	1
H4286	003	0	1	01	01	H4286_003_0	9	1	01	2	2	1	3								2					2				2								2								2		1	1	1	11111	2	2	120	3		2	2	2	3		2	2	2	3		2	2	2	3		2	1		2	2				01100	140.00	3		320.00	3											2					2														2		2														1	1
H4305	001	0	1	20	08	H4305_001_0	1																																																																																																																													
H4305	002	0	1	20	08	H4305_002_0	1																																																																																																																													
H4326	001	0	1	20	08	H4326_001_0	1																																																																																																																													
H4326	002	0	1	20	08	H4326_002_0	1																																																																																																																													
H4343	001	0	1	01	01	H4343_001_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4343	003	0	1	01	01	H4343_003_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4346	001	0	1	01	01	H4346_001_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4346	005	0	1	01	01	H4346_005_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4346	006	0	1	01	01	H4346_006_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4346	009	0	1	01	01	H4346_009_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4346	010	0	1	01	01	H4346_010_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4346	012	0	1	01	01	H4346_012_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4346	014	0	1	01	01	H4346_014_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	500.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4346	017	0	1	01	01	H4346_017_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4346	019	0	1	01	01	H4346_019_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4346	025	0	1	01	01	H4346_025_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4346	026	0	1	01	01	H4346_026_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4346	029	0	1	01	01	H4346_029_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4346	805	0	1	01	01	H4346_805_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4346	806	0	2	01	01	H4346_806_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4346	809	0	1	01	01	H4346_809_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4346	810	0	2	01	01	H4346_810_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4346	812	0	1	01	01	H4346_812_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4346	821	0	2	01	01	H4346_821_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4346	823	0	1	01	01	H4346_823_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4346	824	0	1	01	01	H4346_824_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4346	826	0	1	01	01	H4346_826_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4346	827	0	2	01	01	H4346_827_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4346	828	0	2	01	01	H4346_828_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4346	830	0	2	01	01	H4346_830_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4393	001	0	1	20	08	H4393_001_0	1																																																																																																																													
H4393	002	0	1	20	08	H4393_002_0	1																																																																																																																													
H4402	001	0	1	20	08	H4402_001_0	1																																																																																																																													
H4402	002	0	1	20	08	H4402_002_0	1																																																																																																																													
H4407	004	0	1	01	01	H4407_004_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H4407	011	0	1	01	01	H4407_011_0	6	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H4407	027	0	1	01	01	H4407_027_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4407	028	0	1	01	01	H4407_028_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H4407	029	0	1	01	01	H4407_029_0	8	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H4407	030	1	1	01	01	H4407_030_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4407	030	2	1	01	01	H4407_030_2	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4407	030	3	1	01	01	H4407_030_3	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4439	001	0	1	01	01	H4439_001_0	5	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01011	2	1									2	1				2	1					1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H4439	002	0	1	01	01	H4439_002_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01011	2	1									2	1				2	1					1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H4461	004	0	1	01	01	H4461_004_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H4461	022	0	1	01	01	H4461_022_0	9	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H4461	025	0	1	01	01	H4461_025_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H4461	029	0	1	01	01	H4461_029_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H4461	035	0	1	01	01	H4461_035_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H4461	038	0	1	01	01	H4461_038_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H4461	039	0	1	01	01	H4461_039_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H4461	040	0	1	01	01	H4461_040_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H4461	041	0	1	01	01	H4461_041_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H4461	042	0	1	01	01	H4461_042_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H4461	806	0	1	01	01	H4461_806_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4461	807	0	1	01	01	H4461_807_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4461	810	0	1	01	01	H4461_810_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4461	811	0	1	01	01	H4461_811_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4471	001	0	1	01	01	H4471_001_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	350.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4471	002	0	1	01	01	H4471_002_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	250.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4471	003	0	1	01	01	H4471_003_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	250.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4471	004	0	1	01	01	H4471_004_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	350.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4471	005	0	1	01	01	H4471_005_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	250.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4471	006	0	1	01	01	H4471_006_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	350.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4471	007	0	1	01	01	H4471_007_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4471	009	0	1	01	01	H4471_009_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4490	001	0	1	01	01	H4490_001_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4490	003	0	1	01	01	H4490_003_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4497	001	1	1	04	01	H4497_001_1	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1	2	2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H4497	001	2	1	04	01	H4497_001_2	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1	2	2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H4497	001	3	1	04	01	H4497_001_3	15	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1	2	2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H4497	002	1	1	04	01	H4497_002_1	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1	2	2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H4497	002	2	1	04	01	H4497_002_2	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1	2	2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H4497	002	3	1	04	01	H4497_002_3	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1	2	2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H4497	003	1	1	04	01	H4497_003_1	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	2	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1	2	2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H4497	003	2	1	04	01	H4497_003_2	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	6	The member can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum.	2	2	1	6	The member can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum.												1	2	2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H4497	003	3	1	04	01	H4497_003_3	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	6	The member can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum.	2	2	1	6	The member can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum.												1	2	2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H4497	005	3	1	04	01	H4497_005_3	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1	2	2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H4497	005	4	1	04	01	H4497_005_4	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1	2	2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H4497	801	0	1	04	01	H4497_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4497	802	0	1	04	01	H4497_802_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4497	803	0	1	04	01	H4497_803_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4506	003	0	1	01	01	H4506_003_0	21	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4506	010	0	1	01	01	H4506_010_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4506	029	0	1	02	01	H4506_029_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4513	009	0	1	01	01	H4513_009_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H4513	026	0	1	01	01	H4513_026_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H4513	027	0	1	01	01	H4513_027_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	400.00	3																		2					2														2		2														2	2
H4513	030	0	1	01	01	H4513_030_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	033	0	1	01	01	H4513_033_0	6	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	034	0	1	01	01	H4513_034_0	8	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	400.00	3																		2					2														2		2														2	2
H4513	035	0	1	01	01	H4513_035_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	036	0	1	02	01	H4513_036_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H4513	037	0	1	01	01	H4513_037_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H4513	038	0	1	01	01	H4513_038_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H4513	039	0	1	01	01	H4513_039_0	8	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	500.00	3																		2					2														2		2														2	2
H4513	045	0	1	01	01	H4513_045_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	046	1	1	01	01	H4513_046_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H4513	046	2	1	01	01	H4513_046_2	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	047	0	1	01	01	H4513_047_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H4513	048	0	1	01	01	H4513_048_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H4513	049	1	1	01	01	H4513_049_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	049	2	1	01	01	H4513_049_2	7	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H4513	049	3	1	01	01	H4513_049_3	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H4513	049	4	1	01	01	H4513_049_4	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H4513	049	5	1	01	01	H4513_049_5	7	1	01	2	2	1	3								2					2				2								1	010	0.00	15.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	050	0	1	01	01	H4513_050_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H4513	051	0	1	01	01	H4513_051_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	052	0	1	01	01	H4513_052_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H4513	053	0	1	01	01	H4513_053_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	100.00	3																		2					2														2		2														2	2
H4513	055	0	1	01	01	H4513_055_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H4513	059	0	1	01	01	H4513_059_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H4513	060	1	1	01	01	H4513_060_1	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	500.00	3																		2					2														2		2														2	2
H4513	060	2	1	01	01	H4513_060_2	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H4513	060	3	1	01	01	H4513_060_3	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	400.00	3																		2					2														2		2														2	2
H4513	060	4	1	01	01	H4513_060_4	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H4513	060	5	1	01	01	H4513_060_5	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	500.00	3																		2					2														2		2														2	2
H4513	061	1	1	01	01	H4513_061_1	8	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H4513	061	2	1	01	01	H4513_061_2	8	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	350.00	3																		2					2														2		2														2	2
H4513	061	3	1	01	01	H4513_061_3	8	1	01	2	2	1	3								2					2				2								1	010	0.00	15.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	350.00	3																		2					2														2		2														2	2
H4513	061	4	1	01	01	H4513_061_4	8	1	01	2	2	1	3								2					2				2								1	010	0.00	15.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	350.00	3																		2					2														2		2														2	2
H4513	061	5	1	01	01	H4513_061_5	8	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H4513	063	0	1	01	01	H4513_063_0	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	350.00	3																		2					2														2		2														2	2
H4513	064	0	1	01	01	H4513_064_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	350.00	3																		2					2														2		2														2	2
H4513	068	1	1	01	01	H4513_068_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	50.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	100.00	3																		2					2														2		2														2	2
H4513	068	2	1	01	01	H4513_068_2	7	1	01	2	2	1	3								2					2				2								1	010	0.00	50.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H4513	068	3	1	01	01	H4513_068_3	7	1	01	2	2	1	3								2					2				2								1	010	0.00	50.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	100.00	3																		2					2														2		2														2	2
H4513	073	0	1	01	01	H4513_073_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H4513	074	0	1	01	01	H4513_074_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	400.00	3																		2					2														2		2														2	2
H4513	075	0	1	01	01	H4513_075_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	500.00	3																		2					2														2		2														2	2
H4513	076	1	1	01	01	H4513_076_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	5.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	076	2	1	01	01	H4513_076_2	7	1	01	2	2	1	3								2					2				2								1	010	0.00	15.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	077	1	1	01	01	H4513_077_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H4513	077	2	1	01	01	H4513_077_2	7	1	01	2	2	1	3								2					2				2								1	010	0.00	15.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H4513	077	3	1	01	01	H4513_077_3	7	1	01	2	2	1	3								2					2				2								1	010	0.00	15.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H4513	078	0	1	01	01	H4513_078_0	6	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H4513	079	0	1	01	01	H4513_079_0	8	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	400.00	3																		2					2														2		2														2	2
H4513	080	0	1	01	01	H4513_080_0	8	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	081	0	1	01	01	H4513_081_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	400.00	3																		2					2														2		2														2	2
H4513	082	0	1	01	01	H4513_082_0	6	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	083	1	1	01	01	H4513_083_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	083	2	1	01	01	H4513_083_2	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	083	3	1	01	01	H4513_083_3	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	083	4	1	01	01	H4513_083_4	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	083	5	1	01	01	H4513_083_5	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	083	6	1	01	01	H4513_083_6	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H4513	083	7	1	01	01	H4513_083_7	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	084	0	1	02	01	H4513_084_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H4513	085	0	1	01	01	H4513_085_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	350.00	3																		2					2														2		2														2	2
H4513	086	0	1	01	01	H4513_086_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H4513	804	0	1	01	01	H4513_804_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4513	815	0	1	01	01	H4513_815_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4513	817	0	1	01	01	H4513_817_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4513	819	0	1	01	01	H4513_819_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4513	821	0	1	01	01	H4513_821_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4514	007	0	1	02	01	H4514_007_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H4514	013	1	1	02	01	H4514_013_1	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4514	013	2	1	02	01	H4514_013_2	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4514	013	3	1	02	01	H4514_013_3	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4514	014	0	1	02	01	H4514_014_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4514	015	0	1	02	01	H4514_015_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4514	016	0	1	02	01	H4514_016_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4514	017	0	1	02	01	H4514_017_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4514	018	0	1	02	01	H4514_018_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4514	019	0	1	02	01	H4514_019_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4514	021	0	1	02	01	H4514_021_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4514	801	0	1	01	01	H4514_801_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H4514	803	0	1	01	01	H4514_803_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H4514	806	0	1	01	01	H4514_806_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H4517	001	0	1	20	08	H4517_001_0	1																																																																																																																													
H4517	002	0	1	20	08	H4517_002_0	1																																																																																																																													
H4518	001	0	1	20	08	H4518_001_0	1																																																																																																																													
H4518	002	0	1	20	08	H4518_002_0	1																																																																																																																													
H4523	001	0	1	01	01	H4523_001_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exam	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4523	015	0	1	01	01	H4523_015_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4523	020	0	1	01	01	H4523_020_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exam	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4523	021	0	1	01	01	H4523_021_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4523	024	0	1	01	01	H4523_024_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4523	801	0	1	01	01	H4523_801_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4523	802	0	1	01	01	H4523_802_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4527	001	0	1	02	01	H4527_001_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H4527	002	0	1	02	01	H4527_002_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H4527	003	0	1	02	01	H4527_003_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H4527	004	0	1	02	01	H4527_004_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H4527	005	0	1	02	01	H4527_005_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H4527	006	0	1	02	01	H4527_006_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H4527	013	0	1	02	01	H4527_013_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H4527	015	0	1	02	01	H4527_015_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H4527	024	0	1	02	01	H4527_024_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H4527	037	0	1	02	01	H4527_037_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4527	039	0	1	02	01	H4527_039_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H4527	040	0	1	02	01	H4527_040_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H4527	041	0	1	02	01	H4527_041_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H4527	042	0	1	02	01	H4527_042_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H4527	045	0	1	02	01	H4527_045_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H4527	048	0	1	02	01	H4527_048_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H4527	051	0	1	02	01	H4527_051_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H4527	801	0	1	01	01	H4527_801_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4527	802	0	1	01	01	H4527_802_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4527	803	0	1	01	01	H4527_803_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4537	001	0	1	04	01	H4537_001_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4537	002	0	1	04	01	H4537_002_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4537	003	0	1	04	01	H4537_003_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4537	004	0	1	04	01	H4537_004_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4544	001	0	1	04	01	H4544_001_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4544	002	0	1	04	01	H4544_002_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4604	003	0	1	02	01	H4604_003_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4604	005	0	1	02	01	H4604_005_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4604	011	0	1	02	01	H4604_011_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4604	012	0	1	02	01	H4604_012_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4604	013	0	1	02	01	H4604_013_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4604	014	0	1	02	01	H4604_014_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4604	015	0	1	02	01	H4604_015_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4604	016	0	1	02	01	H4604_016_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4604	017	0	1	02	01	H4604_017_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4604	018	0	1	02	01	H4604_018_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4604	019	0	1	02	01	H4604_019_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4604	020	0	1	02	01	H4604_020_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4604	022	0	1	02	01	H4604_022_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H4604	801	0	1	01	01	H4604_801_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H4604	803	0	1	01	01	H4604_803_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H4604	805	0	1	01	01	H4604_805_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H4604	809	0	1	01	01	H4604_809_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H4604	810	0	1	01	01	H4604_810_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H4604	811	0	1	01	01	H4604_811_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H4605	001	0	1	04	01	H4605_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	150.00	3								150.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H4605	002	0	1	04	01	H4605_002_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H4605	004	0	1	04	01	H4605_004_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	150.00	3								150.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H4605	801	0	1	04	01	H4605_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4605	802	0	1	04	01	H4605_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4605	803	0	1	04	01	H4605_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4605	804	0	1	04	01	H4605_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4620	001	0	1	04	01	H4620_001_0	5	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					1	100000											80	90	2		1	100000											15.00	65.00	2	2
H4620	801	0	1	04	01	H4620_801_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4620	802	0	1	04	01	H4620_802_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4620	803	0	1	04	01	H4620_803_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4620	804	0	1	04	01	H4620_804_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4623	001	0	1	02	01	H4623_001_0	12	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H4623	002	0	1	02	01	H4623_002_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H4624	001	0	1	01	01	H4624_001_0	10	1	01	2	2	1	3								2					2				2								1	011	25.00	25.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4624	003	0	1	01	01	H4624_003_0	8	1	01	2	2	1	3								2					2				2								1	011	35.00	35.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	350.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4624	006	0	1	01	01	H4624_006_0	10	1	01	2	2	1	3								2					2				2								1	011	35.00	35.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	350.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4624	010	0	1	01	01	H4624_010_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4624	011	0	1	01	01	H4624_011_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	350.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4624	012	0	1	01	01	H4624_012_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	350.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4624	016	0	1	01	01	H4624_016_0	10	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	285.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4624	019	0	1	01	01	H4624_019_0	11	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4624	022	0	1	01	01	H4624_022_0	10	1	01	2	2	1	3								2					2				2								1	011	30.00	30.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4624	023	0	1	01	01	H4624_023_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4624	024	0	1	01	01	H4624_024_0	10	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	350.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4624	025	0	1	01	01	H4624_025_0	12	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	350.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4624	026	0	1	01	01	H4624_026_0	10	1	01	2	2	1	3								2					2				2								1	011	25.00	25.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4624	027	0	1	01	01	H4624_027_0	9	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	350.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4624	028	0	1	01	01	H4624_028_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	350.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4624	801	0	1	01	01	H4624_801_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4624	802	0	1	01	01	H4624_802_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4624	803	0	1	01	01	H4624_803_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4624	804	0	1	01	01	H4624_804_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4626	001	0	1	20	08	H4626_001_0	1																																																																																																																													
H4626	002	0	1	20	08	H4626_002_0	1																																																																																																																													
H4661	001	0	1	02	01	H4661_001_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4661	002	0	1	02	01	H4661_002_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4661	003	0	1	02	01	H4661_003_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4676	001	0	1	01	01	H4676_001_0	6	1	01	2	2	1	3								1		50.00	3		2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		2														2	2
H4676	002	0	1	01	01	H4676_002_0	7	1	01	2	2	1	3								1		50.00	3		2				1	010	20	20					2								2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H4699	001	0	1	04	01	H4699_001_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4699	003	0	1	04	01	H4699_003_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4699	005	0	1	04	01	H4699_005_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4704	001	0	1	04	01	H4704_001_0	7	1	01	2	2	1	3								1	2	69.00	3		2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	150.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4711	001	0	1	02	01	H4711_001_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	280.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4711	002	0	1	02	01	H4711_002_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	205.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4711	005	0	1	02	01	H4711_005_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	180.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4711	006	0	1	02	01	H4711_006_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	390.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4711	007	0	1	02	01	H4711_007_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	390.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4711	008	0	1	02	01	H4711_008_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4711	009	0	1	02	01	H4711_009_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	210.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4711	010	0	1	02	01	H4711_010_0	4	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4711	011	0	1	01	01	H4711_011_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4711	012	0	1	01	01	H4711_012_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4711	013	0	1	01	01	H4711_013_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4711	801	0	1	01	01	H4711_801_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4711	802	0	1	01	01	H4711_802_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4714	001	0	1	20	08	H4714_001_0	1																																																																																																																													
H4714	002	0	1	20	08	H4714_002_0	1																																																																																																																													
H4733	001	0	1	01	01	H4733_001_0	6	2																		2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		2														2	2
H4739	001	0	1	01	01	H4739_001_0	8	1	01	2	2	1	3								2					2				1	010	0	0					2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		2														2	2
H4754	004	0	1	04	01	H4754_004_0	6	1	11	2	2	1	2		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				2								1	001			35.00	35.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	200.00	2																		2					2														2		2														2	2
H4754	006	0	1	04	01	H4754_006_0	4	1	11	2	2	1	3		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	250.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H4754	008	0	1	04	01	H4754_008_0	4	1	11	2	2	1	3		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	400.00	3																		2					2														2		2														2	2
H4754	011	0	1	04	01	H4754_011_0	5	1	11	2	2	1	3		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	200.00	3																		2					2														2		2														2	2
H4754	012	0	1	04	01	H4754_012_0	4	1	11	2	2	1	3		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	400.00	3																		2					2														2		2														2	2
H4754	017	0	1	04	01	H4754_017_0	5	1	11	2	2	1	2		Eye Exam Glaucoma Diabetic Retinopathy	2	1				2					2				2								1	001			35.00	35.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	200.00	2																		2					2														2		2														2	2
H4754	801	0	1	04	01	H4754_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4754	802	0	1	04	01	H4754_802_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4801	002	0	1	04	01	H4801_002_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	125.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H4801	007	0	1	04	01	H4801_007_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	35.00	35.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H4801	011	0	1	04	01	H4801_011_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H4801	013	0	1	04	01	H4801_013_0	6	1	01	2	2	1	3								2					2				1	011	0	0	0	0			2								2		2	2	2																																														2					1	010000	0	0											2		2														2	2
H4801	014	0	1	04	01	H4801_014_0	6	1	01	2	2	1	3								2					2				1	011	0	0	0	0			2								2		2	2	2																																														2					1	010000	0	0											2		2														2	2
H4801	015	0	1	04	01	H4801_015_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H4801	016	0	1	04	01	H4801_016_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H4801	018	0	1	04	01	H4801_018_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H4801	019	0	1	04	01	H4801_019_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H4801	020	0	1	04	01	H4801_020_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H4801	021	0	1	04	01	H4801_021_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H4801	022	0	1	04	01	H4801_022_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H4808	001	0	1	04	01	H4808_001_0	11	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H4808	002	0	1	04	01	H4808_002_0	11	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H4808	003	0	1	04	01	H4808_003_0	11	1	01	2	2	1	3								2					2				2								1	010	50.00	50.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H4835	001	0	1	02	01	H4835_001_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	245.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4835	002	0	1	02	01	H4835_002_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	135.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4835	003	0	1	02	01	H4835_003_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	175.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4835	004	0	1	02	01	H4835_004_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4835	005	0	1	02	01	H4835_005_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	160.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4835	006	0	1	02	01	H4835_006_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	125.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4835	801	0	1	01	01	H4835_801_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4835	802	0	1	01	01	H4835_802_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4847	001	0	1	01	01	H4847_001_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4847	004	0	1	01	01	H4847_004_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4847	005	0	1	01	01	H4847_005_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4847	006	0	1	02	01	H4847_006_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4863	001	0	1	01	01	H4863_001_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		2														2	2
H4863	003	0	1	01	01	H4863_003_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		2														2	2
H4863	005	0	1	01	01	H4863_005_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		2														2	2
H4868	003	0	1	01	01	H4868_003_0	14	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4868	004	0	1	01	01	H4868_004_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4868	014	0	1	01	01	H4868_014_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4868	016	0	1	01	01	H4868_016_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4868	019	0	1	01	01	H4868_019_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H4869	001	0	1	02	01	H4869_001_0	11	1	01	2	1										1		625.00	5		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H4869	002	0	1	02	01	H4869_002_0	9	1	01	2	1										1		1000.00	5		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H4869	003	0	1	02	01	H4869_003_0	10	1	01	2	1										1		625.00	5		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H4869	004	0	1	02	01	H4869_004_0	10	1	01	2	1										1		1000.00	5		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H4869	005	0	1	02	01	H4869_005_0	12	1	01	2	1										1		525.00	5		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H4869	009	0	1	02	01	H4869_009_0	11	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4869	010	0	1	02	01	H4869_010_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4875	016	1	1	04	01	H4875_016_1	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	016	2	1	04	01	H4875_016_2	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	016	3	1	04	01	H4875_016_3	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	016	4	1	04	01	H4875_016_4	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	016	5	1	04	01	H4875_016_5	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	017	1	1	04	01	H4875_017_1	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	40.00	40.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	017	2	1	04	01	H4875_017_2	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	40.00	40.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	017	3	1	04	01	H4875_017_3	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	40.00	40.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	017	4	1	04	01	H4875_017_4	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	40.00	40.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	017	5	1	04	01	H4875_017_5	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	40.00	40.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	018	1	1	04	01	H4875_018_1	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	018	2	1	04	01	H4875_018_2	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	018	3	1	04	01	H4875_018_3	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	018	4	1	04	01	H4875_018_4	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	018	5	1	04	01	H4875_018_5	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	020	1	1	04	01	H4875_020_1	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	020	2	1	04	01	H4875_020_2	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	020	3	1	04	01	H4875_020_3	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	021	1	1	04	01	H4875_021_1	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	0.00	50.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	021	2	1	04	01	H4875_021_2	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	0.00	50.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	100.00	3																		2					2														2		2														2	2
H4875	022	1	1	04	01	H4875_022_1	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	0.00	50.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	125.00	3																		2					2														2		2														2	2
H4875	022	2	1	04	01	H4875_022_2	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	0.00	50.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	125.00	3																		2					2														2		2														2	2
H4875	022	5	1	04	01	H4875_022_5	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	0.00	50.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	125.00	3																		2					2														2		2														2	2
H4875	023	0	1	04	01	H4875_023_0	6	1	11	2	2	1	3		Eye Exam Services	2	2	1	3		2					2				2								1	010	0.00	40.00					2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	200.00	3																		2					2														2		2														2	2
H4875	803	0	1	04	01	H4875_803_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4875	804	0	1	04	01	H4875_804_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4875	805	0	1	04	01	H4875_805_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4875	806	0	1	04	01	H4875_806_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4875	807	0	1	04	01	H4875_807_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4882	003	0	1	04	01	H4882_003_0	8	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		2														2	2
H4882	004	0	1	04	01	H4882_004_0	6	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2					2														2		2														2	2
H4882	005	0	1	04	01	H4882_005_0	6	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2					2														2		2														2	2
H4882	009	1	1	04	01	H4882_009_1	8	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2					2														2		2														2	2
H4882	009	2	1	04	01	H4882_009_2	9	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2					2														2		2														2	2
H4882	010	1	1	04	01	H4882_010_1	7	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2					2														2		2														2	2
H4882	010	2	1	04	01	H4882_010_2	7	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H4882	011	1	1	04	01	H4882_011_1	8	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2					2														2		2														2	2
H4882	011	2	1	04	01	H4882_011_2	8	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2					2														2		2														2	2
H4882	012	0	1	04	01	H4882_012_0	6	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2					2														2		2														2	2
H4882	801	0	1	04	01	H4882_801_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4882	803	0	1	04	01	H4882_803_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4882	804	0	1	04	01	H4882_804_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4882	805	0	1	04	01	H4882_805_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4882	806	0	1	04	01	H4882_806_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4909	014	0	1	04	01	H4909_014_0	6	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1	2	2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4909	015	0	1	04	01	H4909_015_0	6	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4909	016	0	1	04	01	H4909_016_0	7	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1	2	2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4909	018	0	1	04	01	H4909_018_0	6	1	01	2	2	1	3								1	2	69.00	3		2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	325.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4909	020	0	1	04	01	H4909_020_0	5	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4909	021	0	1	04	01	H4909_021_0	6	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1	2	2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4909	023	0	1	04	01	H4909_023_0	6	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1	2	2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H4909	026	0	1	04	01	H4909_026_0	7	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H4909	804	0	1	04	01	H4909_804_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4909	805	0	1	04	01	H4909_805_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4909	810	0	2	04	01	H4909_810_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4909	811	0	1	04	01	H4909_811_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4909	812	0	1	04	01	H4909_812_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4909	814	0	2	04	01	H4909_814_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4909	815	0	2	04	01	H4909_815_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4909	817	0	1	04	01	H4909_817_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4909	818	0	1	04	01	H4909_818_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4919	001	0	1	20	08	H4919_001_0	1																																																																																																																													
H4919	002	0	1	20	08	H4919_002_0	1																																																																																																																													
H4931	007	0	1	01	01	H4931_007_0	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	2	1	3													1		2	1	400.00	3																		2					1	010000	20	20											2		2														2	2
H4931	015	0	1	01	01	H4931_015_0	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	2	1	3													1		2	1	400.00	3																		2					1	010000	20	20											2		2														2	2
H4937	001	0	1	04	01	H4937_001_0	6	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	01011	2	1									2	2	1	3		2	2	1	2			1	2	2	2				01001	250.00	3								250.00	2					2					2														2		2														2	2
H4937	002	0	1	04	01	H4937_002_0	6	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	01011	2	1									2	2	1	3		2	2	1	2			1	2	2	2				01001	250.00	3								250.00	2					2					2														2		2														2	2
H4937	801	0	1	04	01	H4937_801_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4937	802	0	1	04	01	H4937_802_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4937	803	0	1	04	01	H4937_803_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4937	804	0	1	04	01	H4937_804_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4937	805	0	1	04	01	H4937_805_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H4943	001	0	1	01	01	H4943_001_0	16	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H4943	002	0	1	01	01	H4943_002_0	13	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H4961	001	0	1	04	01	H4961_001_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1	1	2	1	150.00	2																		2					2														2		2														2	2
H4961	003	0	1	04	01	H4961_003_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														2	2
H4961	006	0	1	04	01	H4961_006_0	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	200.00	3																		2					2														2		2														2	2
H4961	007	0	1	04	01	H4961_007_0	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1	1	2	1	150.00	2																		2					2														2		2														2	2
H4961	008	0	1	04	01	H4961_008_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1	1	2	1	150.00	2																		2					2														2		2														2	2
H4961	801	0	1	04	01	H4961_801_0	2	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														1	2
H4961	802	0	1	04	01	H4961_802_0	3	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														1	2
H4961	803	0	1	04	01	H4961_803_0	2	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														1	2
H4961	804	0	1	04	01	H4961_804_0	2	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														1	2
H4982	001	0	1	01	01	H4982_001_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4982	002	0	1	01	01	H4982_002_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4982	003	0	1	01	01	H4982_003_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4982	004	0	1	01	01	H4982_004_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4982	005	0	1	01	01	H4982_005_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4982	006	0	1	01	01	H4982_006_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4982	007	0	1	01	01	H4982_007_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4982	008	0	1	01	01	H4982_008_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4982	009	0	1	01	01	H4982_009_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4982	010	0	1	01	01	H4982_010_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4982	011	0	1	01	01	H4982_011_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4982	012	0	1	01	01	H4982_012_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4982	013	0	1	01	01	H4982_013_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4982	016	0	1	01	01	H4982_016_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4982	017	0	1	02	01	H4982_017_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4982	018	0	1	02	01	H4982_018_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H4982	801	0	1	01	01	H4982_801_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4982	802	0	1	01	01	H4982_802_0	8	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H4999	001	0	1	20	08	H4999_001_0	1																																																																																																																													
H4999	002	0	1	20	08	H4999_002_0	1																																																																																																																													
H5007	001	0	1	20	08	H5007_001_0	1																																																																																																																													
H5007	002	0	1	20	08	H5007_002_0	1																																																																																																																													
H5008	002	0	1	02	01	H5008_002_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5008	010	0	1	02	01	H5008_010_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H5008	011	0	1	02	01	H5008_011_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5008	015	0	1	02	01	H5008_015_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5008	016	0	1	02	01	H5008_016_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5009	001	0	1	04	01	H5009_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H5009	002	0	1	04	01	H5009_002_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	150.00	3								150.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H5009	008	0	1	04	01	H5009_008_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H5009	010	0	1	04	01	H5009_010_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H5009	011	1	1	04	01	H5009_011_1	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H5009	011	2	1	04	01	H5009_011_2	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H5009	011	3	1	04	01	H5009_011_3	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H5009	801	0	1	04	01	H5009_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5009	802	0	1	04	01	H5009_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5009	803	0	1	04	01	H5009_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5009	804	0	1	04	01	H5009_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5010	001	0	1	04	01	H5010_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H5010	008	1	1	04	01	H5010_008_1	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H5010	008	2	1	04	01	H5010_008_2	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H5010	009	1	1	04	01	H5010_009_1	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H5010	009	2	1	04	01	H5010_009_2	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H5015	001	0	1	01	01	H5015_001_0	6	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01011	2	1									2	1				2	1					1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H5037	001	0	1	20	08	H5037_001_0	1																																																																																																																													
H5037	002	0	1	20	08	H5037_002_0	1																																																																																																																													
H5042	009	0	1	04	01	H5042_009_0	5	1	01	2	2	1	3								2					2				2								1	011	45.00	45.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	150.00	3																		2					2														2		2														2	2
H5042	011	0	1	04	01	H5042_011_0	7	1	01	2	2	1	3								2					2				2								1	011	40.00	40.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	175.00	3																		2					2														2		2														2	2
H5042	012	0	1	04	01	H5042_012_0	4	1	01	2	2	1	3								2					2				2								1	011	40.00	40.00	20.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	175.00	3																		2					2														2		2														2	2
H5042	801	0	1	04	01	H5042_801_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5042	802	0	1	04	01	H5042_802_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5042	803	0	1	04	01	H5042_803_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5042	804	0	1	04	01	H5042_804_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5050	001	0	1	01	01	H5050_001_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	30.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	350.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H5050	004	0	1	01	01	H5050_004_0	12	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	20.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H5050	009	0	1	01	01	H5050_009_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	30.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H5050	013	0	1	01	01	H5050_013_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	30.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H5050	017	0	1	01	01	H5050_017_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	10.00	30.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	350.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H5050	019	0	1	01	01	H5050_019_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	25.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H5050	021	0	1	01	01	H5050_021_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	25.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H5050	022	0	1	01	01	H5050_022_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	35.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	350.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H5050	023	0	1	01	01	H5050_023_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	50.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	350.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H5050	801	0	1	01	01	H5050_801_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5050	802	0	1	01	01	H5050_802_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5080	001	0	1	20	08	H5080_001_0	1																																																																																																																													
H5080	002	0	1	20	08	H5080_002_0	1																																																																																																																													
H5085	003	0	1	20	08	H5085_003_0	1																																																																																																																													
H5085	004	0	1	20	08	H5085_004_0	1																																																																																																																													
H5087	005	0	1	01	01	H5087_005_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5087	016	0	1	01	01	H5087_016_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5087	024	0	1	01	01	H5087_024_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5087	032	0	1	01	01	H5087_032_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5087	033	0	1	01	01	H5087_033_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5106	013	0	1	04	01	H5106_013_0	8	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	175.00	3					175.00	3		175.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H5106	029	1	1	04	01	H5106_029_1	9	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H5106	029	2	1	04	01	H5106_029_2	9	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H5106	030	1	1	04	01	H5106_030_1	7	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H5106	030	2	1	04	01	H5106_030_2	7	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H5106	031	1	1	04	01	H5106_031_1	7	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H5106	031	2	1	04	01	H5106_031_2	7	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H5106	032	1	1	04	01	H5106_032_1	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H5106	032	2	1	04	01	H5106_032_2	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H5106	033	1	1	04	01	H5106_033_1	5	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H5106	033	2	1	04	01	H5106_033_2	5	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H5106	806	0	1	04	01	H5106_806_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5106	807	0	1	04	01	H5106_807_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5106	808	0	1	04	01	H5106_808_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5106	810	0	1	04	01	H5106_810_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5117	801	0	1	01	01	H5117_801_0	12	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5124	001	0	1	20	08	H5124_001_0	1																																																																																																																													
H5124	002	0	1	20	08	H5124_002_0	1																																																																																																																													
H5140	001	0	1	04	01	H5140_001_0	12	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	01100	2	1				2	1															1	1	2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H5140	002	0	1	04	01	H5140_002_0	9	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	01100	2	1				2	1															1	1	2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H5141	001	0	1	04	01	H5141_001_0	11	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H5141	004	0	1	04	01	H5141_004_0	9	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H5141	007	0	1	04	01	H5141_007_0	10	1	01	2	2	1	3								2					2				2								1	010	5.00	5.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H5141	025	0	1	04	01	H5141_025_0	9	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H5141	026	0	1	04	01	H5141_026_0	9	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		2														2	2
H5141	032	0	1	04	01	H5141_032_0	10	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		2														2	2
H5141	036	0	1	04	01	H5141_036_0	9	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H5141	038	0	1	04	01	H5141_038_0	10	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H5141	042	0	1	04	01	H5141_042_0	8	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		2														2	2
H5141	045	0	1	04	01	H5141_045_0	9	1	01	2	2	1	3								2					2				2								1	010	5.00	5.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		2														2	2
H5141	054	0	1	04	01	H5141_054_0	9	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		2														2	2
H5141	055	0	1	04	01	H5141_055_0	9	1	01	2	2	1	3								2					2				2								1	010	5.00	5.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H5141	056	0	1	04	01	H5141_056_0	8	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H5141	057	0	1	04	01	H5141_057_0	8	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H5141	058	0	1	04	01	H5141_058_0	9	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H5141	059	0	1	04	01	H5141_059_0	9	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H5141	801	0	1	04	01	H5141_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5163	001	0	1	01	01	H5163_001_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		2														2	2
H5163	002	0	1	01	01	H5163_002_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H5167	001	0	1	20	08	H5167_001_0	1																																																																																																																													
H5167	002	0	1	20	08	H5167_002_0	1																																																																																																																													
H5178	002	0	1	01	01	H5178_002_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5190	801	0	1	01	01	H5190_801_0	12	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5199	008	0	1	04	01	H5199_008_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5199	010	0	1	04	01	H5199_010_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5199	012	0	1	04	01	H5199_012_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5199	014	0	1	04	01	H5199_014_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5199	016	0	1	04	01	H5199_016_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5209	002	0	1	01	01	H5209_002_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5209	004	0	1	01	01	H5209_004_0	9	2																		2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		2														1	2
H5211	001	0	1	02	01	H5211_001_0	3	1	11	2	1				Refractions and Diagnostic Eye Exam Services	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	25.00	25.00	2		2	2	1	00100						2	1															1		2	1	175.00	3																		2					2														2		2														2	2
H5211	002	0	1	02	01	H5211_002_0	5	1	11	2	1				Refractions and Diagnostic Eye Exam Services	2	1				2					2				2								1	111	50.00	50.00	0.00	50.00	0.00	50.00	2		2	2	1	00100						2	1															1		2	1	175.00	3																		2					2														2		2														2	2
H5211	003	0	1	02	01	H5211_003_0	3	1	11	2	1				Refractions and Diagnostic Eye Exam Services	2	1				2					2				2								1	111	50.00	50.00	0.00	50.00	0.00	50.00	2		2	2	1	00100						2	1															1		2	1	175.00	3																		2					2														2		2														2	2
H5211	004	0	1	02	01	H5211_004_0	4	1	11	2	1				Refractions and Diagnostic Eye Exam Services	2	1				2					2				2								1	111	25.00	25.00	0.00	25.00	0.00	25.00	2		2	2	1	00100						2	1															1		2	1	175.00	3																		2					2														2		2														2	2
H5211	010	0	1	01	01	H5211_010_0	5	2																		2				1	010	20	20					2								2		2	2	1	00100						2	1															1		2	1	175.00	3																		2					1	010000	20	20											2		2														2	2
H5211	012	0	1	02	01	H5211_012_0	4	1	11	2	1				Refractions and Diagnostic Eye Exam Services	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	50.00	50.00	2		2	2	1	00100						2	1															1		2	1	235.00	3																		2					2														2		2														2	2
H5211	013	0	1	02	01	H5211_013_0	4	1	11	2	1				Refractions and Diagnostic Eye Exam Services	2	1				2					2				2								1	110	0.00	50.00			50.00	50.00	2		2	2	1	00100						2	1															1		2	1	175.00	3																		2					2														2		2														2	2
H5212	001	0	1	20	08	H5212_001_0	1																																																																																																																													
H5212	002	0	1	20	08	H5212_002_0	1																																																																																																																													
H5213	001	0	1	20	08	H5213_001_0	1																																																																																																																													
H5213	002	0	1	20	08	H5213_002_0	1																																																																																																																													
H5215	001	0	1	04	01	H5215_001_0	7	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	25.00	25.00	10.00	10.00			2		2	2	2																																														2					2														2		2														2	2
H5215	002	0	1	04	01	H5215_002_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	25.00	25.00	10.00	10.00			2		2	2	2																																														2					2														2		2														2	2
H5215	005	0	1	04	01	H5215_005_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	001			10.00	10.00			2		2	2	2																																														2					2														2		2														2	2
H5215	006	0	1	04	01	H5215_006_0	7	1	01	2	2	1	3								1	2	40.00	3		2				2								1	001			10.00	10.00			2		2	2	2																																														2					2														2		2														2	2
H5215	007	0	1	04	01	H5215_007_0	6	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					2								2		2	2	1	11100	2	1				2	1														2	1	2	2	1	400.00	3																		2					1	010000	20	20											2		2														2	2
H5215	008	0	1	04	01	H5215_008_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	45.00	45.00	10.00	10.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2					2														2		2														2	2
H5215	009	0	1	04	01	H5215_009_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	35.00	35.00	10.00	10.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2					2														2		2														2	2
H5215	010	0	1	04	01	H5215_010_0	6	1	01	2	2	1	3								1	2	40.00	3		2				2								1	010	35.00	35.00					2		2	2	1	11100	2	1				2	1														2	1	2	2	1	350.00	3																		2					2														2		2														2	2
H5215	011	0	1	04	01	H5215_011_0	6	1	01	2	2	1	3								1	2	40.00	3		2				2								1	010	45.00	45.00					2		2	2	1	11100	2	1				2	1														2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H5215	012	0	1	04	01	H5215_012_0	8	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	30.00	30.00	10.00	10.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2					2														2		2														2	2
H5215	013	0	1	04	01	H5215_013_0	4	1	01	2	2	1	3								1	2	40.00	3		2				2								1	010	40.00	40.00					2		2	2	1	11100	2	1				2	1														2	1	2	2	1	400.00	3																		2					2														2		2														2	2
H5215	014	0	1	04	01	H5215_014_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	010	40.00	40.00					2		2	2	1	11100	2	1				2	1														2	1	2	2	1	400.00	3																		2					2														2		2														2	2
H5215	806	0	1	04	01	H5215_806_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5215	807	0	1	04	01	H5215_807_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5215	808	0	1	04	01	H5215_808_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5216	001	0	1	04	01	H5216_001_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	006	0	1	04	01	H5216_006_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	011	0	1	04	01	H5216_011_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	013	0	1	04	01	H5216_013_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	014	0	1	04	01	H5216_014_0	8	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	017	0	1	04	01	H5216_017_0	10	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	019	0	1	04	01	H5216_019_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	023	0	1	04	01	H5216_023_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		1																					2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	024	0	1	04	01	H5216_024_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	027	0	1	04	01	H5216_027_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	010	0.00	45.00					2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	010000	0.00	0.00											1	2
H5216	032	0	1	04	01	H5216_032_0	9	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	034	0	1	04	01	H5216_034_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	037	0	1	04	01	H5216_037_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	039	0	1	04	01	H5216_039_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	042	0	1	04	01	H5216_042_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	043	1	1	04	01	H5216_043_1	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	043	5	1	04	01	H5216_043_5	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	043	6	1	04	01	H5216_043_6	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	044	0	1	04	01	H5216_044_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	047	0	1	04	01	H5216_047_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	048	0	1	04	01	H5216_048_0	9	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	053	0	1	04	01	H5216_053_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	057	0	1	04	01	H5216_057_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	058	0	1	04	01	H5216_058_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	059	0	1	04	01	H5216_059_0	3	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	062	0	1	04	01	H5216_062_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	063	0	1	04	01	H5216_063_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	064	0	1	04	01	H5216_064_0	5	1	01	2	2	1	3								1	2	35.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	068	0	1	04	01	H5216_068_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	070	0	1	04	01	H5216_070_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	072	0	1	04	01	H5216_072_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	073	0	1	04	01	H5216_073_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	074	0	1	04	01	H5216_074_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	077	0	1	04	01	H5216_077_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	078	1	1	04	01	H5216_078_1	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	078	2	1	04	01	H5216_078_2	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	081	0	1	04	01	H5216_081_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	083	0	1	04	01	H5216_083_0	9	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	088	0	1	04	01	H5216_088_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	089	0	1	04	01	H5216_089_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	092	0	1	04	01	H5216_092_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	097	0	1	04	01	H5216_097_0	9	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	099	0	1	04	01	H5216_099_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	100	0	1	04	01	H5216_100_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	105	0	1	04	01	H5216_105_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	106	0	1	04	01	H5216_106_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	107	0	1	04	01	H5216_107_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	112	0	1	04	01	H5216_112_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	114	0	1	04	01	H5216_114_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	116	0	1	04	01	H5216_116_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	117	0	1	04	01	H5216_117_0	6	1	01	2	2	1	3								1	2	75.00	3		2				1	010	18	18					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	120	0	1	04	01	H5216_120_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	124	0	1	04	01	H5216_124_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	128	0	1	04	01	H5216_128_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	131	0	1	04	01	H5216_131_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	132	0	1	04	01	H5216_132_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	133	0	1	04	01	H5216_133_0	9	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	136	0	1	04	01	H5216_136_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	137	0	1	04	01	H5216_137_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	138	0	1	04	01	H5216_138_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	140	0	1	04	01	H5216_140_0	11	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	141	0	1	04	01	H5216_141_0	6	1	01	2	2	1	3								1	2	250.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	142	1	1	04	01	H5216_142_1	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	142	2	1	04	01	H5216_142_2	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	144	0	1	04	01	H5216_144_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	152	0	1	04	01	H5216_152_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	154	0	1	04	01	H5216_154_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	157	0	1	04	01	H5216_157_0	4	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	160	0	1	04	01	H5216_160_0	6	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	550.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	161	0	1	04	01	H5216_161_0	6	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	164	0	1	04	01	H5216_164_0	8	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	168	0	1	04	01	H5216_168_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	169	0	1	04	01	H5216_169_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	170	0	1	04	01	H5216_170_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	171	0	1	04	01	H5216_171_0	5	1	01	2	2	1	3								1	2	75.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	172	0	1	04	01	H5216_172_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	173	0	1	04	01	H5216_173_0	5	1	01	2	2	1	3								1	2	75.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	174	0	1	04	01	H5216_174_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	175	0	1	04	01	H5216_175_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	176	0	1	04	01	H5216_176_0	5	1	01	2	2	1	3								1	2	75.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	177	0	1	04	01	H5216_177_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	179	0	1	04	01	H5216_179_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	180	0	1	04	01	H5216_180_0	6	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	182	0	1	04	01	H5216_182_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	185	0	1	04	01	H5216_185_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	186	0	1	04	01	H5216_186_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	188	0	1	04	01	H5216_188_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	190	0	1	04	01	H5216_190_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	192	0	1	04	01	H5216_192_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	193	0	1	04	01	H5216_193_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	194	0	1	04	01	H5216_194_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	65.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	195	0	1	04	01	H5216_195_0	6	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	196	1	1	04	01	H5216_196_1	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	196	2	1	04	01	H5216_196_2	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	197	0	1	04	01	H5216_197_0	7	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	198	0	1	04	01	H5216_198_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	200	0	1	04	01	H5216_200_0	6	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	201	0	1	04	01	H5216_201_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	203	1	1	04	01	H5216_203_1	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	203	2	1	04	01	H5216_203_2	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	205	0	1	04	01	H5216_205_0	11	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	206	0	1	04	01	H5216_206_0	8	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	207	0	1	04	01	H5216_207_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	211	0	1	04	01	H5216_211_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	213	0	1	04	01	H5216_213_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	215	0	1	04	01	H5216_215_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	216	0	1	04	01	H5216_216_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	217	0	1	04	01	H5216_217_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	218	0	1	04	01	H5216_218_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	219	0	1	04	01	H5216_219_0	7	1	01	2	2	1	3								1	2	75.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	220	0	1	04	01	H5216_220_0	7	1	01	2	2	1	3								1	2	75.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	221	0	1	04	01	H5216_221_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	223	0	1	04	01	H5216_223_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	224	0	1	04	01	H5216_224_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	225	0	1	04	01	H5216_225_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	226	0	1	04	01	H5216_226_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	227	0	1	04	01	H5216_227_0	7	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	228	0	1	04	01	H5216_228_0	5	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	229	0	1	04	01	H5216_229_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	231	0	1	04	01	H5216_231_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	232	1	1	04	01	H5216_232_1	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	232	2	1	04	01	H5216_232_2	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	233	1	1	04	01	H5216_233_1	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	233	2	1	04	01	H5216_233_2	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	234	0	1	04	01	H5216_234_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	235	0	1	04	01	H5216_235_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	236	0	1	04	01	H5216_236_0	10	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	242	0	1	04	01	H5216_242_0	7	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	243	0	1	04	01	H5216_243_0	7	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	244	0	1	04	01	H5216_244_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	246	0	1	04	01	H5216_246_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	247	0	1	04	01	H5216_247_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	249	0	1	04	01	H5216_249_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	250	0	1	04	01	H5216_250_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	251	0	1	04	01	H5216_251_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	252	0	1	04	01	H5216_252_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	253	0	1	04	01	H5216_253_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	254	0	1	04	01	H5216_254_0	10	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	255	0	1	04	01	H5216_255_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	256	0	1	04	01	H5216_256_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	257	0	1	04	01	H5216_257_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	258	0	1	04	01	H5216_258_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	260	0	1	04	01	H5216_260_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	261	0	1	04	01	H5216_261_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	263	0	1	04	01	H5216_263_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	264	0	1	04	01	H5216_264_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	265	0	1	04	01	H5216_265_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	266	0	1	04	01	H5216_266_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	267	0	1	04	01	H5216_267_0	5	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	268	0	1	04	01	H5216_268_0	7	1	01	2	2	1	3								1	2	75.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	269	0	1	04	01	H5216_269_0	12	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	271	0	1	04	01	H5216_271_0	8	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	273	0	1	04	01	H5216_273_0	6	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	274	0	1	04	01	H5216_274_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	275	0	1	04	01	H5216_275_0	6	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	277	0	1	04	01	H5216_277_0	7	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	278	1	1	04	01	H5216_278_1	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	278	3	1	04	01	H5216_278_3	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	279	0	1	04	01	H5216_279_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	5.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	280	1	1	04	01	H5216_280_1	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	280	2	1	04	01	H5216_280_2	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	281	0	1	04	01	H5216_281_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	283	0	1	04	01	H5216_283_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	284	0	1	04	01	H5216_284_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	5.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	285	0	1	04	01	H5216_285_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	286	0	1	04	01	H5216_286_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	287	0	1	04	01	H5216_287_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	288	0	1	04	01	H5216_288_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	289	0	1	04	01	H5216_289_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	290	0	1	04	01	H5216_290_0	5	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	450.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H5216	291	0	1	04	01	H5216_291_0	5	1	01	2	2	1	3								1	2	75.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H5216	292	0	1	04	01	H5216_292_0	5	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	293	0	1	04	01	H5216_293_0	9	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	294	0	1	04	01	H5216_294_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	296	0	1	04	01	H5216_296_0	5	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	298	0	1	04	01	H5216_298_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	300	0	1	04	01	H5216_300_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	301	1	1	04	01	H5216_301_1	3	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	301	2	1	04	01	H5216_301_2	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	301	3	1	04	01	H5216_301_3	3	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	301	4	1	04	01	H5216_301_4	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	302	0	1	04	01	H5216_302_0	6	1	01	2	2	1	3								1	2	75.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	304	0	1	04	01	H5216_304_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	305	0	1	04	01	H5216_305_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	306	0	1	04	01	H5216_306_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	307	0	1	04	01	H5216_307_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	308	0	1	04	01	H5216_308_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	309	0	1	04	01	H5216_309_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	310	0	1	04	01	H5216_310_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	311	0	1	04	01	H5216_311_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	312	0	1	04	01	H5216_312_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	5.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	313	0	1	04	01	H5216_313_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	314	0	1	04	01	H5216_314_0	10	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	315	0	1	04	01	H5216_315_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	316	1	1	04	01	H5216_316_1	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	316	3	1	04	01	H5216_316_3	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	317	0	1	04	01	H5216_317_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	318	1	1	04	01	H5216_318_1	10	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	318	2	1	04	01	H5216_318_2	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	318	3	1	04	01	H5216_318_3	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	319	0	1	04	01	H5216_319_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	320	0	1	04	01	H5216_320_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	322	0	1	04	01	H5216_322_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	324	0	1	04	01	H5216_324_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	325	0	1	04	01	H5216_325_0	8	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	326	0	1	04	01	H5216_326_0	9	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	327	0	1	04	01	H5216_327_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	328	0	1	04	01	H5216_328_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	329	0	1	04	01	H5216_329_0	10	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	330	0	1	04	01	H5216_330_0	5	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	550.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	331	0	1	04	01	H5216_331_0	7	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	332	0	1	04	01	H5216_332_0	7	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	550.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	333	0	1	04	01	H5216_333_0	6	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	334	0	1	04	01	H5216_334_0	6	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	335	0	1	04	01	H5216_335_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	337	1	1	04	01	H5216_337_1	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	337	2	1	04	01	H5216_337_2	8	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	337	3	1	04	01	H5216_337_3	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	338	0	1	04	01	H5216_338_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	339	0	1	04	01	H5216_339_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	340	0	1	04	01	H5216_340_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	341	0	1	04	01	H5216_341_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	343	0	1	04	01	H5216_343_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	345	0	1	04	01	H5216_345_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	346	0	1	04	01	H5216_346_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	347	0	1	04	01	H5216_347_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	348	0	1	04	01	H5216_348_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	349	0	1	04	01	H5216_349_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	350	0	1	04	01	H5216_350_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	351	0	1	04	01	H5216_351_0	8	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	352	0	1	04	01	H5216_352_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	353	0	1	04	01	H5216_353_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	354	0	1	04	01	H5216_354_0	3	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	355	0	1	04	01	H5216_355_0	3	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	356	0	1	04	01	H5216_356_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	357	0	1	04	01	H5216_357_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	358	0	1	04	01	H5216_358_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	359	0	1	04	01	H5216_359_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	360	0	1	04	01	H5216_360_0	8	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	361	0	1	04	01	H5216_361_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	362	0	1	04	01	H5216_362_0	8	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	363	0	1	04	01	H5216_363_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	364	0	1	04	01	H5216_364_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	365	0	1	04	01	H5216_365_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	366	0	1	04	01	H5216_366_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	367	0	1	04	01	H5216_367_0	6	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	368	0	1	04	01	H5216_368_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	369	0	1	04	01	H5216_369_0	10	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	370	0	1	04	01	H5216_370_0	6	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	371	0	1	04	01	H5216_371_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	372	0	1	04	01	H5216_372_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	373	0	1	04	01	H5216_373_0	8	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	375	0	1	04	01	H5216_375_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	376	0	1	04	01	H5216_376_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	377	0	1	04	01	H5216_377_0	6	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	378	0	1	04	01	H5216_378_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	379	0	1	04	01	H5216_379_0	4	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	380	0	1	04	01	H5216_380_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	381	0	1	04	01	H5216_381_0	4	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	382	0	1	04	01	H5216_382_0	6	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	383	0	1	04	01	H5216_383_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	384	0	1	04	01	H5216_384_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	385	0	1	04	01	H5216_385_0	6	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H5216	386	1	1	04	01	H5216_386_1	4	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	386	2	1	04	01	H5216_386_2	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	387	1	1	04	01	H5216_387_1	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	387	2	1	04	01	H5216_387_2	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	388	0	1	04	01	H5216_388_0	6	1	01	2	2	1	3								1	2	75.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H5216	389	0	1	04	01	H5216_389_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	390	0	1	04	01	H5216_390_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	391	0	1	04	01	H5216_391_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	392	0	1	04	01	H5216_392_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	393	0	1	04	01	H5216_393_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	394	0	1	04	01	H5216_394_0	6	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	395	0	1	04	01	H5216_395_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	396	0	1	04	01	H5216_396_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	397	0	1	04	01	H5216_397_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	398	0	1	04	01	H5216_398_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	399	0	1	04	01	H5216_399_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	400	0	1	04	01	H5216_400_0	6	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	401	0	1	04	01	H5216_401_0	7	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5216	805	0	1	04	01	H5216_805_0	6	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5216	806	0	1	04	01	H5216_806_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5216	808	0	2	04	01	H5216_808_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5216	809	0	2	04	01	H5216_809_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5216	811	0	1	04	01	H5216_811_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5216	812	0	1	04	01	H5216_812_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5216	813	0	1	04	01	H5216_813_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5216	814	0	1	04	01	H5216_814_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5216	817	0	1	04	01	H5216_817_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5216	818	0	1	04	01	H5216_818_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5216	821	0	1	04	01	H5216_821_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5216	824	0	1	04	01	H5216_824_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5232	001	0	1	04	01	H5232_001_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5232	002	0	1	04	01	H5232_002_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5244	001	0	1	01	01	H5244_001_0	7	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														1	1
H5244	002	0	1	01	01	H5244_002_0	7	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														1	1
H5244	003	0	1	01	01	H5244_003_0	7	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														1	1
H5244	004	0	1	01	01	H5244_004_0	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
H5253	004	0	1	02	01	H5253_004_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	007	0	1	02	01	H5253_007_0	4	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	011	0	1	02	01	H5253_011_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	021	0	1	02	01	H5253_021_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	024	0	1	02	01	H5253_024_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H5253	030	0	1	02	01	H5253_030_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	033	0	1	02	01	H5253_033_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	034	0	1	02	01	H5253_034_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	035	0	1	02	01	H5253_035_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	036	0	1	02	01	H5253_036_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	037	0	1	02	01	H5253_037_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	038	0	1	02	01	H5253_038_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	039	0	1	02	01	H5253_039_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	040	0	1	02	01	H5253_040_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	041	0	1	02	01	H5253_041_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	042	0	1	02	01	H5253_042_0	5	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	043	0	1	02	01	H5253_043_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	047	0	1	02	01	H5253_047_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	048	0	1	02	01	H5253_048_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	051	0	1	02	01	H5253_051_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	059	0	1	02	01	H5253_059_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	550.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	060	0	1	02	01	H5253_060_0	4	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	062	0	1	02	01	H5253_062_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	064	0	1	02	01	H5253_064_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	072	0	1	02	01	H5253_072_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	073	0	1	02	01	H5253_073_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	079	0	1	02	01	H5253_079_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	080	0	1	02	01	H5253_080_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	081	0	1	02	01	H5253_081_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	082	0	1	02	01	H5253_082_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	083	0	1	02	01	H5253_083_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	084	0	1	02	01	H5253_084_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	087	0	1	02	01	H5253_087_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1		2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	088	0	1	02	01	H5253_088_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1		2	1	300.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	089	0	1	02	01	H5253_089_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1		2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	097	0	1	02	01	H5253_097_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	099	0	1	02	01	H5253_099_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	100	0	1	02	01	H5253_100_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	102	0	1	02	01	H5253_102_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	103	0	1	02	01	H5253_103_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	104	0	1	02	01	H5253_104_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	105	0	1	02	01	H5253_105_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	107	1	1	02	01	H5253_107_1	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	107	2	1	02	01	H5253_107_2	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1		2	1	150.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	108	1	1	02	01	H5253_108_1	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	108	2	1	02	01	H5253_108_2	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1		2	1	300.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	108	3	1	02	01	H5253_108_3	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	109	1	1	02	01	H5253_109_1	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	109	2	1	02	01	H5253_109_2	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	109	4	1	02	01	H5253_109_4	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	110	0	1	02	01	H5253_110_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	111	1	1	02	01	H5253_111_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1		2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	111	2	1	02	01	H5253_111_2	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1		2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	112	1	1	02	01	H5253_112_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1		2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	112	2	1	02	01	H5253_112_2	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1		2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	113	0	1	02	01	H5253_113_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	116	0	1	02	01	H5253_116_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	117	0	1	02	01	H5253_117_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	119	0	1	02	01	H5253_119_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1		2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	120	0	1	02	01	H5253_120_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1		2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	121	0	1	02	01	H5253_121_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	122	0	1	02	01	H5253_122_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	124	1	1	02	01	H5253_124_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	124	2	1	02	01	H5253_124_2	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	125	1	1	02	01	H5253_125_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	125	2	1	02	01	H5253_125_2	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	126	1	1	02	01	H5253_126_1	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	126	2	1	02	01	H5253_126_2	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	127	0	1	02	01	H5253_127_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	128	0	1	02	01	H5253_128_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	130	0	1	02	01	H5253_130_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	131	0	1	02	01	H5253_131_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	132	0	1	02	01	H5253_132_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	133	0	1	02	01	H5253_133_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	134	0	1	02	01	H5253_134_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	135	0	1	02	01	H5253_135_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	136	0	1	02	01	H5253_136_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	141	0	1	02	01	H5253_141_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	142	0	1	02	01	H5253_142_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	143	0	1	02	01	H5253_143_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	144	1	1	02	01	H5253_144_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	144	2	1	02	01	H5253_144_2	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5253	801	0	1	01	01	H5253_801_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	802	0	1	01	01	H5253_802_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	805	0	1	01	01	H5253_805_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	810	0	1	01	01	H5253_810_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	811	0	1	01	01	H5253_811_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	812	0	1	01	01	H5253_812_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	813	0	1	01	01	H5253_813_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	814	0	1	01	01	H5253_814_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	815	0	1	01	01	H5253_815_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	816	0	2	01	01	H5253_816_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	817	0	2	01	01	H5253_817_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	818	0	1	01	01	H5253_818_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	819	0	1	01	01	H5253_819_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	820	0	1	01	01	H5253_820_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	821	0	1	01	01	H5253_821_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	822	0	1	01	01	H5253_822_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	823	0	1	01	01	H5253_823_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	824	0	1	01	01	H5253_824_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	825	0	1	01	01	H5253_825_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5253	826	0	2	01	01	H5253_826_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5256	001	0	1	18	06	H5256_001_0	3	1	01	2	2	1	3								2					2				2								2								2		2	2	2																																														2					2														2		2														2	2
H5256	002	0	1	18	06	H5256_002_0	3	1	01	2	2	1	3								2					2				2								2								2		2	2	2																																														2					2														2		2														2	2
H5256	004	0	1	18	06	H5256_004_0	3	1	01	2	2	1	3								2					2				2								2								2		2	2	2																																														2					2														2		2														2	2
H5256	005	0	1	18	06	H5256_005_0	3	1	01	2	2	1	3								2					2				2								2								2		2	2	2																																														2					2														2		2														2	2
H5262	001	0	1	01	01	H5262_001_0	5	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	10.00	10.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1000.00	3																		2					2														2		2														2	2
H5262	003	0	1	01	01	H5262_003_0	4	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	750.00	3																		2					2														2		2														2	2
H5262	004	0	1	01	01	H5262_004_0	3	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	750.00	3																		2					2														2		2														2	2
H5262	005	0	1	01	01	H5262_005_0	3	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	10.00	10.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1000.00	3																		2					2														2		2														2	2
H5262	007	0	1	01	01	H5262_007_0	4	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1000.00	3																		2					2														2		2														2	2
H5262	008	0	1	01	01	H5262_008_0	4	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	750.00	3																		2					2														2		2														2	2
H5262	009	0	1	01	01	H5262_009_0	3	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	750.00	3																		2					2														2		2														2	2
H5262	010	0	1	01	01	H5262_010_0	3	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1000.00	3																		2					2														2		2														2	2
H5262	011	0	1	01	01	H5262_011_0	4	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1250.00	3																		2					2														2		2														2	2
H5262	012	0	1	01	01	H5262_012_0	4	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	50.00	50.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1200.00	3																		2					2														2		2														2	2
H5262	013	0	1	01	01	H5262_013_0	3	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1250.00	3																		2					2														2		2														2	2
H5262	018	0	1	01	01	H5262_018_0	4	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1200.00	3																		2					2														2		2														2	2
H5262	019	0	1	01	01	H5262_019_0	4	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	45.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1000.00	3																		2					2														2		2														2	2
H5262	020	0	1	01	01	H5262_020_0	3	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1200.00	3																		2					2														2		2														2	2
H5262	021	0	1	01	01	H5262_021_0	4	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	600.00	3																		2					2														2		2														2	2
H5262	023	0	1	01	01	H5262_023_0	4	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	600.00	3																		2					2														2		2														2	2
H5262	024	0	1	01	01	H5262_024_0	4	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1500.00	3																		2					2														2		2														2	2
H5262	025	0	1	01	01	H5262_025_0	3	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1500.00	3																		2					2														2		2														2	2
H5262	026	0	1	01	01	H5262_026_0	4	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1500.00	3																		2					2														2		2														2	2
H5262	027	0	1	01	01	H5262_027_0	3	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1500.00	3																		2					2														2		2														2	2
H5262	029	0	1	01	01	H5262_029_0	4	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		2														2	2
H5262	030	0	1	01	01	H5262_030_0	4	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		2														2	2
H5262	031	0	1	01	01	H5262_031_0	4	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		2														2	2
H5262	801	0	1	01	01	H5262_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5262	802	0	1	01	01	H5262_802_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5264	002	0	1	18	06	H5264_002_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	00100						2	2	1	2													1		2	1	250.00	2																		2					2														2		2														2	2
H5264	005	0	1	18	06	H5264_005_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	00100						2	2	1	2													1		2	1	250.00	2																		2					2														2		2														2	2
H5273	001	0	1	01	01	H5273_001_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	15.00	15.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		2														2	2
H5273	801	0	1	01	01	H5273_801_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	2
H5273	802	0	1	01	01	H5273_802_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	2
H5273	803	0	1	01	01	H5273_803_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	2
H5273	804	0	1	01	01	H5273_804_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	2
H5280	001	0	1	48	05	H5280_001_0	6	1	01	2	2	1	6	Routine eye exams are covered by Plan one time per 12-month period for members under 21 and over 59 years of age, or per 24-month period for members 21 through 59 years of age.							2					2				2								2								2		2	2	1	01111	2	2	1	6	One time per 12-month period for members under 21 and over 59 years of age or per 24-month period for members 21 through 59 years of age.	2	2	1	6	One time per 12-month period for members under 21 and over 59 years of age or per 24-month period for members 21 through 59 years of age.	2	2	1	6	One time per 12-month period for members under 21 and over 59 years of age or per 24-month period for members 21 through 59 years of age.	2	2	1	6	Routine eyewear is covered by Plan one time per 12-month period for members under 21 and over 59 years of age or per 24-month period for members 21 through 59 years of age.		2																							2					2														2		2														2	2
H5294	010	0	1	01	01	H5294_010_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	600.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5294	011	0	1	01	01	H5294_011_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5294	012	0	1	01	01	H5294_012_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5294	013	0	1	01	01	H5294_013_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5294	014	0	1	01	01	H5294_014_0	15	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5294	015	0	1	01	01	H5294_015_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5294	016	0	1	01	01	H5294_016_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5294	017	0	1	01	01	H5294_017_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5294	018	0	1	01	01	H5294_018_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5294	019	0	1	01	01	H5294_019_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5294	020	0	1	01	01	H5294_020_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5296	003	0	1	02	01	H5296_003_0	13	1	01	2	1										1		1000.00	4		2				2								1	010	35.00	35.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1		1																					2					2														2		2														2	2
H5296	004	0	1	02	01	H5296_004_0	13	1	01	2	1										1		1500.00	4		2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		1																					2					2														2		2														2	2
H5296	005	0	1	02	01	H5296_005_0	13	1	01	2	2	1	3								1		1000.00	4		2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		1																					2					2														2		2														2	2
H5296	006	0	1	01	01	H5296_006_0	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	100.00	2																		2					2														2		2														2	2
H5296	007	0	1	01	01	H5296_007_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					2														2		2														2	2
H5296	008	0	1	01	01	H5296_008_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	100.00	2																		2					2														2		2														2	2
H5296	801	0	1	01	01	H5296_801_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H5296	802	0	1	01	01	H5296_802_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H5296	803	0	1	01	01	H5296_803_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H5296	804	0	1	01	01	H5296_804_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H5299	001	0	1	01	01	H5299_001_0	11	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														2	2
H5299	002	0	1	01	01	H5299_002_0	10	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H5299	003	0	1	01	01	H5299_003_0	11	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H5299	004	0	1	01	01	H5299_004_0	11	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														2	2
H5299	006	0	1	01	01	H5299_006_0	13	1	01	2	2	1	3								2					2				1	010	40	40					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	450.00	3																		2					2														2		2														2	2
H5299	009	0	1	01	01	H5299_009_0	12	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H5299	012	0	1	01	01	H5299_012_0	10	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H5302	012	0	1	01	01	H5302_012_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5302	013	0	1	01	01	H5302_013_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5302	014	0	1	01	01	H5302_014_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5302	019	0	1	01	01	H5302_019_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	260.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5302	020	0	1	01	01	H5302_020_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5302	809	0	1	01	01	H5302_809_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5302	810	0	1	01	01	H5302_810_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5309	001	0	1	04	01	H5309_001_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5309	002	0	1	04	01	H5309_002_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5309	003	0	1	04	01	H5309_003_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5309	004	0	1	04	01	H5309_004_0	1	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5322	001	0	1	02	01	H5322_001_0	4	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5322	003	0	1	02	01	H5322_003_0	5	1	01	2	2	1	3								2					2				1	010	0	20					1	001			0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5322	025	0	1	02	01	H5322_025_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5322	026	0	1	02	01	H5322_026_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5322	028	0	1	02	01	H5322_028_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5322	029	0	1	02	01	H5322_029_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5322	030	0	1	02	01	H5322_030_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5322	031	0	1	02	01	H5322_031_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	450.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H5322	033	0	1	02	01	H5322_033_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H5322	034	0	1	02	01	H5322_034_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5322	038	0	1	02	01	H5322_038_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	1
H5322	039	0	1	02	01	H5322_039_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5322	040	0	1	02	01	H5322_040_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1		2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5322	041	0	1	02	01	H5322_041_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5322	042	0	1	02	01	H5322_042_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5322	043	0	1	02	01	H5322_043_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5322	044	0	1	02	01	H5322_044_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1		2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5322	801	0	1	01	01	H5322_801_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5322	802	0	1	01	01	H5322_802_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5322	803	0	1	01	01	H5322_803_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5322	804	0	2	01	01	H5322_804_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5325	001	0	1	01	01	H5325_001_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5325	002	0	1	01	01	H5325_002_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	550.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5325	003	0	1	01	01	H5325_003_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5325	004	0	1	01	01	H5325_004_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	600.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5325	005	0	1	01	01	H5325_005_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	550.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5325	006	0	1	01	01	H5325_006_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	600.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5325	007	0	1	01	01	H5325_007_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5325	009	0	1	01	01	H5325_009_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5325	010	0	1	01	01	H5325_010_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5325	011	0	1	01	01	H5325_011_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	365.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5361	001	0	1	04	01	H5361_001_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H5361	002	0	1	04	01	H5361_002_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H5361	003	0	1	04	01	H5361_003_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H5361	004	0	1	04	01	H5361_004_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H5373	001	0	1	02	01	H5373_001_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5374	001	0	1	01	01	H5374_001_0	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	360.00	2																		2					2														2		2														2	2
H5377	002	0	1	02	01	H5377_002_0	11	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5386	003	0	1	01	01	H5386_003_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	2				01101	250.00	2		250.00	2					250.00	2					2					2														2		1	000111					20.00	20.00	20.00	20.00	20.00	20.00			2	2
H5386	004	0	1	01	01	H5386_004_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	2				01101	250.00	2		250.00	2					250.00	2					2					2														2		1	000111					20.00	20.00	20.00	20.00	20.00	20.00			2	2
H5386	005	0	1	01	01	H5386_005_0	5	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	2				01101	350.00	2		350.00	2					350.00	2					2					2														2		1	000111					20.00	20.00	20.00	20.00	20.00	20.00			2	2
H5386	801	0	1	01	01	H5386_801_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														2	2
H5386	802	0	1	01	01	H5386_802_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														2	2
H5386	803	0	1	01	01	H5386_803_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														2	2
H5398	002	0	1	01	01	H5398_002_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5398	004	0	1	01	01	H5398_004_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5403	001	0	1	20	08	H5403_001_0	1																																																																																																																													
H5403	002	0	1	20	08	H5403_002_0	1																																																																																																																													
H5405	001	0	1	20	08	H5405_001_0	1																																																																																																																													
H5405	002	0	1	20	08	H5405_002_0	1																																																																																																																													
H5406	001	0	1	20	08	H5406_001_0	1																																																																																																																													
H5406	002	0	1	20	08	H5406_002_0	1																																																																																																																													
H5410	004	0	1	01	01	H5410_004_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	15.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H5410	013	0	1	01	01	H5410_013_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H5410	018	0	1	01	01	H5410_018_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H5410	024	0	1	01	01	H5410_024_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H5410	025	0	1	01	01	H5410_025_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H5410	026	0	1	01	01	H5410_026_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H5410	027	0	1	01	01	H5410_027_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	15.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H5410	028	0	1	01	01	H5410_028_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H5410	029	0	1	01	01	H5410_029_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	15.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H5410	030	0	1	01	01	H5410_030_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H5410	031	0	1	01	01	H5410_031_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H5410	032	0	1	01	01	H5410_032_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H5410	037	0	1	01	01	H5410_037_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	15.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H5410	039	0	1	01	01	H5410_039_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H5410	040	0	1	01	01	H5410_040_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H5410	041	0	1	01	01	H5410_041_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H5410	042	0	1	01	01	H5410_042_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	350.00	3																		2					2														2		2														2	2
H5410	043	0	1	01	01	H5410_043_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H5410	044	0	1	01	01	H5410_044_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H5410	045	0	1	01	01	H5410_045_0	8	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H5410	046	0	1	01	01	H5410_046_0	8	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H5410	047	0	1	01	01	H5410_047_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H5410	048	0	1	01	01	H5410_048_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	400.00	3																		2					2														2		2														2	2
H5410	049	0	1	01	01	H5410_049_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H5410	050	0	1	01	01	H5410_050_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H5410	051	0	1	01	01	H5410_051_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	400.00	3																		2					2														2		2														2	2
H5410	052	0	1	01	01	H5410_052_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H5410	053	0	1	01	01	H5410_053_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	5.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	350.00	3																		2					2														2		2														2	2
H5410	054	0	1	01	01	H5410_054_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H5410	055	0	1	01	01	H5410_055_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H5410	056	0	1	01	01	H5410_056_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H5410	057	0	1	01	01	H5410_057_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	50.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H5410	058	0	1	01	01	H5410_058_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	50.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H5410	808	0	1	01	01	H5410_808_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5420	001	0	1	01	01	H5420_001_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11100	2	1				2	1														2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H5420	003	0	1	01	01	H5420_003_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11100	2	1				2	1														2	1		2	1	250.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H5420	006	0	1	01	01	H5420_006_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11100	2	1				2	1														2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H5420	014	0	1	01	01	H5420_014_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11100	2	1				2	1														2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H5422	007	0	1	01	01	H5422_007_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5422	011	0	1	01	01	H5422_011_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5422	013	0	1	01	01	H5422_013_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5422	014	0	1	01	01	H5422_014_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5422	015	0	1	01	01	H5422_015_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5422	016	0	1	01	01	H5422_016_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5422	018	0	1	01	01	H5422_018_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5422	019	0	1	01	01	H5422_019_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	500.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5422	803	0	1	01	01	H5422_803_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5422	804	0	1	01	01	H5422_804_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5422	806	0	2	01	01	H5422_806_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5422	807	0	2	01	01	H5422_807_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5422	809	0	1	01	01	H5422_809_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5422	811	0	2	01	01	H5422_811_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5425	001	0	1	01	01	H5425_001_0	7	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	200.00	2																		2					2														2		2														1	1
H5425	004	0	1	01	01	H5425_004_0	8	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	295.00	2																		2					2														2		1	010000	10.00	10.00											1	1
H5425	005	0	1	01	01	H5425_005_0	8	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	130.00	2																		2					2														2		1	010000	10.00	10.00											1	1
H5425	006	0	1	01	01	H5425_006_0	10	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	250.00	3																		2					2														2		2														1	1
H5425	007	0	1	01	01	H5425_007_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	345.00	3																		2					2														2		2														1	1
H5425	008	0	1	01	01	H5425_008_0	7	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														1	1
H5425	009	0	1	01	01	H5425_009_0	7	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														1	1
H5425	019	0	1	01	01	H5425_019_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	150.00	2																		2					2														2		2														1	1
H5425	020	0	1	01	01	H5425_020_0	6	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	125.00	2																		2					2														2		2														1	1
H5425	028	0	1	01	01	H5425_028_0	9	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	345.00	3																		2					2														2		2														1	1
H5425	033	0	1	01	01	H5425_033_0	7	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	250.00	3																		2					2														2		2														1	1
H5425	034	0	1	01	01	H5425_034_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	345.00	3																		2					2														2		2														1	1
H5425	055	0	1	01	01	H5425_055_0	8	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	130.00	2																		2					2														2		1	010000	10.00	10.00											1	1
H5425	065	0	1	01	01	H5425_065_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	345.00	3																		2					2														2		2														1	1
H5425	066	0	1	01	01	H5425_066_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	345.00	3																		2					2														2		2														1	1
H5425	067	0	1	01	01	H5425_067_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	345.00	3																		2					2														2		2														1	1
H5425	068	0	1	01	01	H5425_068_0	6	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	345.00	3																		2					2														2		2														1	1
H5425	069	0	1	01	01	H5425_069_0	6	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	300.00	2																		2					2														2		2														1	1
H5425	070	0	1	01	01	H5425_070_0	6	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	300.00	2																		2					2														2		2														1	1
H5425	073	0	1	01	01	H5425_073_0	6	1	01	2	2	1	3								2					2				2								1	010	5.00	5.00					2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	300.00	2																		2					2														2		2														1	1
H5425	075	0	1	01	01	H5425_075_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	235.00	2																		2					2														2		2														1	1
H5425	076	0	1	01	01	H5425_076_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	235.00	2																		2					2														2		2														1	1
H5425	077	0	1	01	01	H5425_077_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	235.00	2																		2					2														2		2														1	1
H5425	078	0	1	01	01	H5425_078_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	235.00	2																		2					2														2		2														1	1
H5425	082	0	1	01	01	H5425_082_0	7	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
H5425	083	0	1	01	01	H5425_083_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	200.00	2																		2					2														2		2														1	1
H5425	084	0	1	01	01	H5425_084_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	250.00	2																		2					2														2		2														1	1
H5425	085	0	1	01	01	H5425_085_0	7	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	250.00	3																		2					2														2		2														1	1
H5425	086	0	1	01	01	H5425_086_0	9	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
H5425	087	0	1	01	01	H5425_087_0	9	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
H5425	091	0	1	01	01	H5425_091_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
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H5425	101	0	1	01	01	H5425_101_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	300.00	2																		2					2														2		2														1	1
H5425	102	0	1	01	01	H5425_102_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	300.00	2																		2					2														2		2														1	1
H5425	103	0	1	01	01	H5425_103_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
H5425	104	0	1	01	01	H5425_104_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														1	1
H5425	105	0	1	01	01	H5425_105_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
H5425	106	0	1	01	01	H5425_106_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	150.00	2																		2					2														2		2														1	1
H5425	107	0	1	01	01	H5425_107_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	150.00	2																		2					2														2		2														1	1
H5425	108	0	1	01	01	H5425_108_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	250.00	3																		2					2														2		2														1	1
H5425	109	0	1	01	01	H5425_109_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
H5425	110	0	1	01	01	H5425_110_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	235.00	2																		2					2														2		2														1	1
H5425	111	0	1	01	01	H5425_111_0	8	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	150.00	2																		2					2														2		2														1	1
H5425	112	0	1	01	01	H5425_112_0	6	1	01	2	2	1	3								2					2				2								2								2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	300.00	2																		2					2														2		2														1	1
H5425	115	0	1	01	01	H5425_115_0	6	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	250.00	3																		2					2														2		1	010000	10.00	10.00											1	1
H5425	116	0	1	01	01	H5425_116_0	6	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	250.00	3																		2					2														2		1	010000	10.00	10.00											1	1
H5425	803	0	1	01	01	H5425_803_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5425	804	0	1	01	01	H5425_804_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5425	806	0	1	01	01	H5425_806_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5425	807	0	1	01	01	H5425_807_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5427	052	0	1	01	01	H5427_052_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	100.00	3																		2					2														2		1	111100	0.00	0.00	10.00	10.00	10.00	10.00					30.00	30.00	2	2
H5427	059	0	1	01	01	H5427_059_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	100.00	3																		2					2														2		1	111100	0.00	0.00	10.00	10.00	10.00	10.00					30.00	30.00	2	2
H5427	060	0	1	01	01	H5427_060_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	100.00	3																		2					2														2		1	111100	0.00	0.00	10.00	10.00	10.00	10.00					30.00	30.00	2	2
H5427	070	0	1	01	01	H5427_070_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5427	072	0	1	01	01	H5427_072_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5427	077	0	1	01	01	H5427_077_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5427	078	0	1	01	01	H5427_078_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	2	3		2	2	2	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5427	082	0	1	01	01	H5427_082_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	150.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5427	083	0	1	01	01	H5427_083_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	150.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5427	087	0	1	01	01	H5427_087_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	2	3		2	2	2	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5427	088	0	1	01	01	H5427_088_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	150.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
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H5427	092	0	1	01	01	H5427_092_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	150.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
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H5427	110	0	1	01	01	H5427_110_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	2	3		2	2	2	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5427	111	0	1	01	01	H5427_111_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	2	3		2	2	2	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5427	112	0	1	02	01	H5427_112_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5427	113	0	1	02	01	H5427_113_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5430	805	0	1	01	01	H5430_805_0	12	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5431	001	0	1	01	01	H5431_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5431	006	0	1	01	01	H5431_006_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5431	012	0	1	01	01	H5431_012_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5431	013	0	1	01	01	H5431_013_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5431	016	0	1	01	01	H5431_016_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5431	017	0	1	01	01	H5431_017_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5431	018	0	1	01	01	H5431_018_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5431	019	0	1	01	01	H5431_019_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5431	020	0	1	01	01	H5431_020_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5431	021	0	1	01	01	H5431_021_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5431	022	0	1	01	01	H5431_022_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5433	001	0	1	01	01	H5433_001_0	5	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H5434	002	0	1	04	01	H5434_002_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5434	023	0	1	04	01	H5434_023_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	39.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5434	024	0	1	04	01	H5434_024_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	44.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5434	025	0	1	04	01	H5434_025_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	42.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5434	026	0	1	04	01	H5434_026_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	44.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5434	030	0	1	04	01	H5434_030_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	39.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5434	031	0	1	04	01	H5434_031_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	44.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5434	032	0	1	04	01	H5434_032_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	44.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5434	033	0	1	04	01	H5434_033_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	44.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5434	034	0	1	04	01	H5434_034_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5434	035	0	1	04	01	H5434_035_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5434	036	0	1	04	01	H5434_036_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5434	038	0	1	04	01	H5434_038_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5434	039	0	1	04	01	H5434_039_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	32.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5434	040	0	1	04	01	H5434_040_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5434	041	0	1	04	01	H5434_041_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5434	042	0	1	04	01	H5434_042_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5434	044	0	1	04	01	H5434_044_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5434	801	0	1	04	01	H5434_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5434	802	0	1	04	01	H5434_802_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5435	001	0	1	09	04	H5435_001_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2				1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00								
H5435	024	0	1	09	04	H5435_024_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2				1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00								
H5439	010	0	1	04	01	H5439_010_0	15	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5439	011	0	1	04	01	H5439_011_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5439	015	0	1	04	01	H5439_015_0	17	1	01	2	2	1	3								1	2	100.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5439	017	0	1	04	01	H5439_017_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5439	019	0	1	04	01	H5439_019_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5447	001	0	1	01	01	H5447_001_0	6	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		1	010000	25.00	25.00											2	2
H5447	002	0	1	01	01	H5447_002_0	5	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	275.00	3																		2					1	010000	20	20											2		2														2	2
H5454	001	0	1	01	01	H5454_001_0	9	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	00100						2	2	1	3													1		2	2				00100				200.00	2											2					2														2		2														2	2
H5454	002	0	1	01	01	H5454_002_0	9	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	00100						2	2	1	3													1		2	1	200.00	3																		2					2														2		2														2	2
H5454	005	0	1	01	01	H5454_005_0	8	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	00100						2	2	1	3													1		2	1	100.00	3																		2					2														2		2														2	2
H5454	006	0	1	01	01	H5454_006_0	8	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	00100						2	2	1	3													1		2	1	100.00	3																		2					2														2		2														2	2
H5471	064	0	1	01	01	H5471_064_0	13	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	065	0	1	01	01	H5471_065_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	350.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	066	0	1	01	01	H5471_066_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	068	0	1	01	01	H5471_068_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	069	0	1	01	01	H5471_069_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	350.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	070	0	1	01	01	H5471_070_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	071	0	1	01	01	H5471_071_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	072	0	1	01	01	H5471_072_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	350.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	073	0	1	01	01	H5471_073_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	074	0	1	01	01	H5471_074_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	075	0	1	01	01	H5471_075_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	076	0	1	01	01	H5471_076_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	077	0	1	01	01	H5471_077_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	078	0	1	01	01	H5471_078_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	080	0	1	01	01	H5471_080_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	082	0	1	01	01	H5471_082_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	083	0	1	01	01	H5471_083_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	084	0	1	01	01	H5471_084_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	085	0	1	01	01	H5471_085_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	103	0	1	01	01	H5471_103_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	104	0	1	01	01	H5471_104_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	225.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	105	0	1	01	01	H5471_105_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	225.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	106	0	1	01	01	H5471_106_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	107	0	1	01	01	H5471_107_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	225.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	108	0	1	01	01	H5471_108_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	110	0	1	01	01	H5471_110_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	111	0	1	01	01	H5471_111_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	112	0	1	01	01	H5471_112_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	113	0	1	01	01	H5471_113_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	114	0	1	01	01	H5471_114_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	115	0	1	01	01	H5471_115_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	116	0	1	01	01	H5471_116_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	117	0	1	01	01	H5471_117_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	118	0	1	01	01	H5471_118_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	119	0	1	01	01	H5471_119_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	120	0	1	01	01	H5471_120_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	225.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	121	0	1	01	01	H5471_121_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	122	0	1	01	01	H5471_122_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	225.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	123	0	1	01	01	H5471_123_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	124	0	1	01	01	H5471_124_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	125	0	1	01	01	H5471_125_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5471	126	0	1	01	01	H5471_126_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	225.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5472	001	0	1	02	01	H5472_001_0	15	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H5472	002	0	1	02	01	H5472_002_0	14	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H5472	003	0	1	02	01	H5472_003_0	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	100.00	2																		2					2														2		2														2	2
H5472	004	0	1	02	01	H5472_004_0	16	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	500.00	2																		2					2														2		2														2	2
H5472	801	0	1	01	01	H5472_801_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H5472	802	0	1	01	01	H5472_802_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H5472	803	0	1	01	01	H5472_803_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H5472	804	0	1	01	01	H5472_804_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H5475	001	0	1	02	01	H5475_001_0	16	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5475	011	0	1	02	01	H5475_011_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5475	021	0	1	02	01	H5475_021_0	15	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5475	022	0	1	02	01	H5475_022_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5475	024	0	1	02	01	H5475_024_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5475	026	0	1	02	01	H5475_026_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5475	031	0	1	01	01	H5475_031_0	16	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											1	2
H5475	032	0	1	01	01	H5475_032_0	16	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											1	2
H5475	038	0	1	01	01	H5475_038_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5475	039	0	1	01	01	H5475_039_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5493	001	0	1	20	08	H5493_001_0	2																																																																																																																													
H5493	002	0	1	20	08	H5493_002_0	2																																																																																																																													
H5496	005	0	1	01	01	H5496_005_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H5496	007	0	1	01	01	H5496_007_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H5496	011	0	1	01	01	H5496_011_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	260.00	3																		2					2														2		2														2	2
H5496	012	0	1	01	01	H5496_012_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H5496	014	0	1	01	01	H5496_014_0	6	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	240.00	3																		2					2														2		2														2	2
H5496	016	0	1	01	01	H5496_016_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H5521	013	0	1	04	01	H5521_013_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	015	0	1	04	01	H5521_015_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	016	0	1	04	01	H5521_016_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	175.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	020	0	1	04	01	H5521_020_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	160.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	022	0	1	04	01	H5521_022_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	340.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	027	0	1	04	01	H5521_027_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	033	0	1	04	01	H5521_033_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	215.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	037	0	1	04	01	H5521_037_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	040	0	1	04	01	H5521_040_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	053	0	1	04	01	H5521_053_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	055	0	1	04	01	H5521_055_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	235.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	056	0	1	04	01	H5521_056_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	076	0	1	04	01	H5521_076_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	077	0	1	04	01	H5521_077_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	081	0	1	04	01	H5521_081_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	084	0	1	04	01	H5521_084_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	085	0	1	04	01	H5521_085_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	155.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	086	0	1	04	01	H5521_086_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	087	0	1	04	01	H5521_087_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	140.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	088	0	1	04	01	H5521_088_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	175.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	089	0	1	04	01	H5521_089_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	205.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	090	0	1	04	01	H5521_090_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	235.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	091	0	1	04	01	H5521_091_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	260.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	095	0	1	04	01	H5521_095_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	099	0	1	04	01	H5521_099_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	165.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	100	0	1	04	01	H5521_100_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	101	0	1	04	01	H5521_101_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	230.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	110	0	1	04	01	H5521_110_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	116	0	1	04	01	H5521_116_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	310.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	117	0	1	04	01	H5521_117_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	118	0	1	04	01	H5521_118_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	119	0	1	04	01	H5521_119_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	120	0	1	04	01	H5521_120_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	121	0	1	04	01	H5521_121_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	122	0	1	04	01	H5521_122_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	123	0	1	04	01	H5521_123_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	124	0	1	04	01	H5521_124_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	125	0	1	04	01	H5521_125_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	127	0	1	04	01	H5521_127_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	125.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	128	0	1	04	01	H5521_128_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	134	0	1	04	01	H5521_134_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	215.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	139	0	1	04	01	H5521_139_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	125.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	140	0	1	04	01	H5521_140_0	8	1	11	2	2	1	3		follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	125.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	141	0	1	04	01	H5521_141_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	130.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	144	0	1	04	01	H5521_144_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	150	0	1	04	01	H5521_150_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	154	0	1	04	01	H5521_154_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	125.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	156	0	1	04	01	H5521_156_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	157	0	1	04	01	H5521_157_0	10	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	125.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	159	0	1	04	01	H5521_159_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	160	0	1	04	01	H5521_160_0	10	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	168	0	1	04	01	H5521_168_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	169	0	1	04	01	H5521_169_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	170	0	1	04	01	H5521_170_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	20.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	160.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	171	0	1	04	01	H5521_171_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	315.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	178	0	1	04	01	H5521_178_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	184	0	1	04	01	H5521_184_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	190	0	1	04	01	H5521_190_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	194	0	1	04	01	H5521_194_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	195	0	1	04	01	H5521_195_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	197	0	1	04	01	H5521_197_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	207	0	1	04	01	H5521_207_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	260.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	211	0	1	04	01	H5521_211_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	190.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	214	0	1	04	01	H5521_214_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	215	0	1	04	01	H5521_215_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	216	0	1	04	01	H5521_216_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	310.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	217	0	1	04	01	H5521_217_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	218	0	1	04	01	H5521_218_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	335.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	219	0	1	04	01	H5521_219_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	220	0	1	04	01	H5521_220_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	335.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	222	0	1	04	01	H5521_222_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	315.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	223	0	1	04	01	H5521_223_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	224	0	1	04	01	H5521_224_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	226	0	1	04	01	H5521_226_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	227	0	1	04	01	H5521_227_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	229	0	1	04	01	H5521_229_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	230	0	1	04	01	H5521_230_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	231	0	1	04	01	H5521_231_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	190.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	232	0	1	04	01	H5521_232_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	233	0	1	04	01	H5521_233_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	234	0	1	04	01	H5521_234_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	235	0	1	04	01	H5521_235_0	3	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	236	0	1	04	01	H5521_236_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	125.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	241	0	1	04	01	H5521_241_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	243	0	1	04	01	H5521_243_0	8	1	11	2	2	1	3		Follow up Diabetic Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	210.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	245	0	1	04	01	H5521_245_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	105.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	246	0	1	04	01	H5521_246_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	305.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	247	0	1	04	01	H5521_247_0	8	1	11	2	2	1	3		Follow up Diabetic Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	120.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	249	0	1	04	01	H5521_249_0	8	1	11	2	2	1	3		Follow up Diabetic Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	105.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	250	0	1	04	01	H5521_250_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	251	0	1	04	01	H5521_251_0	8	1	11	2	2	1	3		Follow up Diabetic Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	254	0	1	04	01	H5521_254_0	8	1	11	2	2	1	3		Follow up Diabetic Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	210.00	3																		2					2														2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	259	0	1	04	01	H5521_259_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	260	0	1	04	01	H5521_260_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	215.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	261	0	1	04	01	H5521_261_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	165.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	262	0	1	04	01	H5521_262_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	263	0	1	04	01	H5521_263_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	185.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	266	0	1	04	01	H5521_266_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	210.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	268	0	1	04	01	H5521_268_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	180.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	269	0	1	04	01	H5521_269_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	175.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	270	0	1	04	01	H5521_270_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	271	0	1	04	01	H5521_271_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	190.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	272	0	1	04	01	H5521_272_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	273	0	1	04	01	H5521_273_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	190.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	275	0	1	04	01	H5521_275_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	277	0	1	04	01	H5521_277_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				1	2	100.00	3		2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	278	0	1	04	01	H5521_278_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	279	0	1	04	01	H5521_279_0	4	1	11	2	2	1	3		Follow up diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	280	0	1	04	01	H5521_280_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	105.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	283	0	1	04	01	H5521_283_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	235.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	284	0	1	04	01	H5521_284_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	125.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	285	0	1	04	01	H5521_285_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	286	0	1	04	01	H5521_286_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	288	0	1	04	01	H5521_288_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	170.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	289	0	1	04	01	H5521_289_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	290	0	1	04	01	H5521_290_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	265.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	292	0	1	04	01	H5521_292_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	293	0	1	04	01	H5521_293_0	6	1	11	2	2	1	3		Follow up diabetic eye exam	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	294	0	1	04	01	H5521_294_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	125.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	296	0	1	04	01	H5521_296_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	299	0	1	04	01	H5521_299_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	265.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	301	0	1	04	01	H5521_301_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	165.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	302	0	1	04	01	H5521_302_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	295.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	303	0	1	04	01	H5521_303_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	295.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	305	0	1	04	01	H5521_305_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	185.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	306	0	1	04	01	H5521_306_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	308	0	1	04	01	H5521_308_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	310	0	1	04	01	H5521_310_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	311	0	1	04	01	H5521_311_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	195.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	312	0	1	04	01	H5521_312_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	313	0	1	04	01	H5521_313_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	314	0	1	04	01	H5521_314_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	20.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	240.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	318	0	1	04	01	H5521_318_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	319	0	1	04	01	H5521_319_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	210.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	320	0	1	04	01	H5521_320_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	321	0	1	04	01	H5521_321_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	220.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	322	0	1	04	01	H5521_322_0	4	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	323	0	1	04	01	H5521_323_0	3	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	324	0	1	04	01	H5521_324_0	4	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	326	0	1	04	01	H5521_326_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	328	0	1	04	01	H5521_328_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	125.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	329	0	1	04	01	H5521_329_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	330	0	1	04	01	H5521_330_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	331	0	1	04	01	H5521_331_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	245.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	332	0	1	04	01	H5521_332_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	333	0	1	04	01	H5521_333_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	340	0	1	04	01	H5521_340_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	341	0	1	04	01	H5521_341_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	344	0	1	04	01	H5521_344_0	8	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	345	0	1	04	01	H5521_345_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	347	0	1	04	01	H5521_347_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	348	0	1	04	01	H5521_348_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	130.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	349	0	1	04	01	H5521_349_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	350	0	1	04	01	H5521_350_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	351	0	1	04	01	H5521_351_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exam	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	352	0	1	04	01	H5521_352_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	353	0	1	04	01	H5521_353_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	355	0	1	04	01	H5521_355_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	360	0	1	04	01	H5521_360_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	260.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	363	0	1	04	01	H5521_363_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	364	0	1	04	01	H5521_364_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	365	0	1	04	01	H5521_365_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	366	0	1	04	01	H5521_366_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	265.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	369	0	1	04	01	H5521_369_0	3	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	370	0	1	04	01	H5521_370_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	371	0	1	04	01	H5521_371_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	372	0	1	04	01	H5521_372_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	373	0	1	04	01	H5521_373_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	140.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	374	0	1	04	01	H5521_374_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	375	0	1	04	01	H5521_375_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	376	0	1	04	01	H5521_376_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	377	0	1	04	01	H5521_377_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	378	0	1	04	01	H5521_378_0	4	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	379	0	1	04	01	H5521_379_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	380	0	1	04	01	H5521_380_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	165.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	381	0	1	04	01	H5521_381_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	382	0	1	04	01	H5521_382_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	383	0	1	04	01	H5521_383_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	384	0	1	04	01	H5521_384_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	386	0	1	04	01	H5521_386_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	387	0	1	04	01	H5521_387_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	235.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	388	0	1	04	01	H5521_388_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	389	0	1	04	01	H5521_389_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	390	0	1	04	01	H5521_390_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	391	0	1	04	01	H5521_391_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	392	0	1	04	01	H5521_392_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	393	0	1	04	01	H5521_393_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	395	0	1	04	01	H5521_395_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	396	0	1	04	01	H5521_396_0	9	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	330.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	397	0	1	04	01	H5521_397_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	398	0	1	04	01	H5521_398_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	399	0	1	04	01	H5521_399_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	285.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	400	0	1	04	01	H5521_400_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	320.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	403	0	1	04	01	H5521_403_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	404	0	1	04	01	H5521_404_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	405	0	1	04	01	H5521_405_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	406	0	1	04	01	H5521_406_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	407	0	1	04	01	H5521_407_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	408	0	1	04	01	H5521_408_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	409	0	1	04	01	H5521_409_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	175.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	410	0	1	04	01	H5521_410_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	411	0	1	04	01	H5521_411_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	412	0	1	04	01	H5521_412_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	413	0	1	04	01	H5521_413_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	414	0	1	04	01	H5521_414_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	360.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	419	0	1	04	01	H5521_419_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	420	0	1	04	01	H5521_420_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	421	0	1	04	01	H5521_421_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	422	0	1	04	01	H5521_422_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	423	0	1	04	01	H5521_423_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	424	0	1	04	01	H5521_424_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	425	0	1	04	01	H5521_425_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	360.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	431	0	1	04	01	H5521_431_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	432	0	1	04	01	H5521_432_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	433	0	1	04	01	H5521_433_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	434	0	1	04	01	H5521_434_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	435	0	1	04	01	H5521_435_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	436	0	1	04	01	H5521_436_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	437	0	1	04	01	H5521_437_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	438	0	1	04	01	H5521_438_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	439	0	1	04	01	H5521_439_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	440	0	1	04	01	H5521_440_0	5	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	441	0	1	04	01	H5521_441_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	30.00	30.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	265.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	442	0	1	04	01	H5521_442_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	30.00	30.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	255.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	443	0	1	04	01	H5521_443_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	280.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	444	0	1	04	01	H5521_444_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	445	0	1	04	01	H5521_445_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	446	0	1	04	01	H5521_446_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	447	0	1	04	01	H5521_447_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	448	0	1	04	01	H5521_448_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	449	0	1	04	01	H5521_449_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	320.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	450	0	1	04	01	H5521_450_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	451	0	1	04	01	H5521_451_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	455	0	1	04	01	H5521_455_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	456	0	1	04	01	H5521_456_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	457	0	1	04	01	H5521_457_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	458	0	1	04	01	H5521_458_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	459	0	1	04	01	H5521_459_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exam	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	460	0	1	04	01	H5521_460_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	461	0	1	04	01	H5521_461_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	462	0	1	04	01	H5521_462_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	425.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	463	0	1	04	01	H5521_463_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	464	0	1	04	01	H5521_464_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	450.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	465	0	1	04	01	H5521_465_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	20.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	315.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	467	0	1	04	01	H5521_467_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	15.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	468	0	1	04	01	H5521_468_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	469	0	1	04	01	H5521_469_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	450.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	470	0	1	04	01	H5521_470_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	20.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	315.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	471	0	1	04	01	H5521_471_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	265.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	472	0	1	04	01	H5521_472_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	450.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	473	0	1	04	01	H5521_473_0	6	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	474	0	1	04	01	H5521_474_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exam	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	475	0	1	04	01	H5521_475_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	476	0	1	04	01	H5521_476_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	105.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	477	0	1	04	01	H5521_477_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	125.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5521	801	0	1	04	01	H5521_801_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	802	0	1	04	01	H5521_802_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	805	0	2	04	01	H5521_805_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	806	0	2	04	01	H5521_806_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	809	0	1	04	01	H5521_809_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	810	0	1	04	01	H5521_810_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	812	0	1	04	01	H5521_812_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	814	0	2	04	01	H5521_814_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	815	0	2	04	01	H5521_815_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	816	0	2	04	01	H5521_816_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	817	0	1	04	01	H5521_817_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	818	0	2	04	01	H5521_818_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	819	0	1	04	01	H5521_819_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	820	0	1	04	01	H5521_820_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	821	0	1	04	01	H5521_821_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	822	0	1	04	01	H5521_822_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	823	0	2	04	01	H5521_823_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	824	0	2	04	01	H5521_824_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	825	0	1	04	01	H5521_825_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	826	0	2	04	01	H5521_826_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	827	0	2	04	01	H5521_827_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	828	0	2	04	01	H5521_828_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	829	0	1	04	01	H5521_829_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	830	0	2	04	01	H5521_830_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	831	0	1	04	01	H5521_831_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	832	0	1	04	01	H5521_832_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	833	0	1	04	01	H5521_833_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	834	0	1	04	01	H5521_834_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	835	0	2	04	01	H5521_835_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	836	0	1	04	01	H5521_836_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5521	837	0	1	04	01	H5521_837_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	001	0	1	04	01	H5522_001_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	525.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5522	002	0	1	04	01	H5522_002_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	600.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5522	004	0	1	04	01	H5522_004_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	185.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5522	005	0	1	04	01	H5522_005_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5522	013	0	1	04	01	H5522_013_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5522	014	0	1	04	01	H5522_014_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5522	017	0	1	04	01	H5522_017_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	210.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5522	022	0	1	04	01	H5522_022_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	25.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	255.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5522	023	0	1	04	01	H5522_023_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	345.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5522	024	0	1	04	01	H5522_024_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	500.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5522	025	0	1	04	01	H5522_025_0	6	1	11	2	2	1	3		Follow up diabetic eye exams)	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5522	026	0	1	04	01	H5522_026_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	265.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5522	027	0	1	04	01	H5522_027_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	260.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5522	028	0	1	04	01	H5522_028_0	8	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5522	029	0	1	04	01	H5522_029_0	6	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5522	802	0	1	04	01	H5522_802_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	803	0	1	04	01	H5522_803_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	808	0	2	04	01	H5522_808_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	809	0	2	04	01	H5522_809_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	810	0	1	04	01	H5522_810_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	811	0	1	04	01	H5522_811_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	813	0	2	04	01	H5522_813_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	814	0	2	04	01	H5522_814_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	815	0	1	04	01	H5522_815_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	816	0	1	04	01	H5522_816_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	817	0	2	04	01	H5522_817_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	818	0	2	04	01	H5522_818_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	819	0	1	04	01	H5522_819_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	820	0	1	04	01	H5522_820_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	821	0	1	04	01	H5522_821_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	822	0	2	04	01	H5522_822_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	823	0	1	04	01	H5522_823_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	824	0	2	04	01	H5522_824_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	825	0	2	04	01	H5522_825_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	826	0	2	04	01	H5522_826_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	827	0	2	04	01	H5522_827_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	828	0	1	04	01	H5522_828_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	829	0	2	04	01	H5522_829_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	830	0	1	04	01	H5522_830_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	831	0	1	04	01	H5522_831_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	832	0	1	04	01	H5522_832_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	833	0	1	04	01	H5522_833_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	834	0	2	04	01	H5522_834_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	835	0	1	04	01	H5522_835_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5522	836	0	1	04	01	H5522_836_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5525	004	0	1	04	01	H5525_004_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	005	0	1	04	01	H5525_005_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	006	0	1	04	01	H5525_006_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	008	0	1	04	01	H5525_008_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	017	0	1	04	01	H5525_017_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	024	0	1	04	01	H5525_024_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	026	0	1	04	01	H5525_026_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	027	0	1	04	01	H5525_027_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	030	0	1	04	01	H5525_030_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	031	0	1	04	01	H5525_031_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	034	0	1	04	01	H5525_034_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	035	0	1	04	01	H5525_035_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	036	0	1	04	01	H5525_036_0	6	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	041	0	1	04	01	H5525_041_0	5	1	01	2	2	1	3								1	2	75.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	042	0	1	04	01	H5525_042_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	55.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	044	0	1	04	01	H5525_044_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	045	0	1	04	01	H5525_045_0	6	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	550.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	046	0	1	04	01	H5525_046_0	5	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	550.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H5525	049	0	1	04	01	H5525_049_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	050	0	1	04	01	H5525_050_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	051	1	1	04	01	H5525_051_1	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	051	2	1	04	01	H5525_051_2	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	052	0	1	04	01	H5525_052_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	053	0	1	04	01	H5525_053_0	7	1	01	2	2	1	3								1	2	40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	054	0	1	04	01	H5525_054_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	055	0	1	04	01	H5525_055_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	056	0	1	04	01	H5525_056_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	057	0	1	04	01	H5525_057_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	058	0	1	04	01	H5525_058_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	059	0	1	04	01	H5525_059_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	060	0	1	04	01	H5525_060_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	061	0	1	04	01	H5525_061_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	062	0	1	04	01	H5525_062_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	063	0	1	04	01	H5525_063_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	064	0	1	04	01	H5525_064_0	3	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	065	0	1	04	01	H5525_065_0	4	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	067	0	1	04	01	H5525_067_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	068	0	1	04	01	H5525_068_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	069	0	1	04	01	H5525_069_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	070	0	1	04	01	H5525_070_0	5	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	071	0	1	04	01	H5525_071_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	072	0	1	04	01	H5525_072_0	7	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	073	0	1	04	01	H5525_073_0	7	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	074	0	1	04	01	H5525_074_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	075	0	1	04	01	H5525_075_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	076	0	1	04	01	H5525_076_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	077	0	1	04	01	H5525_077_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	078	0	1	04	01	H5525_078_0	4	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	079	0	1	04	01	H5525_079_0	3	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	080	0	1	04	01	H5525_080_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5525	809	0	1	04	01	H5525_809_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5525	810	0	1	04	01	H5525_810_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5525	812	0	2	04	01	H5525_812_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5525	813	0	2	04	01	H5525_813_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5525	816	0	1	04	01	H5525_816_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5525	817	0	1	04	01	H5525_817_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5525	818	0	1	04	01	H5525_818_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5525	819	0	1	04	01	H5525_819_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5525	826	0	1	04	01	H5525_826_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5525	827	0	1	04	01	H5525_827_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5525	830	0	1	04	01	H5525_830_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5525	831	0	1	04	01	H5525_831_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5526	004	0	1	04	01	H5526_004_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	25.00	25.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H5526	016	0	1	04	01	H5526_016_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	25.00	25.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H5526	018	0	1	04	01	H5526_018_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	22.00	25.00	25.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H5526	020	0	1	04	01	H5526_020_0	11	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	25.00	25.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		2														2	2
H5526	021	0	1	04	01	H5526_021_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	25.00	25.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		2														2	2
H5526	022	0	1	04	01	H5526_022_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	25.00	25.00			2		2	2	2																																														2					2														2		2														2	2
H5526	023	0	1	04	01	H5526_023_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	25.00	25.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		2														2	2
H5526	024	0	1	04	01	H5526_024_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	25.00	25.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		2														2	2
H5526	806	0	1	04	01	H5526_806_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5526	808	0	1	04	01	H5526_808_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5526	813	0	1	04	01	H5526_813_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5528	807	0	1	04	01	H5528_807_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5528	815	0	1	04	01	H5528_815_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5533	003	0	1	04	01	H5533_003_0	9	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	010	50.00	50.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	1	100.00	3																		2					2														2		2														2	2
H5533	005	0	1	04	01	H5533_005_0	10	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	010	40.00	40.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	1	175.00	3																		2					2														2		2														2	2
H5533	008	0	1	04	01	H5533_008_0	9	1	11	2	2	1	3		Contact lens fitting	2	2	1	3		2					2				2								1	010	40.00	40.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H5533	009	0	1	04	01	H5533_009_0	10	1	11	2	2	1	3		Contact lens fitting	2	2	1	3		2					2				2								1	010	30.00	30.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H5533	011	0	1	04	01	H5533_011_0	10	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	010	30.00	30.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	1	225.00	3																		2					2														2		2														2	2
H5533	012	0	1	04	01	H5533_012_0	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H5533	013	0	1	04	01	H5533_013_0	10	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	010	35.00	35.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	1	225.00	3																		2					2														2		2														2	2
H5533	015	1	1	04	01	H5533_015_1	11	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	010	10.00	10.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H5533	015	2	1	04	01	H5533_015_2	11	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	010	30.00	30.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H5533	801	0	1	04	01	H5533_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5533	802	0	1	04	01	H5533_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5533	803	0	1	04	01	H5533_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5538	001	0	1	20	08	H5538_001_0	1																																																																																																																													
H5538	002	0	1	20	08	H5538_002_0	1																																																																																																																													
H5549	003	0	1	01	01	H5549_003_0	11	1	01	2	2	2	6	One routine eye exam every year with an additional eye exam every 2 years.							2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														2	2
H5549	011	0	1	01	01	H5549_011_0	10	1	11	2	2	1	3		Eye Exam Services	2	2	1	2		2					2				1	010	20	20					2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H5549	012	0	1	01	01	H5549_012_0	7	1	11	2	2	1	3		Eye Exam Services	2	2	1	2		2					2				2								2								2		2	2	1	00111						2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H5577	002	0	1	01	01	H5577_002_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	700.00	3																		2					2														2		2														2	2
H5577	005	0	1	01	01	H5577_005_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	800.00	3																		2					2														2		2														2	2
H5577	008	0	1	02	01	H5577_008_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	1100.00	3																		2					2														2		2														2	2
H5577	016	0	1	01	01	H5577_016_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	1000.00	3																		2					2														2		2														2	2
H5577	017	0	1	01	01	H5577_017_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	1000.00	3																		2					2														2		2														2	2
H5577	029	0	1	01	01	H5577_029_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	650.00	3																		2					2														2		2														2	2
H5577	038	0	1	01	01	H5577_038_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	900.00	3																		2					2														2		2														2	2
H5577	042	0	1	01	01	H5577_042_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	950.00	3																		2					2														2		2														2	2
H5577	043	0	1	01	01	H5577_043_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	700.00	3																		2					2														2		2														2	2
H5577	044	0	1	01	01	H5577_044_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	725.00	3																		2					2														2		2														2	2
H5577	046	0	1	01	01	H5577_046_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	800.00	3																		2					2														2		2														2	2
H5577	051	0	1	01	01	H5577_051_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	1250.00	3																		2					2														2		2														2	2
H5577	052	0	1	01	01	H5577_052_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	1000.00	3																		2					2														2		2														2	2
H5577	053	0	1	01	01	H5577_053_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	1100.00	3																		2					2														2		2														2	2
H5577	054	1	1	01	01	H5577_054_1	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	750.00	3																		2					2														2		2														2	2
H5577	054	2	1	01	01	H5577_054_2	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	750.00	3																		2					2														2		2														2	2
H5577	054	3	1	01	01	H5577_054_3	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	750.00	3																		2					2														2		2														2	2
H5577	055	0	1	01	01	H5577_055_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	700.00	3																		2					2														2		2														2	2
H5577	056	1	1	01	01	H5577_056_1	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	700.00	3																		2					2														2		2														2	2
H5577	056	2	1	01	01	H5577_056_2	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	700.00	3																		2					2														2		2														2	2
H5577	057	0	1	01	01	H5577_057_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	700.00	3																		2					2														2		2														2	2
H5577	801	0	1	01	01	H5577_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5577	802	0	1	01	01	H5577_802_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5577	809	0	1	01	01	H5577_809_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5577	818	0	1	01	01	H5577_818_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5577	820	0	1	01	01	H5577_820_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5577	821	0	1	01	01	H5577_821_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5577	822	0	1	01	01	H5577_822_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5577	824	0	1	01	01	H5577_824_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5577	827	0	1	01	01	H5577_827_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5577	829	0	1	01	01	H5577_829_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5577	830	0	1	01	01	H5577_830_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5577	831	0	1	01	01	H5577_831_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5580	001	0	1	01	01	H5580_001_0	3	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H5580	004	0	1	01	01	H5580_004_0	3	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H5580	005	0	1	01	01	H5580_005_0	3	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H5587	002	0	1	01	01	H5587_002_0	19	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	450.00	3																		2					1	010000	20	20											2		2														2	2
H5590	008	0	1	01	01	H5590_008_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5590	009	0	1	01	01	H5590_009_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5591	003	0	1	01	01	H5591_003_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H5591	005	0	1	02	01	H5591_005_0	6	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H5591	006	1	1	02	01	H5591_006_1	6	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H5591	006	2	1	02	01	H5591_006_2	6	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H5591	006	4	1	02	01	H5591_006_4	6	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H5591	006	5	1	02	01	H5591_006_5	6	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H5591	009	0	1	02	01	H5591_009_0	6	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H5591	013	0	1	02	01	H5591_013_0	6	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H5591	015	1	1	02	01	H5591_015_1	6	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H5591	015	2	1	02	01	H5591_015_2	6	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H5591	801	0	1	02	01	H5591_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5591	802	0	1	02	01	H5591_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5593	001	0	1	01	01	H5593_001_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5593	801	0	1	01	01	H5593_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5593	802	0	1	01	01	H5593_802_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5594	001	0	1	01	01	H5594_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5594	002	0	1	01	01	H5594_002_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5594	016	0	1	01	01	H5594_016_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	2	3		2	2	2	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5594	017	0	1	01	01	H5594_017_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	2	3		2	2	2	3												2	1		2	1	400.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5594	019	0	1	01	01	H5594_019_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	100.00	3																		2					2														2		1	111100	0.00	0.00	10.00	10.00	10.00	10.00					30.00	30.00	2	2
H5594	022	0	1	01	01	H5594_022_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	100.00	3																		2					2														2		1	111100	0.00	0.00	10.00	10.00	10.00	10.00					30.00	30.00	2	2
H5594	026	0	1	01	01	H5594_026_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	100.00	3																		2					2														2		1	111100	0.00	0.00	10.00	10.00	10.00	10.00					30.00	30.00	2	2
H5594	028	0	1	01	01	H5594_028_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5594	029	0	1	01	01	H5594_029_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5594	030	0	1	01	01	H5594_030_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	150.00	3																		2					2														2		1	111100	0.00	0.00	10.00	10.00	10.00	10.00					30.00	30.00	2	2
H5594	031	0	1	01	01	H5594_031_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	150.00	3																		2					2														2		1	111100	0.00	0.00	10.00	10.00	10.00	10.00					30.00	30.00	2	2
H5594	032	0	1	01	01	H5594_032_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5594	034	0	1	01	01	H5594_034_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	100.00	3																		2					2														2		1	111100	0.00	0.00	10.00	10.00	10.00	10.00					30.00	30.00	2	2
H5594	035	0	1	01	01	H5594_035_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	100.00	3																		2					2														2		1	111100	0.00	0.00	10.00	10.00	10.00	10.00					30.00	30.00	2	2
H5594	036	0	1	01	01	H5594_036_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	300.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					30.00	30.00	2	2
H5599	001	0	1	01	01	H5599_001_0	16	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			2																							2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			1	2
H5599	002	0	1	02	01	H5599_002_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			1	2
H5599	003	0	1	01	01	H5599_003_0	16	2																		2				1	010	20	20					1	010	0.00	0.00					2		1	2	2																																														2					2														2		1	010000	0.00	0.00											1	2
H5599	004	0	1	01	01	H5599_004_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	50.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			1	2
H5599	008	0	1	01	01	H5599_008_0	16	2																		2				1	010	20	20					1	010	0.00	0.00					2		1	2	2																																														2					2														2		1	010000	0.00	0.00											1	2
H5608	001	0	1	01	01	H5608_001_0	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	260.00	3																		2					1	010000	20	20											2		2														2	2
H5608	002	0	1	01	01	H5608_002_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	380.00	3																		2					2														2		2														2	2
H5610	001	0	1	20	08	H5610_001_0	1																																																																																																																													
H5610	003	0	1	20	08	H5610_003_0	1																																																																																																																													
H5619	001	0	1	01	01	H5619_001_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	003	0	1	01	01	H5619_003_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	400.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H5619	012	0	1	01	01	H5619_012_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	015	0	1	01	01	H5619_015_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	016	0	1	01	01	H5619_016_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	021	0	1	01	01	H5619_021_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	026	0	1	01	01	H5619_026_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	029	0	1	01	01	H5619_029_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	032	0	1	01	01	H5619_032_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	038	0	1	01	01	H5619_038_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	1
H5619	039	1	1	01	01	H5619_039_1	5	1	01	2	2	1	3								1		100.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	039	2	1	01	01	H5619_039_2	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	046	0	1	01	01	H5619_046_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	047	0	1	01	01	H5619_047_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	049	0	1	02	01	H5619_049_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	051	0	1	02	01	H5619_051_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	053	0	1	02	01	H5619_053_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	054	0	1	02	01	H5619_054_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	550.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H5619	055	0	1	01	01	H5619_055_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	056	0	1	01	01	H5619_056_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	057	0	1	01	01	H5619_057_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	059	0	1	01	01	H5619_059_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	060	0	1	01	01	H5619_060_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	65.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	061	0	1	01	01	H5619_061_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	063	0	1	01	01	H5619_063_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	55.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	065	0	1	01	01	H5619_065_0	8	1	01	2	2	1	3								1		200.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H5619	066	0	1	01	01	H5619_066_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	069	0	1	02	01	H5619_069_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	071	0	1	01	01	H5619_071_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	075	0	1	01	01	H5619_075_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	077	0	1	01	01	H5619_077_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	082	0	1	01	01	H5619_082_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	550.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	083	0	1	01	01	H5619_083_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	089	0	1	01	01	H5619_089_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	090	0	1	01	01	H5619_090_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	091	0	1	01	01	H5619_091_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	093	0	1	01	01	H5619_093_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	095	0	1	01	01	H5619_095_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	100	0	1	01	01	H5619_100_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	111	0	1	02	01	H5619_111_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	113	0	1	02	01	H5619_113_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	114	0	1	01	01	H5619_114_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	55.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	116	0	1	01	01	H5619_116_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	119	0	1	01	01	H5619_119_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	121	0	1	01	01	H5619_121_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	122	0	1	01	01	H5619_122_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	123	0	1	02	01	H5619_123_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	126	0	1	02	01	H5619_126_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	128	0	1	01	01	H5619_128_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	130	1	1	01	01	H5619_130_1	6	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	130	2	1	01	01	H5619_130_2	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	131	0	1	01	01	H5619_131_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	133	0	1	01	01	H5619_133_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	134	0	1	01	01	H5619_134_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	1
H5619	135	0	1	01	01	H5619_135_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	136	1	1	01	01	H5619_136_1	5	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	136	2	1	01	01	H5619_136_2	5	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	136	3	1	01	01	H5619_136_3	5	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	136	4	1	01	01	H5619_136_4	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	137	0	1	01	01	H5619_137_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	138	0	1	01	01	H5619_138_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	5.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	143	0	1	01	01	H5619_143_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	145	0	1	01	01	H5619_145_0	8	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	146	0	1	01	01	H5619_146_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	147	0	1	01	01	H5619_147_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	148	0	1	01	01	H5619_148_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	150	0	1	01	01	H5619_150_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	151	0	1	01	01	H5619_151_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	152	0	1	01	01	H5619_152_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	153	0	1	01	01	H5619_153_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	550.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	154	0	1	01	01	H5619_154_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	001100			0.00	0.00	0.00	0.00							1	1
H5619	155	0	1	01	01	H5619_155_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	156	0	1	02	01	H5619_156_0	5	1	01	2	2	1	3								1		150.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H5619	157	0	1	01	01	H5619_157_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	158	0	1	02	01	H5619_158_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H5619	159	0	1	01	01	H5619_159_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H5619	160	0	1	01	01	H5619_160_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	161	0	1	01	01	H5619_161_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	162	0	1	02	01	H5619_162_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	163	0	1	01	01	H5619_163_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	164	0	1	01	01	H5619_164_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H5619	802	0	1	01	01	H5619_802_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5619	803	0	1	01	01	H5619_803_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5619	805	0	1	01	01	H5619_805_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5619	806	0	1	01	01	H5619_806_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H5622	001	0	1	20	08	H5622_001_0	1																																																																																																																													
H5622	002	0	1	20	08	H5622_002_0	1																																																																																																																													
H5628	001	0	1	01	01	H5628_001_0	4	1	01	2	1										1		300.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H5628	007	0	1	01	01	H5628_007_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H5628	008	0	1	01	01	H5628_008_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H5628	010	0	1	01	01	H5628_010_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	125.00	3																		2					1	010000	20	20											2		2														2	2
H5628	011	0	1	01	01	H5628_011_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					1	010000	20	20											2		2														2	2
H5628	012	0	1	01	01	H5628_012_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		2														2	2
H5629	001	0	1	20	08	H5629_001_0	1																																																																																																																													
H5629	002	0	1	20	08	H5629_002_0	2																																																																																																																													
H5644	801	0	1	01	01	H5644_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5644	802	0	1	01	01	H5644_802_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5644	803	0	1	01	01	H5644_803_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5649	001	0	1	01	01	H5649_001_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														1	1
H5649	002	0	1	01	01	H5649_002_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		1	010000	0.00	0.00											1	1
H5649	006	0	1	01	01	H5649_006_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	150.00	3																		2					2														2		2														1	1
H5649	008	0	1	01	01	H5649_008_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	150.00	3																		2					2														2		2														1	1
H5649	009	0	1	01	01	H5649_009_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		1	010000	0.00	0.00											1	1
H5649	018	0	1	01	01	H5649_018_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														1	1
H5649	019	0	1	01	01	H5649_019_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	150.00	3																		2					2														2		2														1	1
H5649	020	1	1	01	01	H5649_020_1	9	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														1	1
H5649	020	2	1	01	01	H5649_020_2	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														1	1
H5649	021	1	1	01	01	H5649_021_1	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														1	1
H5649	021	2	1	01	01	H5649_021_2	8	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														1	1
H5652	001	0	1	02	01	H5652_001_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5652	002	0	1	02	01	H5652_002_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5652	003	0	1	02	01	H5652_003_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5652	004	0	1	02	01	H5652_004_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5652	006	0	1	02	01	H5652_006_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5652	008	0	1	02	01	H5652_008_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H5703	001	0	1	01	01	H5703_001_0	10	2																		2				1	010	20	20					2								2		2	2	1	10000																					2	1		2	1	148.80	3																		2					1	010000	20	20											2		2														2	2
H5774	003	0	1	01	01	H5774_003_0	4	1	11	2	2	1	3		Eyewear Eye Exam	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H5774	005	0	1	01	01	H5774_005_0	5	1	11	2	2	1	3		Eyewear Exam	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	600.00	3																		2					2														2		2														2	2
H5774	022	0	1	01	01	H5774_022_0	5	1	11	2	2	1	3		Eyewear eye exam	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	775.00	3																		2					2														2		2														2	2
H5774	024	0	1	01	01	H5774_024_0	5	1	11	2	2	1	3		Eyewear Exam	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	700.00	3																		2					2														2		2														2	2
H5774	026	0	1	01	01	H5774_026_0	4	1	11	2	2	1	3		Eyewear Exam	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H5774	027	0	1	02	01	H5774_027_0	5	1	11	2	2	1	3		Eyewear Eye Exam	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H5774	028	0	1	01	01	H5774_028_0	5	1	11	2	2	1	3		Eyewear Eye Exam	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H5774	031	0	1	02	01	H5774_031_0	5	1	11	2	2	1	3		Eyewear Exam	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	600.00	3																		2					2														2		2														2	2
H5774	035	0	1	01	01	H5774_035_0	5	1	11	2	2	1	3		Eyewear Exam	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	550.00	3																		2					2														2		2														2	2
H5774	036	0	1	01	01	H5774_036_0	5	1	11	2	2	1	3		Eyewear exams	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H5774	037	0	1	01	01	H5774_037_0	6	1	11	2	2	1	3		Eyewear Exam	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	650.00	3																		2					2														2		2														2	2
H5774	038	0	1	01	01	H5774_038_0	5	1	11	2	2	1	3		Eyewear Exam	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	425.00	3																		2					2														2		2														2	2
H5774	040	0	1	01	01	H5774_040_0	4	1	11	2	2	1	3		Eyewear Eye Exam	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1000.00	3																		2					2														2		2														2	2
H5774	802	0	1	01	01	H5774_802_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5774	806	0	1	01	01	H5774_806_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5774	808	0	1	01	01	H5774_808_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5774	809	0	1	02	01	H5774_809_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5774	810	0	1	01	01	H5774_810_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5774	811	0	1	02	01	H5774_811_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5774	812	0	1	02	01	H5774_812_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5774	814	0	1	02	01	H5774_814_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5774	816	0	1	02	01	H5774_816_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5774	818	0	1	02	01	H5774_818_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5774	820	0	1	02	01	H5774_820_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5774	821	0	1	02	01	H5774_821_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5774	822	0	1	02	01	H5774_822_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5774	823	0	1	02	01	H5774_823_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5774	824	0	1	02	01	H5774_824_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5774	825	0	1	02	01	H5774_825_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5779	002	0	1	01	01	H5779_002_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5779	007	0	1	01	01	H5779_007_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5779	009	0	1	01	01	H5779_009_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5793	001	0	1	02	01	H5793_001_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5793	010	0	1	02	01	H5793_010_0	10	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	175.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5793	014	0	1	02	01	H5793_014_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5793	015	0	1	01	01	H5793_015_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	175.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5793	016	0	1	02	01	H5793_016_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	1	0.00	2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5793	017	0	1	02	01	H5793_017_0	9	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5793	018	0	1	02	01	H5793_018_0	10	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5793	019	0	1	02	01	H5793_019_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5793	020	0	1	02	01	H5793_020_0	8	1	11	2	2	1	3		Follow Up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	390.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H5793	801	0	1	01	01	H5793_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5793	802	0	1	01	01	H5793_802_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5810	014	0	1	01	01	H5810_014_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H5810	015	0	1	01	01	H5810_015_0	4	2																		2				2								1	010	40.00	40.00					2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5822	001	0	1	20	08	H5822_001_0	2																																																																																																																													
H5822	002	0	1	20	08	H5822_002_0	2																																																																																																																													
H5823	006	0	1	01	01	H5823_006_0	4	1	01	2	1										1		350.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H5823	010	0	1	01	01	H5823_010_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	330.00	3																		2					1	010000	20	20											2		2														2	2
H5823	012	1	1	01	01	H5823_012_1	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H5823	012	2	1	01	01	H5823_012_2	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H5826	006	0	1	01	01	H5826_006_0	3	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	2																		2					1	111111	20	20	0	0	0	0	0	0	0	0	0	0	2		2														2	1
H5826	008	0	1	01	01	H5826_008_0	4	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	2																		2					1	111111	20	20	0	0	0	0	0	0	0	0	0	0	2		2														2	1
H5826	009	0	1	01	01	H5826_009_0	4	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	2																		2					1	111111	20	20	0	0	0	0	0	0	0	0	0	0	2		2														2	1
H5826	010	0	1	01	01	H5826_010_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	1
H5826	014	0	1	01	01	H5826_014_0	5	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		2														2	1
H5826	016	0	1	01	01	H5826_016_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	1
H5826	017	0	1	01	01	H5826_017_0	5	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		2														2	1
H5828	001	0	1	01	01	H5828_001_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	600.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5828	002	0	1	01	01	H5828_002_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	600.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5828	008	0	1	01	01	H5828_008_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5828	012	1	1	02	01	H5828_012_1	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5828	012	2	1	02	01	H5828_012_2	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5828	012	3	1	02	01	H5828_012_3	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5843	001	0	1	01	01	H5843_001_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					1	010000	20	20											2		1	001111			25.00	25.00	25.00	25.00	25.00	25.00	25.00	25.00			2	2
H5843	002	0	1	01	01	H5843_002_0	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					1	010000	20	20											2		1	001111			25.00	25.00	25.00	25.00	25.00	25.00	25.00	25.00			2	2
H5843	005	0	1	01	01	H5843_005_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					1	010000	20	20											2		1	001111			25.00	25.00	25.00	25.00	25.00	25.00	25.00	25.00			2	2
H5852	001	0	1	01	01	H5852_001_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	250.00	3																		2					2														2		2														2	2
H5854	008	0	1	01	01	H5854_008_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5854	009	0	1	01	01	H5854_009_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H5854	010	0	1	01	01	H5854_010_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5854	011	0	1	01	01	H5854_011_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	175.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5854	012	0	1	02	01	H5854_012_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	125.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5854	013	0	1	01	01	H5854_013_0	9	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5854	014	0	1	01	01	H5854_014_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H5854	801	0	1	01	01	H5854_801_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5854	803	0	1	01	01	H5854_803_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5854	806	0	2	01	01	H5854_806_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5854	807	0	2	01	01	H5854_807_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5854	809	0	1	01	01	H5854_809_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5854	811	0	2	01	01	H5854_811_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5859	001	0	1	02	01	H5859_001_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11100	2	1				2	2	1	3												2	1		2	2				01100	100.00	3		175.00	3											2					2														2		2														2	2
H5883	001	1	1	02	01	H5883_001_1	3	1	01	4	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	001	2	1	02	01	H5883_001_2	3	1	01	4	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	001	3	1	02	01	H5883_001_3	3	1	01	4	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	001	4	1	02	01	H5883_001_4	3	1	01	4	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	001	5	1	02	01	H5883_001_5	3	1	01	4	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	002	1	1	02	01	H5883_002_1	5	1	01	4	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	002	2	1	02	01	H5883_002_2	4	1	01	4	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	002	3	1	02	01	H5883_002_3	4	1	01	4	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	002	4	1	02	01	H5883_002_4	4	1	01	4	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	002	7	1	02	01	H5883_002_7	4	1	01	4	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	003	1	1	02	01	H5883_003_1	4	1	01	4	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses are covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	003	2	1	02	01	H5883_003_2	4	1	01	4	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses are covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	003	3	1	02	01	H5883_003_3	4	1	01	4	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses are covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	003	4	1	02	01	H5883_003_4	4	1	01	4	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses are covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	003	5	1	02	01	H5883_003_5	4	1	01	4	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses are covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	007	0	1	01	01	H5883_007_0	4	1	01	4	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	2																																														2					2														2		2														2	2
H5883	012	1	1	02	01	H5883_012_1	5	1	01	4	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	012	2	1	02	01	H5883_012_2	5	1	01	4	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	014	1	1	02	01	H5883_014_1	5	1	01	4	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	014	2	1	02	01	H5883_014_2	5	1	01	4	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	014	3	1	02	01	H5883_014_3	5	1	01	4	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	014	4	1	02	01	H5883_014_4	5	1	01	4	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	014	5	1	02	01	H5883_014_5	5	1	01	4	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	015	0	1	01	01	H5883_015_0	6	1	01	4	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	01011	4	1									4	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1		2	1	150.00	3																		2					2														2		2														2	2
H5883	801	0	1	02	01	H5883_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5883	805	0	1	02	01	H5883_805_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5900	001	0	1	04	01	H5900_001_0	10	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	200.00	3								200.00	3					2					2														2		2														2	2
H5900	002	0	1	04	01	H5900_002_0	10	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	200.00	3								200.00	3					2					2														2		2														2	2
H5900	003	0	1	04	01	H5900_003_0	10	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	175.00	3								175.00	3					2					2														2		2														2	2
H5900	004	0	1	04	01	H5900_004_0	10	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	250.00	3								250.00	3					2					2														2		2														2	2
H5900	005	0	1	04	01	H5900_005_0	11	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	150.00	3								150.00	3					2					2														2		2														2	2
H5900	006	0	1	04	01	H5900_006_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	150.00	3								150.00	3					2					2														2		2														2	2
H5900	007	0	1	04	01	H5900_007_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	150.00	3								150.00	3					2					2														2		2														2	2
H5900	801	0	1	04	01	H5900_801_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5900	802	0	1	04	01	H5900_802_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5902	001	0	1	20	08	H5902_001_0	1																																																																																																																													
H5902	002	0	1	20	08	H5902_002_0	1																																																																																																																													
H5926	001	0	1	01	01	H5926_001_0	4	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					1	010000	20	20											2		2														2	2
H5926	005	0	1	01	01	H5926_005_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					1	010000	20	20											2		2														2	2
H5926	006	0	1	01	01	H5926_006_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H5926	007	0	1	01	01	H5926_007_0	4	2																		2				2								2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5928	004	0	1	01	01	H5928_004_0	3	1	01	2	2	1	3								2					2				2								1	010	5.00	5.00					2		2	1	1	01011	2	1									2	2	1	3		2	2	1	2			1		2	2				01001	200.00	3								200.00	2					2					2														2		2														2	1
H5928	010	0	1	01	01	H5928_010_0	4	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	1	1	01011	2	1									2	2	1	3		2	2	1	2			1		2	2				01001	190.00	3								190.00	2					2					2														2		2														2	1
H5932	001	0	1	01	01	H5932_001_0	6	1	01	2	2	1	3								2					2				1	010	28	28					2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	1	600.00	3																		2					2														2		2														2	2
H5932	009	0	1	01	01	H5932_009_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H5932	012	0	1	01	01	H5932_012_0	6	1	01	2	2	1	3								2					2				1	010	28	28					2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1		2	1	600.00	3																		2					2														2		2														2	2
H5932	013	0	1	01	01	H5932_013_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H5934	001	0	1	20	08	H5934_001_0	1																																																																																																																													
H5934	002	0	1	20	08	H5934_002_0	1																																																																																																																													
H5937	001	0	1	01	01	H5937_001_0	9	2																		2				1	010	20	20					2								2		2	2	1	10000																					2	2																							2					1	010000	20	20											2		2														2	2
H5938	001	0	1	01	01	H5938_001_0	12	1	01	2	2	1	3								2					2				2								1	011	10.00	40.00	10.00	40.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														2	2
H5938	006	0	1	01	01	H5938_006_0	12	1	01	2	2	1	3								2					2				2								1	011	10.00	25.00	10.00	25.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														2	2
H5938	008	0	1	01	01	H5938_008_0	12	1	01	2	2	1	3								2					2				2								1	011	10.00	45.00	10.00	45.00			2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														2	2
H5938	802	0	1	01	01	H5938_802_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5938	803	0	1	01	01	H5938_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5938	804	0	1	01	01	H5938_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5938	805	0	1	01	01	H5938_805_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5943	001	0	1	02	01	H5943_001_0	6	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					1	010000	20	20											2		2														2	2
H5943	002	0	1	02	01	H5943_002_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					1	010000	20	20											2		2														2	2
H5945	001	0	1	01	01	H5945_001_0	7	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		2														2	2
H5945	002	0	1	01	01	H5945_002_0	7	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		2														2	2
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H5945	013	0	1	01	01	H5945_013_0	7	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		2														2	2
H5945	014	0	1	01	01	H5945_014_0	7	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		2														2	2
H5945	016	0	1	01	01	H5945_016_0	6	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		2														2	2
H5945	017	0	1	01	01	H5945_017_0	8	1	01	2	2	1	4								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H5945	018	0	1	01	01	H5945_018_0	7	1	01	2	2	1	4								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H5945	020	0	1	01	01	H5945_020_0	5	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	500.00	3																		2					2														2		2														2	2
H5945	021	0	1	01	01	H5945_021_0	5	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	500.00	3																		2					2														2		2														2	2
H5945	027	0	1	01	01	H5945_027_0	6	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	500.00	3																		2					2														2		2														2	2
H5945	801	0	1	01	01	H5945_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5945	802	0	1	01	01	H5945_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5945	804	0	1	01	01	H5945_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5945	805	0	1	01	01	H5945_805_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5959	009	0	1	04	01	H5959_009_0	8	1	01	2	2	2	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	125.00	3																		2					2														2		2														2	2
H5959	010	1	1	04	01	H5959_010_1	8	1	01	2	2	2	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	225.00	3																		2					2														2		2														2	2
H5959	010	2	1	04	01	H5959_010_2	8	1	01	2	2	2	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	200.00	3																		2					2														2		2														2	2
H5959	011	0	1	04	01	H5959_011_0	8	1	01	2	2	2	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	200.00	3																		2					2														2		2														2	2
H5959	012	0	1	04	01	H5959_012_0	7	1	01	2	2	2	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	125.00	3																		2					2														2		2														2	2
H5959	013	1	1	04	01	H5959_013_1	7	1	01	2	2	2	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	275.00	3																		2					2														2		2														2	2
H5959	013	2	1	04	01	H5959_013_2	7	1	01	2	2	2	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	275.00	3																		2					2														2		2														2	2
H5959	014	1	1	04	01	H5959_014_1	9	1	01	2	2	2	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	200.00	3																		2					2														2		2														2	2
H5959	014	2	1	04	01	H5959_014_2	8	1	01	2	2	2	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	150.00	3																		2					2														2		2														2	2
H5959	015	0	1	04	01	H5959_015_0	8	1	01	2	2	2	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	125.00	3																		2					2														2		2														2	2
H5959	016	0	1	04	01	H5959_016_0	8	1	01	2	2	2	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	125.00	3																		2					2														2		2														2	2
H5959	018	0	1	04	01	H5959_018_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	250.00	3																		2					2														2		2														2	2
H5959	801	0	1	04	01	H5959_801_0	4	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5959	807	0	1	04	01	H5959_807_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H5959	808	0	1	04	01	H5959_808_0	4	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5959	809	0	1	04	01	H5959_809_0	4	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H5965	002	0	1	04	01	H5965_002_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5965	003	0	1	04	01	H5965_003_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5965	004	0	1	04	01	H5965_004_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5965	005	0	1	04	01	H5965_005_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H5969	002	0	1	01	01	H5969_002_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					2														2		2														2	2
H5969	003	0	1	01	01	H5969_003_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					2														2		2														2	2
H5970	001	0	1	04	01	H5970_001_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
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H5970	018	0	1	04	01	H5970_018_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
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H5989	011	0	1	01	01	H5989_011_0	10	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	300.00	2																		2					2														2		2														1	2
H5991	010	0	1	01	01	H5991_010_0	11	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	500.00	3																		2					1	010000	20	20											2		2														2	2
H5991	012	1	1	01	01	H5991_012_1	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	300.00	2																		2					1	010000	20	20											2		2														2	2
H5991	012	2	1	01	01	H5991_012_2	11	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	300.00	2																		2					1	010000	20	20											2		2														2	2
H5992	007	0	1	01	01	H5992_007_0	8	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					1	010000	20	20											2		2														2	2
H5992	009	1	1	01	01	H5992_009_1	8	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	285.00	3																		2					1	010000	20	20											2		2														2	2
H5992	009	2	1	01	01	H5992_009_2	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	285.00	3																		2					1	010000	20	20											2		2														2	2
H5993	001	0	1	20	08	H5993_001_0	1																																																																																																																													
H5993	002	0	1	20	08	H5993_002_0	1																																																																																																																													
H5995	001	0	1	01	01	H5995_001_0	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	2																		2					2														2		2														2	2
H6018	001	0	1	04	01	H6018_001_0	11	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		2														2	2
H6018	002	0	1	04	01	H6018_002_0	11	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					2														2		2														2	2
H6018	003	0	1	04	01	H6018_003_0	10	1	01	2	2	1	3								2					2				2								1	010	50.00	50.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H6019	001	0	1	01	01	H6019_001_0	4	2																		2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	175.00	3																		2					1	010000	20	20											2		2														2	2
H6059	001	0	1	20	08	H6059_001_0	1																																																																																																																													
H6059	002	0	1	20	08	H6059_002_0	1																																																																																																																													
H6067	001	1	1	01	01	H6067_001_1	7	1	01	2	2	1	3								2					2				2								1	011	40.00	40.00	20.00	20.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	2				01001	100.00	3								75.00	3					2					2														2		1	010011	0.00	0.00					20.00	20.00	0.00	0.00			2	2
H6067	001	2	1	01	01	H6067_001_2	7	1	01	2	2	1	3								2					2				2								1	011	40.00	40.00	20.00	20.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	2				01001	100.00	3								75.00	3					2					2														2		1	010011	0.00	0.00					20.00	20.00	0.00	0.00			2	2
H6067	002	1	1	01	01	H6067_002_1	7	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								1	111	20.00	20.00	10.00	10.00	0.00	0.00	2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	2				01001	200.00	3								150.00	3					2					2														2		1	010011	0.00	0.00					10.00	10.00	0.00	0.00			2	2
H6067	002	2	1	01	01	H6067_002_2	7	1	11	2	2	1	3		Contacts Fitting	2	2	1	3		1		60.00	3		2				2								1	111	20.00	20.00	10.00	10.00	0.00	0.00	2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	2				01001	200.00	3								150.00	3					2					2														2		1	010011	0.00	0.00					10.00	10.00	0.00	0.00			2	2
H6067	801	0	1	01	01	H6067_801_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6067	802	0	1	01	01	H6067_802_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6067	803	0	1	01	01	H6067_803_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6067	804	0	1	01	01	H6067_804_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6078	801	0	1	04	01	H6078_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6078	802	0	1	04	01	H6078_802_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6078	803	0	1	04	01	H6078_803_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6078	804	0	1	04	01	H6078_804_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6078	805	0	2	04	01	H6078_805_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6078	806	0	2	04	01	H6078_806_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6079	001	0	1	20	08	H6079_001_0	1																																																																																																																													
H6079	002	0	1	20	08	H6079_002_0	1																																																																																																																													
H6080	001	0	1	48	05	H6080_001_0	15	1	11	2	2	1	3		Eye exams for diseases (e.g., diabetes or glaucoma)	2	2	9999	6	As medically necessary	2					2				2								2								2		2	2	1	01110	2	2	9999	6	As medically necessary	2	2	1	2		2	2	9999	6	As medically necessary.							2																							2					2														2		2														2	2
H6081	001	0	1	20	08	H6081_001_0	1																																																																																																																													
H6081	002	0	1	20	08	H6081_002_0	1																																																																																																																													
H6130	801	0		07	02	H6130_801_0	1																																																																																																																													
H6130	802	0		07	02	H6130_802_0	1																																																																																																																													
H6130	803	0		07	02	H6130_803_0	1																																																																																																																													
H6130	804	0		07	02	H6130_804_0	1																																																																																																																													
H6130	805	0		07	02	H6130_805_0	1																																																																																																																													
H6130	806	0		07	02	H6130_806_0	1																																																																																																																													
H6130	807	0		07	02	H6130_807_0	1																																																																																																																													
H6130	808	0		07	02	H6130_808_0	1																																																																																																																													
H6130	809	0		07	02	H6130_809_0	1																																																																																																																													
H6130	810	0		07	02	H6130_810_0	1																																																																																																																													
H6130	811	0		07	02	H6130_811_0	1																																																																																																																													
H6130	812	0		07	02	H6130_812_0	1																																																																																																																													
H6130	813	0		07	02	H6130_813_0	1																																																																																																																													
H6130	814	0		07	02	H6130_814_0	1																																																																																																																													
H6130	815	0		07	02	H6130_815_0	1																																																																																																																													
H6147	001	0	1	20	08	H6147_001_0	1																																																																																																																													
H6147	002	0	1	20	08	H6147_002_0	1																																																																																																																													
H6154	001	0	1	02	01	H6154_001_0	6	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		2														2	2
H6158	001	0	1	01	01	H6158_001_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	150.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H6158	003	0	1	01	01	H6158_003_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	150.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H6170	001	0	1	01	01	H6170_001_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	10100						2	1														2	1		2	1	335.00	3																		2					2														2		1	110100	0.00	0.00			0.00	0.00					0.00	0.00	2	2
H6170	002	0	1	01	01	H6170_002_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	10100						2	1														2	1		2	1	500.00	3																		2					2														2		1	110100	0.00	0.00			0.00	0.00					0.00	0.00	2	2
H6170	003	0	1	01	01	H6170_003_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	10100						2	1														2	1		2	1	335.00	3																		2					2														2		1	110100	0.00	0.00			0.00	0.00					0.00	0.00	2	2
H6188	001	0	1	20	08	H6188_001_0	1																																																																																																																													
H6188	002	0	1	20	08	H6188_002_0	1																																																																																																																													
H6193	001	0	1	01	01	H6193_001_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6200	001	0	1	04	01	H6200_001_0	4	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					1	100000											80	90	2		1	100000											15.00	65.00	2	2
H6200	002	0	1	04	01	H6200_002_0	4	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					1	100000											80	90	2		1	100000											15.00	65.00	2	2
H6200	003	0	1	04	01	H6200_003_0	4	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					1	100000											80	90	2		1	100000											15.00	65.00	2	2
H6200	004	0	1	04	01	H6200_004_0	4	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					1	100000											80	90	2		1	100000											15.00	65.00	2	2
H6200	005	0	1	04	01	H6200_005_0	4	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					1	100000											80	90	2		1	100000											15.00	65.00	2	2
H6200	006	0	1	04	01	H6200_006_0	4	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					1	100000											80	90	2		1	100000											15.00	65.00	2	2
H6200	007	0	1	04	01	H6200_007_0	5	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					1	100000											80	90	2		1	100000											15.00	65.00	2	2
H6200	801	0	1	04	01	H6200_801_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H6200	802	0	1	04	01	H6200_802_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H6200	803	0	1	04	01	H6200_803_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H6200	804	0	1	04	01	H6200_804_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H6202	001	0	1	04	01	H6202_001_0	13	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	100.00	3								100.00	3					2					2														2		2														2	2
H6202	002	0	1	04	01	H6202_002_0	11	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	200.00	3								200.00	3					2					2														2		2														2	2
H6202	003	0	1	04	01	H6202_003_0	8	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	200.00	3								200.00	3					2					2														2		2														2	2
H6202	801	0	1	04	01	H6202_801_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6202	802	0	1	04	01	H6202_802_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6202	803	0	1	04	01	H6202_803_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6202	804	0	1	04	01	H6202_804_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6231	001	0	1	20	08	H6231_001_0	1																																																																																																																													
H6231	002	0	1	20	08	H6231_002_0	1																																																																																																																													
H6237	006	0	1	01	01	H6237_006_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H6237	007	1	1	01	01	H6237_007_1	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H6237	007	3	1	01	01	H6237_007_3	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H6237	007	4	1	01	01	H6237_007_4	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H6237	008	1	1	01	01	H6237_008_1	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H6237	008	3	1	01	01	H6237_008_3	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1		2	2				01001	100.00	3								100.00	3					2					2														2		1	010010	0.00	0.00					0.00	0.00					2	2
H6248	001	0	1	01	01	H6248_001_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					2														2		2														2	2
H6306	005	0	1	01	01	H6306_005_0	10	1	01	2	2	1	3								2					2				2								1	001			0.00	45.00			2		1	2	1	11111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2		2	1		2	1	75.00	2																		2					2														2		2														1	2
H6306	013	0	1	02	01	H6306_013_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H6306	014	0	1	02	01	H6306_014_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	0.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H6306	015	0	1	02	01	H6306_015_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H6306	016	0	1	02	01	H6306_016_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H6306	017	0	1	02	01	H6306_017_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H6306	018	0	1	02	01	H6306_018_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H6306	801	0	1	02	01	H6306_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6306	802	0	1	02	01	H6306_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6306	803	0	1	02	01	H6306_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6316	002	0	1	01	01	H6316_002_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H6317	001	0	1	20	08	H6317_001_0	1																																																																																																																													
H6317	002	0	1	20	08	H6317_002_0	1																																																																																																																													
H6322	001	0	1	01	01	H6322_001_0	7	1	01	2	1										2					2				2								1	010	40.00	40.00					2		2	2	1	01100	2	1				2	1															1		2	1	100.00	3																		2					2														2		2														2	2
H6322	002	0	1	01	01	H6322_002_0	7	1	01	2	1										2					2				2								1	010	25.00	25.00					2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														2	2
H6322	003	1	1	02	01	H6322_003_1	7	1	01	2	1										2					2				2								1	010	30.00	30.00					2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														2	2
H6322	003	2	1	02	01	H6322_003_2	7	1	01	2	1										2					2				2								1	010	30.00	30.00					2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														2	2
H6322	004	0	1	01	01	H6322_004_0	9	1	01	2	1										2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	100.00	3																		2					2														2		2														2	2
H6328	001	0	1	04	01	H6328_001_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	1	2	1	150.00	3																		2					2														2		2														2	2
H6328	002	0	1	04	01	H6328_002_0	11	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	1	2	1	150.00	3																		2					2														2		2														2	2
H6328	003	0	1	04	01	H6328_003_0	11	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	1	2	1	150.00	3																		2					2														2		2														2	2
H6328	005	0	1	04	01	H6328_005_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	1	2	1	150.00	3																		2					2														2		2														2	2
H6328	801	0	1	04	01	H6328_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6328	802	0	1	04	01	H6328_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6328	803	0	1	04	01	H6328_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6328	804	0	1	04	01	H6328_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6342	001	0	1	20	08	H6342_001_0	1																																																																																																																													
H6342	002	0	1	20	08	H6342_002_0	1																																																																																																																													
H6345	001	0	1	01	01	H6345_001_0	6	1	11	2	2	1	3		Glaucoma Testing	2	2	1	3		2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H6345	002	0	1	01	01	H6345_002_0	5	1	11	2	2	1	3		Glaucoma Testing	2	2	1	3		2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H6348	002	0	1	04	01	H6348_002_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6348	005	0	1	04	01	H6348_005_0	15	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6348	006	0	1	04	01	H6348_006_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6348	007	0	1	04	01	H6348_007_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6351	001	0	1	01	01	H6351_001_0	5	1	01	2	2	1	3								2					2				1	011	0	20	0	20			2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														2	2
H6351	004	0	1	01	01	H6351_004_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	2000.00	3																		2					2														2		2														2	2
H6351	005	0	1	01	01	H6351_005_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	525.00	2																		2					2														2		2														2	2
H6371	001	0	1	20	08	H6371_001_0	1																																																																																																																													
H6371	002	0	1	20	08	H6371_002_0	1																																																																																																																													
H6378	001	0	1	01	01	H6378_001_0	9	1	01	2	2	1	3								2					2				1	010	0	0					2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		2														2	2
H6379	001	0	1	01	01	H6379_001_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	00100						2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H6379	002	0	1	01	01	H6379_002_0	8	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	00100						2	2	1	3													1		2	1	100.00	3																		2					2														2		2														2	2
H6396	005	0	1	01	01	H6396_005_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	450.00	3																		2					1	010000	20	20											2		2														2	2
H6396	014	0	1	01	01	H6396_014_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	450.00	3																		2					1	010000	20	20											2		2														2	2
H6396	015	0	1	01	01	H6396_015_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	450.00	3																		2					1	010000	20	20											2		2														2	2
H6399	001	0	1	01	01	H6399_001_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6408	001	0	1	01	01	H6408_001_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H6408	002	0	1	01	01	H6408_002_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H6408	003	0	1	01	01	H6408_003_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H6408	801	0	1	01	01	H6408_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6408	802	0	1	01	01	H6408_802_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6425	001	0	1	20	08	H6425_001_0	1																																																																																																																													
H6425	002	0	1	20	08	H6425_002_0	1																																																																																																																													
H6446	001	0	1	01	01	H6446_001_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6446	010	0	1	01	01	H6446_010_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6446	014	0	1	01	01	H6446_014_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6446	016	0	1	01	01	H6446_016_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6446	017	0	1	01	01	H6446_017_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6453	011	0	1	02	01	H6453_011_0	6	1	01	2	2	1	3								2					2				2								1	011	50.00	50.00	0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6453	013	1	1	02	01	H6453_013_1	7	1	01	2	2	1	3								2					2				2								1	011	15.00	30.00	0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6453	013	2	1	02	01	H6453_013_2	7	1	01	2	2	1	3								2					2				2								1	011	30.00	30.00	0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6453	013	3	1	02	01	H6453_013_3	7	1	01	2	2	1	3								2					2				2								1	011	25.00	25.00	0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6453	013	4	1	02	01	H6453_013_4	7	1	01	2	2	1	3								2					2				2								1	011	35.00	35.00	0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6453	013	5	1	02	01	H6453_013_5	7	1	01	2	2	1	3								2					2				2								1	011	45.00	45.00	0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6453	017	1	1	02	01	H6453_017_1	7	1	01	2	2	1	3								2					2				2								1	011	15.00	30.00	0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	450.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6453	017	2	1	02	01	H6453_017_2	7	1	01	2	2	1	3								2					2				2								1	011	30.00	30.00	0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	450.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6453	018	1	1	02	01	H6453_018_1	9	1	01	2	2	1	3								2					2				2								1	011	10.00	25.00	0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6453	018	2	1	02	01	H6453_018_2	9	1	01	2	2	1	3								2					2				2								1	011	25.00	25.00	0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6453	019	0	1	02	01	H6453_019_0	8	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6453	801	0	1	01	01	H6453_801_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6453	802	0	1	01	01	H6453_802_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6453	803	0	1	01	01	H6453_803_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6453	804	0	1	02	01	H6453_804_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6474	001	0	1	01	01	H6474_001_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	10100						2	1														2	1		2	1	335.00	3																		2					2														2		1	110100	0.00	0.00			0.00	0.00					0.00	0.00	2	2
H6474	002	0	1	01	01	H6474_002_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	10100						2	1														2	1		2	1	500.00	3																		2					2														2		1	110100	0.00	0.00			0.00	0.00					0.00	0.00	2	2
H6474	003	0	1	01	01	H6474_003_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	10100						2	1														2	1		2	1	335.00	3																		2					2														2		1	110100	0.00	0.00			0.00	0.00					0.00	0.00	2	2
H6502	002	0	1	04	01	H6502_002_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1	2	2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H6502	003	0	1	04	01	H6502_003_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															1	2	2	1	1000.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H6502	004	0	1	04	01	H6502_004_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01100	2	1				2	1															2																							2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H6502	005	0	1	04	01	H6502_005_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H6502	801	0	1	04	01	H6502_801_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H6502	802	0	1	04	01	H6502_802_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H6502	803	0	1	04	01	H6502_803_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H6502	804	0	1	04	01	H6502_804_0	3	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H6517	001	0	1	20	08	H6517_001_0	2																																																																																																																													
H6517	002	0	1	20	08	H6517_002_0	2																																																																																																																													
H6526	001	0	1	02	01	H6526_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H6526	002	0	1	02	01	H6526_002_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H6529	001	1	1	01	01	H6529_001_1	8	1	01	2	1										1		200.00	3		2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H6529	001	2	1	01	01	H6529_001_2	4	1	01	2	1										1		200.00	3		2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H6529	002	0	1	01	01	H6529_002_0	6	1	01	2	1										1		200.00	3		2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H6541	001	0	1	20	08	H6541_001_0	1																																																																																																																													
H6541	002	0	1	20	08	H6541_002_0	1																																																																																																																													
H6545	001	0	1	04	01	H6545_001_0	10	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H6550	003	0	1	01	01	H6550_003_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6550	004	0	1	01	01	H6550_004_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6550	006	0	1	01	01	H6550_006_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6550	007	0	1	01	01	H6550_007_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6550	009	0	1	01	01	H6550_009_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	600.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6551	001	0	1	20	08	H6551_001_0	2																																																																																																																													
H6551	002	0	1	20	08	H6551_002_0	2																																																																																																																													
H6586	001	0	1	04	01	H6586_001_0	10	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H6586	002	0	1	04	01	H6586_002_0	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H6586	003	0	1	04	01	H6586_003_0	10	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		2														2	2
H6586	005	0	1	04	01	H6586_005_0	7	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		2														2	2
H6586	006	0	1	04	01	H6586_006_0	10	1	01	2	2	1	3								2					2				2								1	010	50.00	50.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H6594	001	0	1	04	01	H6594_001_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6594	002	0	1	04	01	H6594_002_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6594	003	0	1	04	01	H6594_003_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6594	004	0	1	04	01	H6594_004_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6595	003	0	1	02	01	H6595_003_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	250.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H6595	004	0	1	02	01	H6595_004_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H6596	001	0	1	20	08	H6596_001_0	1																																																																																																																													
H6596	002	0	1	20	08	H6596_002_0	1																																																																																																																													
H6605	001	0	1	04	01	H6605_001_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6605	002	0	1	04	01	H6605_002_0	14	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6605	003	0	1	04	01	H6605_003_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6605	004	0	1	04	01	H6605_004_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6622	001	0	1	01	01	H6622_001_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	004	0	1	01	01	H6622_004_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	007	0	1	01	01	H6622_007_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	008	0	1	01	01	H6622_008_0	8	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H6622	010	0	1	02	01	H6622_010_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	013	0	1	02	01	H6622_013_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	014	0	1	02	01	H6622_014_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	015	0	1	01	01	H6622_015_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	500.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H6622	017	0	1	01	01	H6622_017_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	018	0	1	01	01	H6622_018_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H6622	019	0	1	01	01	H6622_019_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	021	1	1	02	01	H6622_021_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	021	2	1	02	01	H6622_021_2	5	1	01	2	2	1	3								1		100.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	022	0	1	02	01	H6622_022_0	5	1	01	2	2	1	3								1		100.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	023	0	1	02	01	H6622_023_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	025	0	1	02	01	H6622_025_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	026	0	1	02	01	H6622_026_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	027	0	1	02	01	H6622_027_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	028	0	1	01	01	H6622_028_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H6622	029	0	1	01	01	H6622_029_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H6622	030	0	1	01	01	H6622_030_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H6622	032	0	1	01	01	H6622_032_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	033	0	1	01	01	H6622_033_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	035	0	1	01	01	H6622_035_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	036	0	1	01	01	H6622_036_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	037	0	1	01	01	H6622_037_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	047	0	1	01	01	H6622_047_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	048	0	1	01	01	H6622_048_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	051	0	1	01	01	H6622_051_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H6622	052	0	1	01	01	H6622_052_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	054	0	1	01	01	H6622_054_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	055	0	1	01	01	H6622_055_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	056	0	1	01	01	H6622_056_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H6622	057	0	1	02	01	H6622_057_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	060	0	1	02	01	H6622_060_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	061	0	1	02	01	H6622_061_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	063	0	1	01	01	H6622_063_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	066	0	1	01	01	H6622_066_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	071	0	1	01	01	H6622_071_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	073	0	1	02	01	H6622_073_0	5	1	01	2	2	1	3								1		150.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	075	0	1	01	01	H6622_075_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	078	1	1	01	01	H6622_078_1	8	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	500.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	078	2	1	01	01	H6622_078_2	8	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	079	0	1	01	01	H6622_079_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H6622	081	0	1	01	01	H6622_081_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	082	0	1	01	01	H6622_082_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H6622	083	0	1	01	01	H6622_083_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	084	0	1	01	01	H6622_084_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	085	0	1	01	01	H6622_085_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	086	0	1	01	01	H6622_086_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H6622	087	0	1	01	01	H6622_087_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	550.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H6622	088	0	1	02	01	H6622_088_0	7	1	01	2	2	1	3								1		40.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H6622	801	0	1	01	01	H6622_801_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H6622	802	0	1	01	01	H6622_802_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H6622	804	0	1	01	01	H6622_804_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H6622	805	0	1	01	01	H6622_805_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H6652	001	0	1	01	01	H6652_001_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6672	001	0	1	01	01	H6672_001_0	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	00100						2	2	1	3													1		2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H6672	003	0	1	01	01	H6672_003_0	8	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	00100						2	2	1	3													1		2	1	100.00	3																		2					2														2		2														2	2
H6672	005	0	1	01	01	H6672_005_0	9	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	00100						2	2	1	3													1		2	1	200.00	3																		2					2														2		2														2	2
H6678	003	0	1	01	01	H6678_003_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6678	004	0	1	01	01	H6678_004_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6706	001	0	1	02	01	H6706_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H6713	001	0	1	04	01	H6713_001_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6713	002	0	1	04	01	H6713_002_0	21	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6723	001	1	1	01	01	H6723_001_1	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H6723	001	2	1	01	01	H6723_001_2	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H6723	001	3	1	01	01	H6723_001_3	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H6723	002	1	1	01	01	H6723_002_1	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H6723	002	2	1	01	01	H6723_002_2	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H6723	002	3	1	01	01	H6723_002_3	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H6723	003	1	1	01	01	H6723_003_1	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H6723	003	2	1	01	01	H6723_003_2	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H6723	003	3	1	01	01	H6723_003_3	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H6723	005	1	1	01	01	H6723_005_1	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H6723	005	2	1	01	01	H6723_005_2	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H6723	006	6	1	01	01	H6723_006_6	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H6723	006	7	1	01	01	H6723_006_7	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.	4	2	1	6	Can receive contacts or glasses in lieu of each other. They cannot receive both in one calendar year. Even if they have not used the entire combined maximum plan benefit coverage amount.												1		2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H6723	801	0	1	01	01	H6723_801_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6723	802	0	1	01	01	H6723_802_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6723	803	0	1	01	01	H6723_803_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6727	001	0	1	04	01	H6727_001_0	6	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	200.00	3																		2					2														2		2														2	2
H6727	801	0	1	04	01	H6727_801_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H6727	802	0	1	04	01	H6727_802_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H6727	803	0	1	04	01	H6727_803_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H6727	804	0	1	04	01	H6727_804_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H6743	001	0	1	04	01	H6743_001_0	12	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		150.00	3								0.00	3		2					2														2		2														2	2
H6743	007	0	1	04	01	H6743_007_0	11	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		200.00	3								0.00	3		2					2														2		2														2	2
H6743	023	1	1	04	01	H6743_023_1	9	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		200.00	3								0.00	3		2					2														2		2														2	2
H6743	023	3	1	04	01	H6743_023_3	12	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		200.00	3								0.00	3		2					2														2		2														2	2
H6743	024	1	1	04	01	H6743_024_1	10	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		150.00	3								0.00	3		2					2														2		2														2	2
H6743	024	3	1	04	01	H6743_024_3	9	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		150.00	3								0.00	3		2					2														2		2														2	2
H6743	025	0	1	04	01	H6743_025_0	9	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		150.00	3								0.00	3		2					2														2		2														2	2
H6743	026	0	1	04	01	H6743_026_0	9	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		200.00	3								0.00	3		2					2														2		2														2	2
H6743	027	0	1	04	01	H6743_027_0	11	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		150.00	3								0.00	3		2					2														2		2														2	2
H6750	005	0	1	01	01	H6750_005_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	2																							2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6750	012	1	1	01	01	H6750_012_1	8	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	2																							2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6750	012	2	1	01	01	H6750_012_2	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	2																							2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6750	013	0	1	01	01	H6750_013_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	2																							2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6750	014	0	1	02	01	H6750_014_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	2																							2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6750	807	0	1	01	01	H6750_807_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6750	808	0	1	01	01	H6750_808_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6750	809	0	1	01	01	H6750_809_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6750	810	0	1	01	01	H6750_810_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6750	811	0	1	02	01	H6750_811_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6750	812	0	1	02	01	H6750_812_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6750	813	0	1	02	01	H6750_813_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6750	814	0	1	02	01	H6750_814_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6759	001	0	1	20	08	H6759_001_0	2																																																																																																																													
H6759	002	0	1	20	08	H6759_002_0	2																																																																																																																													
H6765	001	0	1	01	01	H6765_001_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6776	001	0	1	01	01	H6776_001_0	8	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														2	2
H6776	002	0	1	01	01	H6776_002_0	5	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														2	2
H6787	001	0	1	20	08	H6787_001_0	1																																																																																																																													
H6787	002	0	1	20	08	H6787_002_0	1																																																																																																																													
H6813	001	0	1	04	01	H6813_001_0	10	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H6813	002	0	1	04	01	H6813_002_0	10	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H6815	037	0	1	01	01	H6815_037_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6815	038	0	1	01	01	H6815_038_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6815	039	0	1	01	01	H6815_039_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6830	001	0	1	04	01	H6830_001_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6832	001	0	1	01	01	H6832_001_0	12	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H6832	002	0	1	01	01	H6832_002_0	11	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	130.00	3																		2					1	010000	20	20											2		2														2	2
H6832	003	0	1	02	01	H6832_003_0	8	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H6846	001	0	1	20	08	H6846_001_0	1																																																																																																																													
H6846	002	0	1	20	08	H6846_002_0	1																																																																																																																													
H6847	001	0	1	02	01	H6847_001_0	11	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01100	2	1				2	1															1		2	1	250.00	3																		2					2														2		2														2	2
H6847	801	0	1	02	01	H6847_801_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6851	001	0	1	01	01	H6851_001_0	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					2														2		2														2	2
H6851	002	0	1	01	01	H6851_002_0	8	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	150.00	3																		2					2														2		2														2	2
H6851	003	0	1	01	01	H6851_003_0	8	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	150.00	3																		2					2														2		2														2	2
H6851	004	0	1	01	01	H6851_004_0	8	1	01	2	2	1	3								2					2				2								1	010	50.00	50.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	150.00	3																		2					2														2		2														2	2
H6852	001	0	1	01	01	H6852_001_0	11	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H6852	002	0	1	01	01	H6852_002_0	10	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		2														2	2
H6868	001	0	1	20	08	H6868_001_0	1																																																																																																																													
H6868	002	0	1	20	08	H6868_002_0	1																																																																																																																													
H6870	001	0	1	48	05	H6870_001_0	15	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													2																							2					2														2		2														2	2
H6874	001	0	1	04	01	H6874_001_0	13	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H6874	003	0	1	04	01	H6874_003_0	6	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	175.00	3																		2					2														2		2														2	2
H6876	001	0	1	04	01	H6876_001_0	12	1	01	2	2	1	3								2					2				2								1	011	35.00	35.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H6876	002	0	1	04	01	H6876_002_0	11	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H6876	003	0	1	04	01	H6876_003_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H6876	004	0	1	04	01	H6876_004_0	8	1	01	2	2	1	3								2					2				2								1	011	40.00	40.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H6876	005	0	1	04	01	H6876_005_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H6876	006	0	1	04	01	H6876_006_0	9	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	350.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H6876	801	0	1	04	01	H6876_801_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6876	802	0	1	04	01	H6876_802_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6876	803	0	1	04	01	H6876_803_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6876	804	0	1	04	01	H6876_804_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6887	001	0	1	20	08	H6887_001_0	1																																																																																																																													
H6887	002	0	1	20	08	H6887_002_0	1																																																																																																																													
H6891	001	0	1	01	01	H6891_001_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H6898	001	0	1	04	01	H6898_001_0	9	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	100.00	3								100.00	3					2					2														2		2														2	2
H6898	002	0	1	04	01	H6898_002_0	10	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	400.00	3								400.00	3					2					2														2		1	010000	0.00	0.00											2	2
H6898	003	0	1	04	01	H6898_003_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				01001	400.00	3								400.00	3					2					2														2		2														2	2
H6898	801	0	1	04	01	H6898_801_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6898	802	0	1	04	01	H6898_802_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6898	803	0	1	04	01	H6898_803_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6898	804	0	1	04	01	H6898_804_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6910	001	0	1	01	01	H6910_001_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H6910	004	0	1	01	01	H6910_004_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	225.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H6910	005	0	1	01	01	H6910_005_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H6910	801	0	1	01	01	H6910_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6910	802	0	1	01	01	H6910_802_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H6941	001	0	1	20	08	H6941_001_0	1																																																																																																																													
H6941	002	0	1	20	08	H6941_002_0	1																																																																																																																													
H6959	001	0	1	01	01	H6959_001_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	310.00	3																		2					1	010000	20	20											2		2														2	2
H6959	002	0	1	01	01	H6959_002_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1		2	1	355.00	3																		2					1	010000	20	20											2		2														2	2
H6975	002	0	1	01	01	H6975_002_0	20	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6975	003	0	1	01	01	H6975_003_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6975	004	0	1	01	01	H6975_004_0	20	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6975	005	0	1	01	01	H6975_005_0	20	1	01	2	2	1	3								2					2				2								1	011	0.00	15.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6975	007	0	1	01	01	H6975_007_0	20	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H6988	001	0	1	01	01	H6988_001_0	10	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		2														2	2
H6988	002	0	1	01	01	H6988_002_0	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		2														2	2
H6988	003	0	1	01	01	H6988_003_0	10	2																		2				2								2								2		2	2	2																																														2					2														2		2														2	2
H6988	004	0	1	01	01	H6988_004_0	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H7003	001	0	1	20	08	H7003_001_0	1																																																																																																																													
H7003	002	0	1	20	08	H7003_002_0	1																																																																																																																													
H7006	003	0	1	04	01	H7006_003_0	7	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		200.00	3								0.00	3		2					2														2		2														2	2
H7006	007	0	1	04	01	H7006_007_0	7	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	2				11111	100.00	3		200.00	3		200.00	3		200.00	3		200.00	3		2					2														2		2														2	2
H7006	010	0	1	04	01	H7006_010_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		150.00	3								0.00	3		2					2														2		2														2	2
H7006	011	0	1	04	01	H7006_011_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		200.00	3								0.00	3		2					2														2		2														2	2
H7006	014	0	1	04	01	H7006_014_0	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		150.00	3								0.00	3		2					2														2		2														2	2
H7006	015	0	1	04	01	H7006_015_0	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		200.00	3								0.00	3		2					2														2		2														2	2
H7006	016	0	1	04	01	H7006_016_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		200.00	3								0.00	3		2					2														2		2														2	2
H7006	017	0	1	04	01	H7006_017_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		200.00	3								0.00	3		2					2														2		2														2	2
H7006	018	0	1	04	01	H7006_018_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		150.00	3								0.00	3		2					2														2		2														2	2
H7006	019	0	1	04	01	H7006_019_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		150.00	3								0.00	3		2					2														2		2														2	2
H7006	020	0	1	04	01	H7006_020_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		250.00	3								0.00	3		2					2														2		2														2	2
H7006	021	0	1	04	01	H7006_021_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	2				11100	100.00	3		200.00	3								0.00	3		2					2														2		2														2	2
H7020	004	0	1	01	01	H7020_004_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H7020	005	0	1	01	01	H7020_005_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	50.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H7020	006	0	1	01	01	H7020_006_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H7020	008	0	1	01	01	H7020_008_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H7020	009	0	1	01	01	H7020_009_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H7020	801	0	1	01	01	H7020_801_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7027	001	0	1	20	08	H7027_001_0	1																																																																																																																													
H7027	002	0	1	20	08	H7027_002_0	1																																																																																																																													
H7028	001	0	1	04	01	H7028_001_0	11	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		2														2	2
H7028	002	0	1	04	01	H7028_002_0	11	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7063	001	0	1	04	01	H7063_001_0	7	1	11	2	2	1	3		Refractions	2	2	1	3		1	2	85.00	3		2				2								1	111	0.00	50.00	0.00	0.00	0.00	0.00	2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	150.00	3																		2					2														2		1	010000	50.00	50.00											2	2
H7063	006	0	1	04	01	H7063_006_0	7	1	01	2	2	1	3								1	2	85.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	150.00	3																		2					2														2		1	010000	45.00	45.00											2	2
H7063	007	0	1	04	01	H7063_007_0	7	1	01	2	2	1	3								1	2	85.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	200.00	3																		2					2														2		1	010000	35.00	35.00											2	2
H7063	012	0	1	04	01	H7063_012_0	6	1	01	2	2	1	3								1	2	85.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	200.00	3																		2					2														2		1	010000	30.00	30.00											2	2
H7063	013	0	1	04	01	H7063_013_0	4	1	01	2	2	1	3								1	2	85.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	150.00	3																		2					2														2		1	010000	45.00	45.00											2	2
H7063	801	0	1	04	01	H7063_801_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7063	802	0	1	04	01	H7063_802_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7074	001	0	1	04	01	H7074_001_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	4	2	1	2		4	2	1	2		4	2	1	2		4	2	1	2			1	1	2	1	150.00	2																		2					2														2		2														2	2
H7074	801	0	1	04	01	H7074_801_0	2	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														1	2
H7074	802	0	1	04	01	H7074_802_0	2	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														1	2
H7074	803	0	1	04	01	H7074_803_0	2	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														1	2
H7074	804	0	1	04	01	H7074_804_0	2	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														1	2
H7093	001	0	1	04	01	H7093_001_0	7	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1	2	2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H7093	002	0	1	04	01	H7093_002_0	8	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1	2	2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H7114	001	0	1	20	08	H7114_001_0	1																																																																																																																													
H7114	002	0	1	20	08	H7114_002_0	1																																																																																																																													
H7115	001	0	1	01	01	H7115_001_0	5	1	01	2	1										2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1500.00	3																		2					2														2		2														2	2
H7115	004	0	1	01	01	H7115_004_0	5	1	01	2	1										2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	900.00	3																		2					2														2		2														2	2
H7115	005	0	1	01	01	H7115_005_0	5	1	01	2	1										2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1000.00	3																		2					1	010000	20	20											2		2														2	2
H7115	006	0	1	01	01	H7115_006_0	4	1	01	2	1										2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	900.00	3																		2					2														2		2														2	2
H7115	805	0	1	01	01	H7115_805_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7115	806	0	1	01	01	H7115_806_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7115	807	0	1	01	01	H7115_807_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7123	001	0	1	01	01	H7123_001_0	9	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				1	010	20	20					2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	575.00	3																		2					1	010000	20	20											2		2														2	2
H7147	001	0	1	02	01	H7147_001_0	11	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H7147	003	0	1	02	01	H7147_003_0	12	1	01	2	2	1	3								2					2				1	010	40	40					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H7147	004	0	1	02	01	H7147_004_0	11	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H7147	005	0	1	02	01	H7147_005_0	10	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7147	007	0	1	02	01	H7147_007_0	12	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H7149	001	0	1	02	01	H7149_001_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	330.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7149	006	0	1	01	01	H7149_006_0	6	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	575.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7149	007	0	1	02	01	H7149_007_0	4	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7149	008	0	1	02	01	H7149_008_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	320.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7149	009	0	1	02	01	H7149_009_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	320.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7149	801	0	1	01	01	H7149_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7149	802	0	1	01	01	H7149_802_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7151	001	0	1	01	01	H7151_001_0	11	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H7151	003	0	1	01	01	H7151_003_0	11	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	125.00	3																		2					2														2		2														2	2
H7163	002	0	1	02	01	H7163_002_0	6	1	01	2	2	1	3								2					2				2								1	011	30.00	30.00	0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7163	003	0	1	02	01	H7163_003_0	8	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7163	004	0	1	02	01	H7163_004_0	6	1	01	2	2	1	3								2					2				2								1	011	25.00	25.00	0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7163	005	0	1	02	01	H7163_005_0	6	1	01	2	2	1	3								2					2				2								1	011	30.00	30.00	0.00	0.00			2		2	2	1	11111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7163	801	0	1	02	01	H7163_801_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7165	001	0	1	01	01	H7165_001_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			2																							2					2														2		2														2	2
H7165	002	0	1	01	01	H7165_002_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			2																							2					2														2		2														2	2
H7165	805	0	1	01	01	H7165_805_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7165	806	0	1	01	01	H7165_806_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7169	001	0	1	04	01	H7169_001_0	20	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7169	003	0	1	04	01	H7169_003_0	20	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7172	001	0	1	48	05	H7172_001_0	3	1	01	2	2	1	6	One time per 12-month period for members under 21 and over 59 years of age, or per 24-month period for members 21 through 59 years of age.							2									2								2								2		2	2	1	01111	2	2	1	6	One time per 12-month period for members under 21 and over 59 years of age or per 24-month period for members 21 through 59 years of age.	2	2	1	6	One time per 12-month period for members under 21 and over 59 years of age or per 24-month period for members 21 through 59 years of age.	2	2	1	6	One time per 12-month period for members under 21 and over 59 years of age or per 24-month period for members 21 through 59 years of age.	2	2	1	6	One time per 12-month period for members under 21 and over 59 years of age or per 24-month period for members 21 through 59 years of age.		2																												2														2		2														2	2
H7175	001	0	1	04	01	H7175_001_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7175	002	0	1	04	01	H7175_002_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7175	003	0	1	04	01	H7175_003_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7175	004	0	1	04	01	H7175_004_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7175	005	0	1	04	01	H7175_005_0	14	2																		2				2								1	010	0.00	40.00					2		1	2	2																																														2					2														2		1	010000	0.00	0.00											1	2
H7195	001	0	1	20	08	H7195_001_0	1																																																																																																																													
H7195	002	0	1	20	08	H7195_002_0	1																																																																																																																													
H7199	001	0	1	04	01	H7199_001_0	10	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H7199	002	0	1	04	01	H7199_002_0	11	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		2														2	2
H7220	002	0	1	01	01	H7220_002_0	2	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	250.00	2																		2					2														2		2														2	2
H7220	004	0	1	02	01	H7220_004_0	4	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	150.00	2																		2					2														2		2														2	2
H7220	009	1	1	01	01	H7220_009_1	3	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	250.00	2																		2					2														2		2														2	2
H7220	009	2	1	01	01	H7220_009_2	3	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	250.00	2																		2					2														2		2														2	2
H7220	009	3	1	01	01	H7220_009_3	3	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	250.00	2																		2					2														2		2														2	2
H7220	010	0	1	01	01	H7220_010_0	3	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	250.00	2																		2					2														2		2														2	2
H7220	011	0	1	02	01	H7220_011_0	3	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	250.00	2																		2					2														2		2														2	2
H7220	012	0	1	01	01	H7220_012_0	3	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	250.00	2																		2					2														2		2														2	2
H7220	806	0	1	02	01	H7220_806_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7220	807	0	1	02	01	H7220_807_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7220	808	0	1	01	01	H7220_808_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7220	809	0	1	01	01	H7220_809_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7245	001	0	1	01	01	H7245_001_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	20.00	20.00			2		2	2	1	11100	2	1				2	1														2	1		2	1	150.00	3																		2					2														2		2														2	2
H7245	002	0	1	01	01	H7245_002_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11100	2	1				2	1														2	1		2	1	250.00	3																		2					2														2		2														2	2
H7245	005	0	1	01	01	H7245_005_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11100	2	1				2	1														2	1		2	1	200.00	3																		2					2														2		2														2	2
H7262	001	0	1	20	08	H7262_001_0	2																																																																																																																													
H7262	002	0	1	20	08	H7262_002_0	2																																																																																																																													
H7273	001	0	1	04	01	H7273_001_0	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H7273	002	0	1	04	01	H7273_002_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H7273	005	0	1	04	01	H7273_005_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H7284	001	0	1	04	01	H7284_001_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H7284	003	0	1	04	01	H7284_003_0	5	1	01	2	2	1	3								1	2	75.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H7284	006	0	1	04	01	H7284_006_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H7284	007	0	1	04	01	H7284_007_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H7284	008	0	1	04	01	H7284_008_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H7284	009	0	1	04	01	H7284_009_0	11	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H7284	010	0	1	04	01	H7284_010_0	6	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	400.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H7301	002	0	1	04	01	H7301_002_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7301	006	0	1	04	01	H7301_006_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	180.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7301	007	0	1	04	01	H7301_007_0	8	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	235.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7301	009	0	1	04	01	H7301_009_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	375.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7301	013	0	1	04	01	H7301_013_0	8	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	220.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7301	014	0	1	04	01	H7301_014_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7301	015	0	1	04	01	H7301_015_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7301	016	0	1	04	01	H7301_016_0	7	1	11	2	2	1	3		(Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	215.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7301	017	0	1	04	01	H7301_017_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7301	021	0	1	04	01	H7301_021_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	30.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	220.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7301	801	0	1	04	01	H7301_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7301	803	0	1	04	01	H7301_803_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7323	002	0	1	04	01	H7323_002_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7323	003	0	1	04	01	H7323_003_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7323	005	0	1	04	01	H7323_005_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7323	006	0	1	04	01	H7323_006_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7323	007	0	1	04	01	H7323_007_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7323	009	0	1	04	01	H7323_009_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7323	010	0	1	04	01	H7323_010_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7323	011	0	1	04	01	H7323_011_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											1	2
H7323	012	0	1	04	01	H7323_012_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											1	2
H7326	001	0	1	04	01	H7326_001_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7326	003	0	1	04	01	H7326_003_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											1	2
H7326	006	0	1	04	01	H7326_006_0	9	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7326	007	0	1	04	01	H7326_007_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7330	001	0	1	01	01	H7330_001_0	9	1	01	2	2	1	3								1		250.00	3		2				2								1	011	25.00	25.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H7330	003	0	1	01	01	H7330_003_0	10	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H7330	004	0	1	01	01	H7330_004_0	9	1	01	2	2	1	3								2					2				2								1	011	20.00	20.00	0.00	0.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H7330	007	0	1	01	01	H7330_007_0	9	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	350.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H7330	801	0	1	01	01	H7330_801_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7330	802	0	1	01	01	H7330_802_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7330	803	0	1	01	01	H7330_803_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7330	804	0	1	01	01	H7330_804_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7360	001	0	1	04	01	H7360_001_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7366	001	0	1	20	08	H7366_001_0	1																																																																																																																													
H7366	002	0	1	20	08	H7366_002_0	1																																																																																																																													
H7379	801	0	1	04	01	H7379_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7379	802	0	1	04	01	H7379_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7379	803	0	1	04	01	H7379_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7379	804	0	1	04	01	H7379_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7389	001	0	1	01	01	H7389_001_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	400.00	3																		2					2														2		2														2	2
H7389	002	0	1	01	01	H7389_002_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	400.00	3																		2					2														2		2														2	2
H7389	003	0	1	01	01	H7389_003_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H7389	004	0	1	01	01	H7389_004_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H7389	008	0	1	01	01	H7389_008_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	15.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H7389	009	0	1	01	01	H7389_009_0	8	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	400.00	3																		2					2														2		2														2	2
H7389	010	0	1	01	01	H7389_010_0	8	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	500.00	3																		2					2														2		2														2	2
H7389	011	0	1	01	01	H7389_011_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	350.00	3																		2					2														2		2														2	2
H7399	001	0	1	01	01	H7399_001_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7404	001	0	1	04	01	H7404_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7404	002	0	1	04	01	H7404_002_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7404	004	0	1	04	01	H7404_004_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7404	005	0	1	04	01	H7404_005_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7404	006	0	1	04	01	H7404_006_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	200.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7404	011	0	1	04	01	H7404_011_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7404	012	0	1	04	01	H7404_012_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	150.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7404	014	0	1	04	01	H7404_014_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7404	015	0	1	04	01	H7404_015_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7404	018	0	1	04	01	H7404_018_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7404	019	0	1	04	01	H7404_019_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7404	020	0	1	04	01	H7404_020_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7404	021	0	1	04	01	H7404_021_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7404	022	0	1	04	01	H7404_022_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7404	023	0	1	04	01	H7404_023_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	200.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7404	024	0	1	04	01	H7404_024_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7404	025	0	1	04	01	H7404_025_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7419	001	0	1	48	05	H7419_001_0	2	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			2																							2					2														2		2														2	2
H7464	001	0	1	02	01	H7464_001_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H7464	005	0	1	02	01	H7464_005_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H7464	006	0	1	02	01	H7464_006_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H7464	007	0	1	02	01	H7464_007_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H7464	008	1	1	02	01	H7464_008_1	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7464	008	2	1	02	01	H7464_008_2	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7464	010	0	1	01	01	H7464_010_0	4	2																		2				2								1	010	0.00	0.00					2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H7464	011	0	1	02	01	H7464_011_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7464	012	0	1	02	01	H7464_012_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H7464	013	0	1	02	01	H7464_013_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H7469	001	0	1	20	08	H7469_001_0	1																																																																																																																													
H7469	002	0	1	20	08	H7469_002_0	1																																																																																																																													
H7501	001	0	1	20	08	H7501_001_0	1																																																																																																																													
H7501	002	0	1	20	08	H7501_002_0	2																																																																																																																													
H7511	001	0	1	01	01	H7511_001_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	2				01100	100.00	3		300.00	3											2					2														2		2														2	2
H7511	002	0	1	01	01	H7511_002_0	8	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	2				01100	100.00	3		275.00	3											2					2														2		2														2	2
H7512	801	0	1	04	01	H7512_801_0	12	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7518	001	0	1	04	01	H7518_001_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7518	002	0	1	04	01	H7518_002_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7518	003	0	1	04	01	H7518_003_0	19	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7518	004	0	1	04	01	H7518_004_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7522	801	0	1	04	01	H7522_801_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H7522	802	0	1	04	01	H7522_802_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H7522	804	0	1	04	01	H7522_804_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H7522	805	0	1	04	01	H7522_805_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H7522	806	0	1	04	01	H7522_806_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H7522	807	0	1	04	01	H7522_807_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H7522	808	0	1	04	01	H7522_808_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H7522	809	0	1	04	01	H7522_809_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H7522	810	0	1	04	01	H7522_810_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H7522	811	0	1	04	01	H7522_811_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H7522	812	0	1	04	01	H7522_812_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H7522	813	0	1	04	01	H7522_813_0	2	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H7524	001	0	1	01	01	H7524_001_0	6	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H7524	002	0	1	01	01	H7524_002_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H7524	003	0	1	01	01	H7524_003_0	6	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H7524	004	0	1	01	01	H7524_004_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H7557	001	0	1	01	01	H7557_001_0	8	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	175.00	2																		2					2														2		2														2	2
H7559	001	0	1	01	01	H7559_001_0	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H7559	002	0	1	01	01	H7559_002_0	9	1	01	2	1										1		200.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H7559	003	0	1	01	01	H7559_003_0	11	1	01	2	1										1		100.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					1	010000	20	20											2		2														2	2
H7598	003	0	1	01	01	H7598_003_0	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	500.00	3																		2					1	010000	20	20											2		2														2	2
H7605	001	0	1	01	01	H7605_001_0	11	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														2	2
H7605	002	0	1	01	01	H7605_002_0	10	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7605	003	0	1	01	01	H7605_003_0	11	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	450.00	3																		2					2														2		2														2	2
H7605	004	0	1	01	01	H7605_004_0	11	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H7605	005	0	1	01	01	H7605_005_0	10	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7605	006	0	1	01	01	H7605_006_0	11	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H7605	007	0	1	01	01	H7605_007_0	11	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H7605	008	0	1	01	01	H7605_008_0	10	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7605	009	0	1	01	01	H7605_009_0	11	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H7605	010	0	1	01	01	H7605_010_0	11	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H7607	002	1	1	01	01	H7607_002_1	15	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7607	002	2	1	01	01	H7607_002_2	15	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7607	002	3	1	01	01	H7607_002_3	15	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7607	002	4	1	01	01	H7607_002_4	15	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7607	002	5	1	01	01	H7607_002_5	15	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7607	007	1	1	01	01	H7607_007_1	16	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7607	007	2	1	01	01	H7607_007_2	16	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7607	007	3	1	01	01	H7607_007_3	16	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7607	007	4	1	01	01	H7607_007_4	16	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7607	007	5	1	01	01	H7607_007_5	16	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7607	008	1	1	01	01	H7607_008_1	16	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7607	008	2	1	01	01	H7607_008_2	16	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7607	008	3	1	01	01	H7607_008_3	16	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7607	008	4	1	01	01	H7607_008_4	16	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7607	008	5	1	01	01	H7607_008_5	16	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7607	011	1	1	01	01	H7607_011_1	16	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7607	011	2	1	01	01	H7607_011_2	16	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7607	011	4	1	01	01	H7607_011_4	16	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7607	011	5	1	01	01	H7607_011_5	16	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7617	801	0	1	04	01	H7617_801_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7617	802	0	1	04	01	H7617_802_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7617	803	0	2	04	01	H7617_803_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7617	804	0	2	04	01	H7617_804_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7617	805	0	1	04	01	H7617_805_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7617	806	0	1	04	01	H7617_806_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7617	807	0	1	04	01	H7617_807_0	6	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7617	808	0	1	04	01	H7617_808_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7617	811	0	1	04	01	H7617_811_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7617	812	0	1	04	01	H7617_812_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7617	817	0	1	04	01	H7617_817_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7617	818	0	1	04	01	H7617_818_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7619	001	0	1	20	08	H7619_001_0	2																																																																																																																													
H7619	002	0	1	20	08	H7619_002_0	2																																																																																																																													
H7621	002	0	1	01	01	H7621_002_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H7621	003	0	1	01	01	H7621_003_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	1	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	1
H7646	001	0	1	02	01	H7646_001_0	5	1	11	2	2	1	3		Supplemental Retinal Imaging	2	2	1	3		2					2				2								1	110	30.00	30.00			39.00	39.00	2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H7646	002	0	1	02	01	H7646_002_0	5	1	11	2	2	1	3		Supplemental Retinal Imaging	2	2	1	3		2					2				2								1	110	30.00	30.00			39.00	39.00	2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H7646	004	0	1	02	01	H7646_004_0	5	1	11	2	2	1	3		Supplemental Retinal Imaging	2	2	1	3		2					2				2								1	110	30.00	30.00			39.00	39.00	2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		2														2	2
H7646	005	0	1	02	01	H7646_005_0	5	1	11	2	2	1	3		Supplemental Retinal Imaging	2	2	1	3		2					2				2								1	110	30.00	30.00			39.00	39.00	2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		2														2	2
H7646	007	0	1	02	01	H7646_007_0	5	1	11	2	2	1	3		Supplemental Retinal Imaging	2	2	1	3		2					2				2								1	110	30.00	30.00			39.00	39.00	2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		2														2	2
H7646	008	0	1	02	01	H7646_008_0	5	1	11	2	2	1	3		Supplemental Retinal Imaging	2	2	1	3		2					2				2								1	110	30.00	30.00			39.00	39.00	2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	400.00	3																		2					2														2		2														2	2
H7646	801	0	1	02	01	H7646_801_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7646	802	0	1	02	01	H7646_802_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7646	803	0	1	02	01	H7646_803_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7646	804	0	1	02	01	H7646_804_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7646	805	0	1	02	01	H7646_805_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7656	001	0	1	20	08	H7656_001_0	2																																																																																																																													
H7656	002	0	1	20	08	H7656_002_0	2																																																																																																																													
H7660	001	0	1	20	08	H7660_001_0	1																																																																																																																													
H7660	002	0	1	20	08	H7660_002_0	1																																																																																																																													
H7670	001	0	1	01	01	H7670_001_0	7	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		2														2	2
H7670	002	0	1	01	01	H7670_002_0	6	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		2														2	2
H7678	001	0	1	01	01	H7678_001_0	5	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					1	010000	20	20											2		2														2	2
H7678	004	0	1	01	01	H7678_004_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					1	010000	20	20											2		2														2	2
H7678	005	0	1	01	01	H7678_005_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H7680	001	0	1	01	01	H7680_001_0	7	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		2														2	2
H7680	002	0	1	01	01	H7680_002_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		2														2	2
H7680	007	0	1	01	01	H7680_007_0	7	1	01	2	2	1	4								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H7680	009	0	1	01	01	H7680_009_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		2														2	2
H7680	011	0	1	01	01	H7680_011_0	6	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	500.00	3																		2					2														2		2														2	2
H7680	012	0	1	01	01	H7680_012_0	6	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		2														2	2
H7680	014	0	1	01	01	H7680_014_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	200.00	3																		2					2														2		2														2	2
H7680	801	0	1	01	01	H7680_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7746	001	0	1	01	01	H7746_001_0	6	1	01	2	1										2					2				2								1	010	35.00	35.00					2		2	2	1	01100	2	1				2	1															1		2	1	200.00	3																		2					2														2		2														2	2
H7746	002	0	1	01	01	H7746_002_0	6	1	01	2	1										2					2				2								1	010	35.00	35.00					2		2	2	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		2														2	2
H7746	003	0	1	02	01	H7746_003_0	6	1	01	2	1										2					2				2								1	010	35.00	35.00					2		2	2	1	01100	2	1				2	1															1		2	1	300.00	3																		2					2														2		2														2	2
H7778	001	0	1	01	01	H7778_001_0	5	2																		2				2								1	010	0.00	0.00					2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H7779	001	0	1	01	01	H7779_001_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H7787	001	0	1	04	01	H7787_001_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7787	002	0	1	04	01	H7787_002_0	6	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7787	801	0	1	04	01	H7787_801_0	6	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	802	0	1	04	01	H7787_802_0	6	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	803	0	1	04	01	H7787_803_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	804	0	1	04	01	H7787_804_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	805	0	1	04	01	H7787_805_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	806	0	1	04	01	H7787_806_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	807	0	1	04	01	H7787_807_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	808	0	1	04	01	H7787_808_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	809	0	1	04	01	H7787_809_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	810	0	1	04	01	H7787_810_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	811	0	1	04	01	H7787_811_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	812	0	1	04	01	H7787_812_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	813	0	1	04	01	H7787_813_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	814	0	1	04	01	H7787_814_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	815	0	1	04	01	H7787_815_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	816	0	1	04	01	H7787_816_0	6	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	817	0	1	04	01	H7787_817_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	818	0	1	04	01	H7787_818_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	819	0	1	04	01	H7787_819_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	820	0	1	04	01	H7787_820_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	821	0	1	04	01	H7787_821_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	822	0	1	04	01	H7787_822_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	823	0	1	04	01	H7787_823_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7787	824	0	1	04	01	H7787_824_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7813	001	0	1	01	01	H7813_001_0	5	2																		2				2								2								2		2	2	2																																														2					2														2		2														2	2
H7831	001	0	1	20	08	H7831_001_0	1																																																																																																																													
H7831	002	0	1	20	08	H7831_002_0	1																																																																																																																													
H7833	001	0	1	48	05	H7833_001_0	4	1	01	2	2	1	2								2					2				2								2								2		2	2	1	11100	2	2	1	2		2	2	1	2												2	2																							2					2														2		2														1	2
H7844	001	0	1	48	05	H7844_001_0	7	1	01	2	2	1	2								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			2																							2					2														2		2														1	2
H7849	001	0	1	04	01	H7849_001_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	002	0	1	04	01	H7849_002_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	003	0	1	04	01	H7849_003_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	006	0	1	04	01	H7849_006_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	013	0	1	04	01	H7849_013_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	014	0	1	04	01	H7849_014_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	015	0	1	04	01	H7849_015_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H7849	017	0	1	04	01	H7849_017_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	018	0	1	04	01	H7849_018_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	020	0	1	04	01	H7849_020_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	021	0	1	04	01	H7849_021_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	022	0	1	04	01	H7849_022_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	023	0	1	04	01	H7849_023_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	024	0	1	04	01	H7849_024_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	026	0	1	04	01	H7849_026_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	027	0	1	04	01	H7849_027_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H7849	029	0	1	04	01	H7849_029_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H7849	030	0	1	04	01	H7849_030_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	031	0	1	04	01	H7849_031_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	100.00	3																		2					2														2		2														2	2
H7849	033	0	1	04	01	H7849_033_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	100.00	3																		2					2														2		2														2	2
H7849	034	0	1	04	01	H7849_034_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	037	0	1	04	01	H7849_037_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	038	0	1	04	01	H7849_038_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H7849	039	0	1	04	01	H7849_039_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H7849	041	0	1	04	01	H7849_041_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	042	0	1	04	01	H7849_042_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	044	0	1	04	01	H7849_044_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	045	0	1	04	01	H7849_045_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	047	0	1	04	01	H7849_047_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	048	0	1	04	01	H7849_048_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	050	0	1	04	01	H7849_050_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H7849	051	0	1	04	01	H7849_051_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H7849	052	0	1	04	01	H7849_052_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	054	0	1	04	01	H7849_054_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	055	0	1	04	01	H7849_055_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H7849	056	0	1	04	01	H7849_056_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	100.00	3																		2					2														2		2														2	2
H7849	057	0	1	04	01	H7849_057_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	058	0	1	04	01	H7849_058_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	059	0	1	04	01	H7849_059_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	060	0	1	04	01	H7849_060_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	064	1	1	04	01	H7849_064_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	064	2	1	04	01	H7849_064_2	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	064	3	1	04	01	H7849_064_3	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	064	4	1	04	01	H7849_064_4	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	065	0	1	04	01	H7849_065_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	066	0	1	04	01	H7849_066_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	067	0	1	04	01	H7849_067_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	068	0	1	04	01	H7849_068_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	070	0	1	04	01	H7849_070_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	071	0	1	04	01	H7849_071_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	072	0	1	04	01	H7849_072_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	073	0	1	04	01	H7849_073_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	074	0	1	04	01	H7849_074_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	076	0	1	04	01	H7849_076_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	077	0	1	04	01	H7849_077_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	078	0	1	04	01	H7849_078_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	080	0	1	04	01	H7849_080_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	50.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	081	0	1	04	01	H7849_081_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	082	0	1	04	01	H7849_082_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	083	0	1	04	01	H7849_083_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	084	0	1	04	01	H7849_084_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	085	0	1	04	01	H7849_085_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	086	0	1	04	01	H7849_086_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	087	0	1	04	01	H7849_087_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	088	0	1	04	01	H7849_088_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	089	0	1	04	01	H7849_089_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	101	0	1	04	01	H7849_101_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	102	1	1	04	01	H7849_102_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	102	2	1	04	01	H7849_102_2	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	102	3	1	04	01	H7849_102_3	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	102	4	1	04	01	H7849_102_4	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	103	0	1	04	01	H7849_103_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H7849	104	0	1	04	01	H7849_104_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	105	0	1	04	01	H7849_105_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	350.00	3																		2					2														2		2														2	2
H7849	106	0	1	04	01	H7849_106_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	107	0	1	04	01	H7849_107_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	108	0	1	04	01	H7849_108_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	109	0	1	04	01	H7849_109_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	110	0	1	04	01	H7849_110_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	111	0	1	04	01	H7849_111_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	112	1	1	04	01	H7849_112_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	112	2	1	04	01	H7849_112_2	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	113	1	1	04	01	H7849_113_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	113	2	1	04	01	H7849_113_2	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	113	3	1	04	01	H7849_113_3	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	113	4	1	04	01	H7849_113_4	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	114	0	1	04	01	H7849_114_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	115	0	1	04	01	H7849_115_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	116	0	1	04	01	H7849_116_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	117	1	1	04	01	H7849_117_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	117	2	1	04	01	H7849_117_2	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	118	0	1	04	01	H7849_118_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	119	0	1	04	01	H7849_119_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	120	0	1	04	01	H7849_120_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	121	0	1	04	01	H7849_121_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	122	0	1	04	01	H7849_122_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	50.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	123	0	1	04	01	H7849_123_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	124	1	1	04	01	H7849_124_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	124	2	1	04	01	H7849_124_2	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	100.00	3																		2					2														2		2														2	2
H7849	125	0	1	04	01	H7849_125_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	126	0	1	04	01	H7849_126_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	127	0	1	04	01	H7849_127_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	128	0	1	04	01	H7849_128_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H7849	129	0	1	04	01	H7849_129_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	130	0	1	04	01	H7849_130_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	131	0	1	04	01	H7849_131_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	100.00	3																		2					2														2		2														2	2
H7849	132	0	1	04	01	H7849_132_0	6	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H7849	133	1	1	04	01	H7849_133_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	133	2	1	04	01	H7849_133_2	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	133	3	1	04	01	H7849_133_3	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H7849	134	1	1	04	01	H7849_134_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	134	2	1	04	01	H7849_134_2	7	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H7849	835	0	1	04	01	H7849_835_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7849	836	0	1	04	01	H7849_836_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H7855	001	0	1	20	08	H7855_001_0	1																																																																																																																													
H7855	002	0	1	20	08	H7855_002_0	1																																																																																																																													
H7917	009	0	1	04	01	H7917_009_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		2														2	2
H7917	010	0	1	04	01	H7917_010_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		2														2	2
H7917	011	0	1	04	01	H7917_011_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		2														2	2
H7917	012	0	1	04	01	H7917_012_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	225.00	3																		2					2														2		2														2	2
H7917	013	0	1	04	01	H7917_013_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	225.00	3																		2					2														2		2														2	2
H7917	014	0	1	04	01	H7917_014_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	225.00	3																		2					2														2		2														2	2
H7917	015	0	1	04	01	H7917_015_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		2														2	2
H7917	030	0	1	04	01	H7917_030_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H7917	031	0	1	04	01	H7917_031_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	225.00	3																		2					2														2		2														2	2
H7917	032	0	1	04	01	H7917_032_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H7917	033	0	1	04	01	H7917_033_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H7917	034	0	1	04	01	H7917_034_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H7917	035	0	1	04	01	H7917_035_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H7917	036	0	1	04	01	H7917_036_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H7917	037	0	1	04	01	H7917_037_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H7917	038	0	1	04	01	H7917_038_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H7917	039	0	1	04	01	H7917_039_0	2	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	225.00	3																		2					2														2		2														2	2
H7917	040	0	1	04	01	H7917_040_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H7917	041	0	1	04	01	H7917_041_0	3	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		2														2	2
H7917	801	0	1	04	01	H7917_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7917	802	0	1	04	01	H7917_802_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7917	803	0	1	04	01	H7917_803_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H7925	002	0	1	01	01	H7925_002_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H7993	001	0	1	01	01	H7993_001_0	10	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H7993	002	0	1	01	01	H7993_002_0	11	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H7993	003	0	1	01	01	H7993_003_0	10	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H7993	004	0	1	01	01	H7993_004_0	11	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					2														2		2														2	2
H7993	005	0	1	01	01	H7993_005_0	11	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					2														2		2														2	2
H7993	006	0	1	01	01	H7993_006_0	10	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H7993	007	0	1	01	01	H7993_007_0	11	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														2	2
H7993	008	0	1	01	01	H7993_008_0	10	1	01	2	2	1	3								2					2				2								1	010	50.00	50.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H8003	001	0	1	04	01	H8003_001_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			2																							2					2														2		2														2	2
H8003	002	0	1	04	01	H8003_002_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			2																							2					2														2		2														2	2
H8003	003	0	1	04	01	H8003_003_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			2																							2					2														2		2														2	2
H8003	004	0	1	04	01	H8003_004_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			2																							2					2														2		2														2	2
H8003	005	0	1	04	01	H8003_005_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			2																							2					2														2		2														2	2
H8003	006	0	1	04	01	H8003_006_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			2																							2					2														2		2														2	2
H8003	007	0	1	04	01	H8003_007_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			2																							2					2														2		2														2	2
H8003	801	0	1	04	01	H8003_801_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8003	802	0	1	04	01	H8003_802_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8003	803	0	1	04	01	H8003_803_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8003	804	0	1	04	01	H8003_804_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8010	002	0	1	01	01	H8010_002_0	11	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	200.00	3																		2					2														2		2														2	2
H8010	003	0	1	01	01	H8010_003_0	9	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		2														2	2
H8014	001	0	1	04	01	H8014_001_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	00100						2	1															1	2	2	1	150.00	3																		2					2														2		2														2	2
H8014	002	0	1	04	01	H8014_002_0	10	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	00100						2	2	1	3													1	2	2	1	150.00	3																		2					2														2		2														2	2
H8019	002	0	1	02	01	H8019_002_0	6	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H8019	003	0	1	02	01	H8019_003_0	4	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		2														2	2
H8019	006	0	1	01	01	H8019_006_0	5	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	2																		2					2														2		2														2	2
H8019	007	0	1	02	01	H8019_007_0	6	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	2																		2					2														2		2														2	2
H8019	008	0	1	02	01	H8019_008_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		2														2	2
H8019	801	0	1	01	01	H8019_801_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8019	802	0	1	01	01	H8019_802_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8019	803	0	1	01	01	H8019_803_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8019	804	0	1	02	01	H8019_804_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8019	805	0	1	02	01	H8019_805_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8019	806	0	1	02	01	H8019_806_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8026	001	0	1	48	05	H8026_001_0	4	1	01	2	2	1	2								2									2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			2																												2														2		2														1	2
H8046	001	0	1	48	05	H8046_001_0	5	1	11	2	2	1	3		Eye exams for diseases (e.g., diabetes or glaucoma)	2	2	9999	6	As medically necessary.	2					2				2								2								2		2	2	1	01110	2	2	9999	6	As medically necessary.	2	2	1	2		2	2	9999	6	As medically necessary.							2																							2					2														2		2														1	2
H8064	002	0	1	04	01	H8064_002_0	7	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	130.00	3																		2					1	010000	20	20											2		2														2	2
H8064	801	0	1	04	01	H8064_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8064	802	0	1	04	01	H8064_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8064	803	0	1	04	01	H8064_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8067	001	0	1	01	01	H8067_001_0	4	1	01	2	2	1	3								2					2				1	011	20	20	0	0			2								2		2	2	1	01011	2	1									2	1				2	1					1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H8067	003	0	1	01	01	H8067_003_0	5	1	01	2	2	1	3								2					2				1	011	20	20	0	0			2								2		2	2	1	01011	2	1									2	1				2	1					1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H8070	001	0	1	04	01	H8070_001_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	1200.00	3																		2					2														2		2														2	2
H8070	002	0	1	04	01	H8070_002_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	2000.00	3																		2					2														2		2														2	2
H8070	801	0	1	04	01	H8070_801_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8082	001	0	1	20	08	H8082_001_0	1																																																																																																																													
H8082	002	0	1	20	08	H8082_002_0	1																																																																																																																													
H8093	001	0	1	01	01	H8093_001_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H8093	002	0	1	01	01	H8093_002_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	225.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H8095	001	0	1	01	01	H8095_001_0	10	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	2				01001	200.00	3								200.00	3					2					2														2		2														2	2
H8095	801	0	1	01	01	H8095_801_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8095	802	0	1	01	01	H8095_802_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8095	807	0	1	02	01	H8095_807_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8095	808	0	1	02	01	H8095_808_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8096	001	0	1	20	08	H8096_001_0	1																																																																																																																													
H8096	002	0	1	20	08	H8096_002_0	1																																																																																																																													
H8099	001	0	1	20	08	H8099_001_0	1																																																																																																																													
H8099	002	0	1	20	08	H8099_002_0	1																																																																																																																													
H8121	801	0	1	04	01	H8121_801_0	12	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H8133	001	0	1	01	01	H8133_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	150.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H8133	005	0	1	01	01	H8133_005_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	130.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H8142	001	0	1	02	01	H8142_001_0	17	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	150.00	3																		2					2														2		2														2	2
H8142	002	0	1	02	01	H8142_002_0	17	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	01111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	125.00	3																		2					2														2		2														2	2
H8142	003	0	1	02	01	H8142_003_0	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	125.00	3																		2					2														2		2														2	2
H8142	004	0	1	02	01	H8142_004_0	16	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	125.00	3																		2					2														2		2														2	2
H8142	005	0	1	02	01	H8142_005_0	17	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	01111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	125.00	3																		2					2														2		2														2	2
H8142	006	0	1	02	01	H8142_006_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	125.00	3																		2					2														2		2														2	2
H8142	007	0	1	02	01	H8142_007_0	20	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	125.00	3																		2					2														2		2														2	2
H8142	008	0	1	02	01	H8142_008_0	16	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	125.00	3																		2					2														2		2														2	2
H8142	009	0	1	02	01	H8142_009_0	17	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	150.00	3																		2					2														2		2														2	2
H8142	010	0	1	02	01	H8142_010_0	21	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01111	2	2	12	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	125.00	3																		2					2														2		2														2	2
H8142	801	0	1	02	01	H8142_801_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8142	802	0	1	02	01	H8142_802_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8142	803	0	1	02	01	H8142_803_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8142	804	0	1	02	01	H8142_804_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8145	004	0	1	09	04	H8145_004_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8145	006	0	1	09	04	H8145_006_0	4	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	20.00	20.00	0.00	0.00	0.00	0.00							2	2
H8145	032	0	1	09	04	H8145_032_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8145	042	0	1	09	04	H8145_042_0	8	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8145	052	0	1	09	04	H8145_052_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8145	055	0	1	09	04	H8145_055_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8145	069	0	1	09	04	H8145_069_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8145	084	0	1	09	04	H8145_084_0	11	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8145	091	0	1	09	04	H8145_091_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8145	122	0	1	09	04	H8145_122_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8145	123	0	1	09	04	H8145_123_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8145	126	0	1	09	04	H8145_126_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8145	163	0	1	09	04	H8145_163_0	3	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8166	001	0	1	04	01	H8166_001_0	8	1	01	2	2	1	3								2					2				2								1	011	30.00	30.00	0.00	0.00			2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H8166	002	0	1	04	01	H8166_002_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H8166	003	0	1	04	01	H8166_003_0	7	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	150.00	3					150.00	3		150.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H8166	004	0	1	04	01	H8166_004_0	10	1	01	2	2	1	3								2					2				2								1	011	20.00	20.00	0.00	0.00			2		2	2	1	11011	2	2	1	3							2	2	1	3		2	2	1	3		2	1	2	2	2				11011	100.00	3					100.00	3		100.00	3		200.00	6	A $200 benefit maximum applies to upgrades to post cataract surgery eyewear that are not medically necessary. Benefit maximum is available following cataract surgery once per operated eye.	2					2														2		2														2	2
H8166	801	0	1	04	01	H8166_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8166	802	0	1	04	01	H8166_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8166	803	0	1	04	01	H8166_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8166	804	0	1	04	01	H8166_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8173	001	0	1	01	01	H8173_001_0	10	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H8173	002	0	1	01	01	H8173_002_0	11	1	01	2	2	1	3								2					2				2								1	010	5.00	5.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		2														2	2
H8173	005	0	1	01	01	H8173_005_0	8	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H8173	007	0	1	01	01	H8173_007_0	10	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H8173	011	0	1	01	01	H8173_011_0	11	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H8173	013	0	1	01	01	H8173_013_0	10	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H8173	014	0	1	01	01	H8173_014_0	11	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H8173	016	0	1	01	01	H8173_016_0	11	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		2														2	2
H8173	019	0	1	01	01	H8173_019_0	10	1	01	2	2	1	3								2					2				2								1	010	50.00	50.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		2														2	2
H8176	001	0	1	01	01	H8176_001_0	5	1	01	2	1										1		300.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H8176	003	0	1	01	01	H8176_003_0	6	1	01	2	1										1		100.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					1	010000	20	20											2		2														2	2
H8181	001	0	1	04	01	H8181_001_0	6	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	200.00	3																		2					2														2		2														2	2
H8181	002	0	1	04	01	H8181_002_0	6	1	01	2	2	1	3								2					2				2								1	011	40.00	40.00	10.00	10.00			2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	200.00	3																		2					2														2		2														2	2
H8181	801	0	1	04	01	H8181_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8181	802	0	1	04	01	H8181_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8181	803	0	1	04	01	H8181_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8181	804	0	1	04	01	H8181_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8189	001	0	1	01	01	H8189_001_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H8189	007	0	1	01	01	H8189_007_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H8197	002	1	1	48	05	H8197_002_1	4	1	01	2	2	1	6	Plan covers eye exams every 12 months.							2					2				2								2								2		2	2	1	01100	2	2	1	2		2	2	1	2													2																							2					2														2		2														2	2
H8197	002	2	1	48	05	H8197_002_2	6	1	01	2	2	1	6	Plan covers eye exams every 12 months.							2					2				2								2								2		2	2	1	01100	2	2	1	2		2	2	1	2													2																							2					2														2		2														2	2
H8211	001	0	1	04	01	H8211_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8211	002	0	1	04	01	H8211_002_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8211	005	0	1	04	01	H8211_005_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8211	006	0	1	04	01	H8211_006_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8211	007	0	1	04	01	H8211_007_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8211	009	0	1	04	01	H8211_009_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8211	010	0	1	04	01	H8211_010_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8211	011	0	1	04	01	H8211_011_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8213	001	0	1	48	05	H8213_001_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	2	1	2		2	2	1	2													1		2	1	150.00	2																		2					2														2		2														2	2
H8225	003	0	1	01	01	H8225_003_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H8244	002	0	1	04	01	H8244_002_0	15	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	4	2	1	2		4	2	1	2		4	2	1	2		4	2	1	2			1	1	2	1	150.00	2																		2					2														2		2														2	2
H8244	801	0	1	04	01	H8244_801_0	2	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														1	2
H8244	802	0	1	04	01	H8244_802_0	2	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														1	2
H8244	803	0	1	04	01	H8244_803_0	2	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														1	2
H8244	804	0	1	04	01	H8244_804_0	2	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														1	2
H8293	001	0	1	01	01	H8293_001_0	9	1	01	2	1										2					2				2								1	010	25.00	25.00					2		2	2	1	00100						2	2	1	3													1		2	1	100.00	3																		2					2														2		2														2	2
H8293	002	0	1	01	01	H8293_002_0	8	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	00100						2	2	1	3													1		2	1	100.00	3																		2					2														2		2														2	2
H8298	001	0	1	01	01	H8298_001_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8330	001	0	1	01	01	H8330_001_0	8	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	2
H8330	002	0	1	01	01	H8330_002_0	8	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														2	2
H8332	001	0	1	01	01	H8332_001_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	350.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H8332	002	0	1	01	01	H8332_002_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H8332	003	0	1	01	01	H8332_003_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	290.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H8332	004	0	1	01	01	H8332_004_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H8332	005	0	1	01	01	H8332_005_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H8332	801	0	1	01	01	H8332_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8332	802	0	1	01	01	H8332_802_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8379	001	0	1	01	01	H8379_001_0	8	1	11	2	2	1	3		Diabetic Retinal Eye Exam	2	2	1	3		2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H8379	002	0	1	01	01	H8379_002_0	9	1	11	2	2	1	3		Diabetic Retinal Eye Exam	2	2	1	3		2					2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		2														2	2
H8385	001	0	1	04	01	H8385_001_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H8385	002	0	1	04	01	H8385_002_0	8	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H8385	003	0	1	04	01	H8385_003_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	1	100.00	3																		2					2														2		2														2	2
H8385	004	0	1	04	01	H8385_004_0	8	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1	2	2	1	100.00	3																		2					2														2		2														2	2
H8390	015	0	1	01	01	H8390_015_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	350.00	3																		2					1	010000	20	20											2		2														2	2
H8390	016	0	1	01	01	H8390_016_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	350.00	3																		2					1	010000	20	20											2		2														2	2
H8424	001	0	1	20	08	H8424_001_0	1																																																																																																																													
H8424	002	0	1	20	08	H8424_002_0	1																																																																																																																													
H8432	007	0	1	01	01	H8432_007_0	9	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8432	009	0	1	01	01	H8432_009_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8432	010	0	1	01	01	H8432_010_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8432	011	0	1	01	01	H8432_011_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8432	016	0	1	01	01	H8432_016_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	175.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8432	028	0	1	01	01	H8432_028_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	250.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8432	034	0	1	01	01	H8432_034_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	125.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8432	036	0	1	01	01	H8432_036_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	2		3					3					3					3																													2					2														2		1	010000	0.00	0.00											2	2
H8432	037	1	1	01	01	H8432_037_1	4	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H8432	037	2	1	01	01	H8432_037_2	4	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H8432	038	1	1	01	01	H8432_038_1	7	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	500.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H8432	038	2	1	01	01	H8432_038_2	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	500.00	3																		2					2														2		1	010000	0.00	0.00											2	2
H8432	039	1	1	01	01	H8432_039_1	7	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8432	039	2	1	01	01	H8432_039_2	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8432	040	0	1	01	01	H8432_040_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H8432	801	0	1	01	01	H8432_801_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8432	802	0	1	01	01	H8432_802_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8432	803	0	2	01	01	H8432_803_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8432	804	0	1	01	01	H8432_804_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8432	805	0	1	01	01	H8432_805_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8432	806	0	2	01	01	H8432_806_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8432	807	0	2	01	01	H8432_807_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8432	809	0	1	01	01	H8432_809_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8432	811	0	2	01	01	H8432_811_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8432	813	0	1	01	01	H8432_813_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8432	815	0	2	01	01	H8432_815_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8432	816	0	2	01	01	H8432_816_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8452	001	0	1	48	05	H8452_001_0	4	1	01	2	2	1	6	Routine eye exams are covered by Plan one time per 12-month period for members under 21 and over 59 years of age, or per 24-month period for members 21 through 59 years of age.							2					2				2								2								2		2	2	1	01111	2	2	1	6	Routine eyewear is covered by Plan one time per 12-month period for members under 21 and over 59 years of age or per 24-month period for members 21 through 59 years of age.	2	2	1	6	Routine eyewear is covered by Plan one time per 12-month period for members under 21 and over 59 years of age or per 24-month period for members 21 through 59 years of age.	2	2	1	6	Routine eyewear is covered by Plan one time per 12-month period for members under 21 and over 59 years of age or per 24-month period for members 21 through 59 years of age.	2	2	1	6	Routine eyewear is covered by Plan one time per 12-month period for members under 21 and over 59 years of age or per 24-month period for members 21 through 59 years of age.		2																							2					2														2		2														2	2
H8457	001	0	1	01	01	H8457_001_0	5	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	2																		2					2														2		2														2	2
H8458	003	0	1	04	01	H8458_003_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H8492	001	0	1	01	01	H8492_001_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H8547	001	0	1	01	01	H8547_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	200.00	3																		2					2														2		1	011011	35.00	35.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H8552	020	0	1	04	01	H8552_020_0	7	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H8552	028	0	1	04	01	H8552_028_0	5	1	01	2	2	1	3								1	2	69.00	3		2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	300.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8552	029	0	1	04	01	H8552_029_0	7	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8553	001	0	1	04	01	H8553_001_0	19	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H8553	002	0	1	04	01	H8553_002_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H8554	001	0	1	01	01	H8554_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	150.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H8554	003	0	1	01	01	H8554_003_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11011	2	1									2	1				2	1				2	1		2	1	400.00	3																		2					1	010000	20	20											2		1	101011			0.00	0.00			0.00	0.00	0.00	0.00	0.00	0.00	2	2
H8554	004	0	1	01	01	H8554_004_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H8578	001	0	1	01	01	H8578_001_0	9	1	11	2	2	1	3		Eye Refraction	2	2	2	3		2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	2																		2					2														2		2														2	2
H8578	003	0	1	01	01	H8578_003_0	7	1	11	2	2	1	3		Eye Refraction	2	2	2	3		2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	2																		2					2														2		2														2	2
H8578	004	0	1	01	01	H8578_004_0	9	1	11	2	2	1	3		Eye Refraction	2	2	2	3		2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	2																		2					2														2		2														2	2
H8578	009	0	1	01	01	H8578_009_0	7	1	11	2	2	1	3		Eye Refraction	2	2	2	3		2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	2																		2					2														2		2														2	2
H8578	012	0	1	01	01	H8578_012_0	9	1	11	2	2	1	3		Eye Refraction	2	2	2	3		2					2				2								1	010	45.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	2																		2					2														2		2														2	2
H8578	018	0	1	01	01	H8578_018_0	10	1	11	2	2	1	3		Eye Refraction	2	2	2	3		2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	2																		2					2														2		2														2	2
H8578	801	0	1	02	01	H8578_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8578	802	0	1	02	01	H8578_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8578	803	0	1	02	01	H8578_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8597	001	0	1	01	01	H8597_001_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	510.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H8597	002	0	1	01	01	H8597_002_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H8597	003	0	1	01	01	H8597_003_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	600.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H8604	010	0	1	04	01	H8604_010_0	14	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	1	150.00	3																		2					2														2		2														2	2
H8604	011	0	1	04	01	H8604_011_0	14	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	1	150.00	3																		2					2														2		2														2	2
H8604	013	0	1	04	01	H8604_013_0	14	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	1	150.00	3																		2					2														2		2														2	2
H8604	014	1	1	04	01	H8604_014_1	17	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	1	200.00	3																		2					2														2		2														2	2
H8604	014	2	1	04	01	H8604_014_2	16	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	1	200.00	3																		2					2														2		2														2	2
H8604	801	0	1	04	01	H8604_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8614	001	0	1	20	08	H8614_001_0	1																																																																																																																													
H8614	002	0	1	20	08	H8614_002_0	1																																																																																																																													
H8634	003	0	1	04	01	H8634_003_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	35.00	35.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H8634	004	0	1	04	01	H8634_004_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	35.00	35.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H8634	008	0	1	04	01	H8634_008_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H8634	009	0	1	04	01	H8634_009_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11011	2	1									2	1				2	1				2	1	2	2	1	250.00	3																		2					1	010000	20	20											2		1	101011			0.00	0.00			0.00	0.00	0.00	0.00	0.00	0.00	2	2
H8634	010	0	1	04	01	H8634_010_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
H8634	012	0	1	04	01	H8634_012_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	1				2	1					1	2	2	1	100.00	3																		2					2														2		1	011011	35.00	35.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H8634	014	0	1	04	01	H8634_014_0	7	1	01	2	2	1	3								2					2				1	011	0	0	0	0			2								2		2	2	2																																														2					1	010000	0	0											2		2														2	2
H8634	015	0	1	04	01	H8634_015_0	6	1	01	2	2	1	3								2					2				1	011	0	0	0	0			2								2		2	2	2																																														2					1	010000	0	0											2		2														2	2
H8634	016	0	1	04	01	H8634_016_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	125.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H8634	017	0	1	04	01	H8634_017_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	35.00	35.00											2	2
H8634	018	0	1	04	01	H8634_018_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H8634	019	0	1	04	01	H8634_019_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	2	1	3							2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H8634	020	0	1	04	01	H8634_020_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H8634	021	0	1	04	01	H8634_021_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H8634	801	0	1	04	01	H8634_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8634	803	0	1	04	01	H8634_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8634	805	0	1	04	01	H8634_805_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8634	807	0	1	04	01	H8634_807_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8634	809	0	1	04	01	H8634_809_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8634	811	0	1	04	01	H8634_811_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8634	813	0	1	04	01	H8634_813_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8634	815	0	1	04	01	H8634_815_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8634	817	0	1	04	01	H8634_817_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8634	819	0	1	04	01	H8634_819_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8634	820	0	1	04	01	H8634_820_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8634	821	0	1	04	01	H8634_821_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8634	822	0	1	04	01	H8634_822_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8634	823	0	1	04	01	H8634_823_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8634	824	0	1	04	01	H8634_824_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8649	003	0	1	02	01	H8649_003_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	275.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H8649	008	0	1	02	01	H8649_008_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H8649	010	0	1	01	01	H8649_010_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				1	010	20	20					1	101			0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H8649	801	0	1	01	01	H8649_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8649	803	0	1	01	01	H8649_803_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8655	004	0	1	20	08	H8655_004_0	1																																																																																																																													
H8655	005	0	1	20	08	H8655_005_0	1																																																																																																																													
H8711	004	0	1	04	01	H8711_004_0	18	2																		2				2								1	010	0.00	40.00					2		1	2	2																																														2					2														2		1	010000	0.00	0.00											1	2
H8764	001	0	1	01	01	H8764_001_0	7	2		3																2				2								1	010	25.00	25.00					2		2	2	2																																														2					2														2		2														1	2
H8764	002	0	1	02	01	H8764_002_0	7	2		3																2				2								1	010	20.00	20.00					2		2	2	2																																														2					2														2		2														1	2
H8764	003	0	1	01	01	H8764_003_0	7	2		3																2				2								1	010	45.00	45.00					2		2	2	2																																														2					2														2		2														1	2
H8764	004	0	1	01	01	H8764_004_0	7	2		3																2				2								1	010	45.00	45.00					2		2	2	2																																														2					2														2		2														1	2
H8764	801	0	1	02	01	H8764_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8768	003	0	1	04	01	H8768_003_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	005	0	1	04	01	H8768_005_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	007	0	1	04	01	H8768_007_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	008	0	1	04	01	H8768_008_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	009	0	1	04	01	H8768_009_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	010	0	1	04	01	H8768_010_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	011	0	1	04	01	H8768_011_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	013	0	1	04	01	H8768_013_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	014	0	1	04	01	H8768_014_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	016	0	1	04	01	H8768_016_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	017	1	1	04	01	H8768_017_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	100.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	017	2	1	04	01	H8768_017_2	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	300.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	018	0	1	04	01	H8768_018_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	019	0	1	04	01	H8768_019_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	020	0	1	04	01	H8768_020_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	021	0	1	04	01	H8768_021_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	022	0	1	04	01	H8768_022_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	023	0	1	04	01	H8768_023_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	024	0	1	04	01	H8768_024_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	025	0	1	04	01	H8768_025_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	026	0	1	04	01	H8768_026_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	027	0	1	04	01	H8768_027_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	028	0	1	04	01	H8768_028_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	030	0	1	04	01	H8768_030_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	031	0	1	04	01	H8768_031_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	032	0	1	04	01	H8768_032_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	034	0	1	04	01	H8768_034_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	035	0	1	04	01	H8768_035_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	037	1	1	04	01	H8768_037_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	037	2	1	04	01	H8768_037_2	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	038	1	1	04	01	H8768_038_1	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	038	2	1	04	01	H8768_038_2	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	039	0	1	04	01	H8768_039_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	040	0	1	04	01	H8768_040_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	042	0	1	04	01	H8768_042_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	043	0	1	04	01	H8768_043_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	044	0	1	04	01	H8768_044_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	045	0	1	04	01	H8768_045_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	046	0	1	04	01	H8768_046_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	047	0	1	04	01	H8768_047_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	048	0	1	04	01	H8768_048_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	049	0	1	04	01	H8768_049_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	050	0	1	04	01	H8768_050_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8768	051	0	1	04	01	H8768_051_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	2													1	2	2	1	250.00	2																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
H8769	001	0	1	20	08	H8769_001_0	1																																																																																																																													
H8769	002	0	1	20	08	H8769_002_0	1																																																																																																																													
H8777	001	0	1	20	08	H8777_001_0	1																																																																																																																													
H8777	002	0	1	20	08	H8777_002_0	1																																																																																																																													
H8783	001	0	1	04	01	H8783_001_0	10	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		2														2	2
H8783	002	0	1	04	01	H8783_002_0	9	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H8783	003	0	1	04	01	H8783_003_0	10	1	01	2	2	1	3								2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	900.00	3																		2					1	010000	20	20											2		2														2	2
H8786	001	0	1	48	05	H8786_001_0	7	1	01	2	2	1	3								2					2				2								2								2		1	2	1	11100	2	2	1	3		2	2	1	3												2	2																							2					2														2		2														1	2
H8794	001	0	1	01	01	H8794_001_0	11	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	350.00	3																		2					2														2		2														2	1
H8794	002	0	1	01	01	H8794_002_0	11	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	350.00	3																		2					2														2		2														2	1
H8794	004	0	1	01	01	H8794_004_0	8	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	350.00	3																		2					2														2		2														2	1
H8794	005	0	1	01	01	H8794_005_0	11	1	01	2	1										2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	1	1	01111	2	1				2	1				2	1				2	1					1		2	1	350.00	3																		2					2														2		2														2	1
H8797	001	0	1	01	01	H8797_001_0	11	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H8797	003	0	1	02	01	H8797_003_0	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	10111						2	1				2	1				2	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H8797	004	0	1	02	01	H8797_004_0	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	10111						2	1				2	1				2	1				2	1		2	1	225.00	3																		2					1	010000	20	20											2		2														2	2
H8800	001	0	1	20	08	H8800_001_0	1																																																																																																																													
H8800	002	0	1	20	08	H8800_002_0	1																																																																																																																													
H8845	001	0	1	01	01	H8845_001_0	4	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	00111						2	1				2	1				2	1					1		2	1	500.00	3																		2					1	010000	20	20											2		2														2	2
H8845	002	0	1	01	01	H8845_002_0	7	1	01	2	1										1		200.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H8849	001	0	1	01	01	H8849_001_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	150.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8849	002	0	1	01	01	H8849_002_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8849	003	0	1	01	01	H8849_003_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	250.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8849	005	0	1	01	01	H8849_005_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	250.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8849	006	0	1	01	01	H8849_006_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	20.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8849	009	0	1	01	01	H8849_009_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	200.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8849	010	1	1	01	01	H8849_010_1	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	500.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8849	010	2	1	01	01	H8849_010_2	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	500.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8849	010	4	1	01	01	H8849_010_4	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	500.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8849	010	5	1	01	01	H8849_010_5	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	450.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8849	011	1	1	01	01	H8849_011_1	7	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8849	011	2	1	01	01	H8849_011_2	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8849	011	3	1	01	01	H8849_011_3	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	350.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8849	011	4	1	01	01	H8849_011_4	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8849	011	5	1	01	01	H8849_011_5	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8849	013	0	1	01	01	H8849_013_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	10.00	0.00	0.00			2		1	2	1	01111	4	1				4	1				4	1				4	1					1		2	1	150.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8854	002	0	1	01	01	H8854_002_0	6	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H8889	001	0	1	04	01	H8889_001_0	6	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H8889	002	0	1	04	01	H8889_002_0	5	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H8889	003	0	1	04	01	H8889_003_0	6	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H8889	004	0	1	04	01	H8889_004_0	5	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		2														2	2
H8889	005	0	1	04	01	H8889_005_0	5	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H8889	008	0	1	04	01	H8889_008_0	5	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	010	0.00	50.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		2														2	2
H8889	009	0	1	04	01	H8889_009_0	4	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	010	0.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H8889	010	0	1	04	01	H8889_010_0	5	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H8889	011	0	1	04	01	H8889_011_0	5	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H8889	012	0	1	04	01	H8889_012_0	5	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H8889	013	0	1	04	01	H8889_013_0	5	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H8889	014	0	1	04	01	H8889_014_0	5	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H8889	015	0	1	04	01	H8889_015_0	5	1	11	2	2	1	3		Additional Refraction	2	2	1	3		2					2				2								1	010	0.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H8889	801	0	1	04	01	H8889_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8894	001	0	1	01	01	H8894_001_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01011	2	1									2	1				2	1					1		2	2				01001	350.00	3								350.00	3					2					1	010000	20	20											2		2														2	2
H8902	001	0	1	01	01	H8902_001_0	7	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	310.00	2																		2					2														2		2														1	1
H8902	002	0	1	01	01	H8902_002_0	6	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
H8902	003	0	1	01	01	H8902_003_0	6	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
H8902	004	0	1	01	01	H8902_004_0	7	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	200.00	2																		2					2														2		2														1	1
H8902	005	0	1	01	01	H8902_005_0	7	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	250.00	2																		2					2														2		2														1	1
H8902	006	0	1	01	01	H8902_006_0	6	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	250.00	2																		2					2														2		2														1	1
H8902	007	0	1	01	01	H8902_007_0	7	1	01	2	2	1	3								2					2				2								1	010	15.00	15.00					2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	250.00	2																		2					2														2		2														1	1
H8902	008	0	1	01	01	H8902_008_0	7	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	150.00	2																		2					2														2		2														1	1
H8902	009	0	1	01	01	H8902_009_0	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		1	1	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														1	1
H8908	001	0	1	02	01	H8908_001_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H8908	002	0	1	01	01	H8908_002_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H8908	004	0	1	02	01	H8908_004_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
H8908	005	0	1	01	01	H8908_005_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	550.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							1	2
H8908	801	0	1	01	01	H8908_801_0	6	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H8908	802	0	1	01	01	H8908_802_0	6	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H8908	804	0	1	01	01	H8908_804_0	7	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H8908	805	0	1	01	01	H8908_805_0	7	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H8928	001	0	1	01	01	H8928_001_0	7	2																		2				1	010	20	20					2								2		2	2	1	11111	2	1				2	2	2	3		2	2	2	3		2	2	2	3		2	1		2	1	570.00	3																		2					1	010000	20	20											2		2														2	2
H8947	001	1	1	04	01	H8947_001_1	7	1	01	2	2	1	3								1	2	200.00	3		2				2								2								2		2	2	1	10111						2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H8947	001	2	1	04	01	H8947_001_2	6	1	01	2	2	1	3								1	2	200.00	3		2				2								2								2		2	2	1	10111						2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H8947	002	1	1	04	01	H8947_002_1	7	1	01	2	2	1	3								1	2	200.00	3		2				2								2								2		2	2	1	10111						2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H8947	002	2	1	04	01	H8947_002_2	6	1	01	2	2	1	3								1	2	200.00	3		2				2								2								2		2	2	1	10111						2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H8967	001	0	1	01	01	H8967_001_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	2				01100	100.00	3		300.00	3											2					2														2		2														2	2
H8967	002	0	1	01	01	H8967_002_0	8	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	2				01100	100.00	3		275.00	3											2					2														2		2														2	2
H8982	001	0	1	20	08	H8982_001_0	1																																																																																																																													
H8982	003	0	1	20	08	H8982_003_0	1																																																																																																																													
H8992	001	0	1	20	08	H8992_001_0	1																																																																																																																													
H8992	002	0	1	20	08	H8992_002_0	1																																																																																																																													
H8998	001	0	1	04	01	H8998_001_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1	2	2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H8998	801	0	1	04	01	H8998_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H8998	802	0	1	04	01	H8998_802_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9001	030	15	1	01	01	H9001_030_15	6	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	150.00	3																		2					2														2		2														2	2
H9001	030	16	1	01	01	H9001_030_16	6	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	150.00	3																		2					2														2		2														2	2
H9001	030	18	1	01	01	H9001_030_18	6	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	150.00	3																		2					2														2		2														2	2
H9001	031	15	1	01	01	H9001_031_15	7	1	01	2	2	1	3								2					2				2								1	011	20.00	20.00	20.00	20.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	150.00	3																		2					2														2		2														2	2
H9001	031	16	1	01	01	H9001_031_16	6	1	01	2	2	1	3								2					2				2								1	011	20.00	20.00	20.00	20.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	150.00	3																		2					2														2		2														2	2
H9001	031	18	1	01	01	H9001_031_18	6	1	01	2	2	1	3								2					2				2								1	011	20.00	20.00	20.00	20.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	150.00	3																		2					2														2		2														2	2
H9001	035	0	1	01	01	H9001_035_0	6	1	01	2	2	1	3								2					2				2								1	011	20.00	20.00	20.00	20.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	150.00	3																		2					2														2		2														2	2
H9001	036	0	1	01	01	H9001_036_0	6	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	150.00	3																		2					2														2		2														2	2
H9001	038	0	1	01	01	H9001_038_0	6	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	150.00	3																		2					2														2		2														2	2
H9001	039	0	1	01	01	H9001_039_0	4	1	01	2	2	1	3								2					2				2								1	011	40.00	40.00	40.00	40.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	150.00	3																		2					2														2		2														2	2
H9001	040	0	1	01	01	H9001_040_0	6	1	01	2	2	1	3								2					2				2								1	011	20.00	20.00	20.00	20.00			2		2	2	1	11111	2	1				2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	1	150.00	3																		2					2														2		2														2	2
H9001	803	0	1	01	01	H9001_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9001	804	0	1	01	01	H9001_804_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9001	805	0	1	01	01	H9001_805_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9001	806	0	1	01	01	H9001_806_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9001	807	0	1	01	01	H9001_807_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9001	808	0	1	01	01	H9001_808_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9003	001	0	1	02	01	H9003_001_0	10	1	01	2	1										2					2				2								1	011	0.00	20.00	20.00	20.00			2		2	2	2																																														2					2														2		2														2	2
H9003	006	0	1	02	01	H9003_006_0	10	1	01	2	1										2					2				2								1	011	0.00	35.00	35.00	35.00			2		2	2	2																																														2					2														2		2														2	2
H9003	008	0	1	02	01	H9003_008_0	11	1	01	2	1										2					2				2								1	011	0.00	35.00	35.00	35.00			2		2	2	2																																														2					2														2		2														2	2
H9003	009	0	1	02	01	H9003_009_0	10	1	01	2	1										2					2				2								1	011	0.00	35.00	35.00	35.00			2		2	2	2																																														2					2														2		2														2	2
H9003	801	0	1	01	01	H9003_801_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9003	802	0	1	01	01	H9003_802_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9003	805	0	1	01	01	H9003_805_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9042	002	1	1	04	01	H9042_002_1	7	1	01	2	1										1	2	200.00	3		2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		1																					2					2														2		2														2	2
H9042	002	2	1	04	01	H9042_002_2	7	1	01	2	1										1	2	200.00	3		2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		1																					2					2														2		2														2	2
H9042	003	1	1	04	01	H9042_003_1	6	1	01	2	1										1	2	200.00	3		2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		1																					2					2														2		2														2	2
H9042	003	2	1	04	01	H9042_003_2	6	1	01	2	1										1	2	200.00	3		2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		1																					2					2														2		2														2	2
H9047	013	0	2	01	01	H9047_013_0	6	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	215.00	3																		2					2														2		2														2	2
H9047	033	0	1	01	01	H9047_033_0	4	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		2														2	2
H9047	035	0	1	02	01	H9047_035_0	6	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		2														2	2
H9047	037	0	1	01	01	H9047_037_0	8	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H9047	043	0	1	01	01	H9047_043_0	8	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H9047	054	0	1	01	01	H9047_054_0	8	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H9047	059	0	1	02	01	H9047_059_0	10	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					1	010000	20	20											2		2														2	2
H9047	062	0	1	02	01	H9047_062_0	11	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		2														2	2
H9047	063	0	1	01	01	H9047_063_0	11	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		2														2	2
H9047	064	0	1	01	01	H9047_064_0	8	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		2														2	2
H9047	065	0	1	02	01	H9047_065_0	10	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		2														2	2
H9047	066	0	1	01	01	H9047_066_0	5	1	01	2	2	1	3								2					2				2								2								2		2	1	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		2														2	2
H9047	804	0	1	01	01	H9047_804_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9047	805	0	1	02	01	H9047_805_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9047	808	0	1	01	01	H9047_808_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9047	809	0	1	02	01	H9047_809_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9052	001	0	1	20	08	H9052_001_0	1																																																																																																																													
H9052	002	0	1	20	08	H9052_002_0	1																																																																																																																													
H9065	001	0	1	01	01	H9065_001_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	300.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9065	002	0	1	02	01	H9065_002_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	125.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9065	003	0	1	02	01	H9065_003_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	125.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9065	004	0	1	02	01	H9065_004_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	125.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9065	006	0	1	01	01	H9065_006_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9065	007	0	1	01	01	H9065_007_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9065	008	0	1	01	01	H9065_008_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9066	001	0	1	01	01	H9066_001_0	4	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	700.00	3																		2					2														2		2														2	2
H9066	002	0	1	01	01	H9066_002_0	4	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	700.00	3																		2					1	010000	20	20											2		2														2	2
H9066	003	0	1	01	01	H9066_003_0	5	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	600.00	3																		2					1	010000	20	20											2		2														2	2
H9068	001	0	1	20	08	H9068_001_0	1																																																																																																																													
H9068	002	0	1	20	08	H9068_002_0	1																																																																																																																													
H9096	001	0	1	02	01	H9096_001_0	6	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	2																		2					2														2		2														2	2
H9096	002	0	1	02	01	H9096_002_0	6	1	01	2	2	1	3								2					2				2								1	011	35.00	35.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	2																		2					2														2		2														2	2
H9096	004	0	1	01	01	H9096_004_0	6	1	01	2	2	1	3								2					2				2								1	011	45.00	45.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	2																		2					2														2		2														2	2
H9096	005	0	1	01	01	H9096_005_0	6	1	01	2	2	1	3								2					2				2								1	010	35.00	35.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	2																		2					2														2		2														2	2
H9096	010	0	1	02	01	H9096_010_0	4	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	2																		2					2														2		2														2	2
H9096	801	0	1	01	01	H9096_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9096	802	0	1	01	01	H9096_802_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9096	803	0	1	01	01	H9096_803_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9096	804	0	1	02	01	H9096_804_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9096	805	0	1	02	01	H9096_805_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9096	806	0	1	02	01	H9096_806_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9104	006	0	1	01	01	H9104_006_0	7	1	01	2	2	1	3								2					2				2								1	010	10.00	10.00					2		1	1	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	300.00	2																		2					2														2		1	010000	10.00	10.00											1	1
H9147	001	0	1	02	01	H9147_001_0	7	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9153	001	0	1	01	01	H9153_001_0	5	1	11	2	2	1	3		WVSA eye exam services	2	2	1	3		2					2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		2														2	2
H9179	001	0	1	01	01	H9179_001_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	225.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9179	002	0	1	01	01	H9179_002_0	8	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9179	003	0	1	01	01	H9179_003_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	225.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9179	801	0	1	01	01	H9179_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9179	802	0	1	01	01	H9179_802_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9185	001	0	1	20	08	H9185_001_0	1																																																																																																																													
H9185	002	0	1	20	08	H9185_002_0	1																																																																																																																													
H9191	001	0	1	01	01	H9191_001_0	5	1	01	2	2	1	3								2					2				1	011	20	20	0	0			2								2		2	2	1	01011	2	1									2	1				2	1					1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H9191	004	0	1	01	01	H9191_004_0	5	1	01	2	2	1	3								2					2				1	011	20	20	0	0			2								2		2	2	1	01011	2	1									2	1				2	1					1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H9207	002	0	1	02	01	H9207_002_0	10	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01100	2	1				2	2	1	3													1		2	1	300.00	3																		2					2														2		2														2	2
H9207	004	0	1	01	01	H9207_004_0	13	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	2	1	3													1		2	1	500.00	3																		2					2														2		2														2	2
H9207	012	0	1	02	01	H9207_012_0	11	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	01100	2	1				2	2	1	3													1		2	1	400.00	3																		2					2														2		2														2	2
H9207	013	0	1	02	01	H9207_013_0	10	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		2														2	2
H9207	014	0	1	02	01	H9207_014_0	11	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		2														2	2
H9207	015	0	1	02	01	H9207_015_0	12	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		2														2	2
H9207	016	0	1	01	01	H9207_016_0	12	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	2	1	3													1		2	1	200.00	3																		2					2														2		2														2	2
H9219	001	0	1	04	01	H9219_001_0	9	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9219	002	0	1	04	01	H9219_002_0	8	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9231	001	0	1	04	01	H9231_001_0	11	1	01	2	2	1	3								2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H9231	002	0	1	04	01	H9231_002_0	10	1	01	2	2	1	3								2					2				2								1	010	50.00	50.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H9231	005	0	1	04	01	H9231_005_0	10	1	01	2	2	1	3								2					2				2								1	010	50.00	50.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H9231	006	0	1	04	01	H9231_006_0	11	1	01	2	2	1	3								2					2				2								1	010	50.00	50.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H9231	007	0	1	04	01	H9231_007_0	11	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H9231	010	0	1	04	01	H9231_010_0	11	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		2														2	2
H9239	001	0	1	48	05	H9239_001_0	4	1	01	2	2	1	6	See notes							2					2				2								2								2		2	2	1	01111	2	2	1	6	See notes.	2	2	1	6	See  notes.	2	2	1	6	See notes.	2	2	1	6	See notes.		2																							2					2														2		2														2	2
H9252	001	0	1	20	08	H9252_001_0	1																																																																																																																													
H9252	002	0	1	20	08	H9252_002_0	1																																																																																																																													
H9258	001	0	1	01	01	H9258_001_0	18	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9266	001	0	1	20	08	H9266_001_0	1																																																																																																																													
H9266	003	0	1	20	08	H9266_003_0	1																																																																																																																													
H9276	805	0	1	01	01	H9276_805_0	12	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H9306	001	0	1	01	01	H9306_001_0	6	1	01	2	2	1	3								2					2				2								1	011	40.00	40.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H9306	002	0	1	01	01	H9306_002_0	6	1	01	2	2	1	3								2					2				2								1	011	40.00	40.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	275.00	2																		2					1	010000	20	20											2		2														2	2
H9306	003	0	1	01	01	H9306_003_0	5	1	01	2	2	1	3								2					2				2								1	011	40.00	40.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H9306	004	0	1	01	01	H9306_004_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	2																		2					1	010000	20	20											2		2														2	2
H9306	005	0	1	01	01	H9306_005_0	6	1	01	2	2	1	3								2					2				2								1	011	40.00	40.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H9306	007	0	1	01	01	H9306_007_0	5	1	01	2	2	1	3								2					2				2								1	011	40.00	40.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	400.00	2																		2					1	010000	20	20											2		2														2	2
H9323	001	0	1	20	08	H9323_001_0	1																																																																																																																													
H9323	002	0	1	20	08	H9323_002_0	1																																																																																																																													
H9335	001	0	1	01	01	H9335_001_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9335	003	0	1	01	01	H9335_003_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9335	005	0	1	01	01	H9335_005_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9335	006	0	1	01	01	H9335_006_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9357	001	0	1	04	01	H9357_001_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9364	001	0	1	01	01	H9364_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9364	002	0	1	01	01	H9364_002_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9364	003	0	1	01	01	H9364_003_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9364	004	0	1	01	01	H9364_004_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9387	001	0	1	04	01	H9387_001_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9387	002	0	1	04	01	H9387_002_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9387	004	0	1	04	01	H9387_004_0	18	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9403	001	0	1	01	01	H9403_001_0	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	00100						2	2	1	3													1		2	1	100.00	3																		2					1	010000	20	20											2		2														2	2
H9403	003	0	1	01	01	H9403_003_0	8	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	00100						2	2	1	3													1		2	1	100.00	3																		2					2														2		2														2	2
H9403	004	0	1	01	01	H9403_004_0	9	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	00100						2	2	1	3													1		2	1	200.00	3																		2					2														2		2														2	2
H9412	803	0	1	04	01	H9412_803_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9414	001	0	1	04	01	H9414_001_0	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01100	2	1				2	1															1	2	2	1	350.00	3																		2					2														2		2														2	2
H9414	002	0	1	04	01	H9414_002_0	11	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11100	2	1				2	1														2	1	2	2	1	350.00	3																		2					2														2		2														2	2
H9428	001	0	1	04	01	H9428_001_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9428	002	0	1	04	01	H9428_002_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9431	001	0	1	04	01	H9431_001_0	8	1	11	2	2	1	3		Follow up Diabetic Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	285.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H9431	002	0	1	04	01	H9431_002_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H9431	004	0	1	04	01	H9431_004_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H9431	005	0	1	04	01	H9431_005_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H9431	006	0	1	04	01	H9431_006_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	125.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H9431	013	0	1	04	01	H9431_013_0	7	1	11	2	2	1	3		Follow up diabetic eye exams)	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	190.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H9431	014	0	1	04	01	H9431_014_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	240.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H9431	015	0	1	04	01	H9431_015_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H9431	016	0	1	04	01	H9431_016_0	4	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	250.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H9431	017	0	1	04	01	H9431_017_0	4	1	11	2	2	1	3		Follow up Diabetic Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H9431	018	0	1	04	01	H9431_018_0	7	1	11	2	2	1	3		Follow up diabetic eye exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H9431	019	0	1	04	01	H9431_019_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	0.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	325.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H9431	801	0	1	04	01	H9431_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9431	802	0	1	04	01	H9431_802_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9438	001	0	1	20	08	H9438_001_0	1																																																																																																																													
H9438	002	0	1	20	08	H9438_002_0	1																																																																																																																													
H9460	001	0	1	01	01	H9460_001_0	8	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H9468	001	0	1	20	08	H9468_001_0	1																																																																																																																													
H9468	002	0	1	20	08	H9468_002_0	1																																																																																																																													
H9469	001	0	1	04	01	H9469_001_0	4	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9469	002	0	1	04	01	H9469_002_0	4	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9469	003	0	1	04	01	H9469_003_0	4	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9469	004	0	1	04	01	H9469_004_0	5	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9469	005	0	1	04	01	H9469_005_0	5	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	100.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9469	006	0	1	04	01	H9469_006_0	4	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9469	007	0	1	04	01	H9469_007_0	4	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9469	008	0	1	04	01	H9469_008_0	4	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9469	009	0	1	04	01	H9469_009_0	4	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01111	2	1				2	2	1	3		2	2	1	3		2	2	1	3			1	2	2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9485	001	0	1	04	01	H9485_001_0	12	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	01100	2	1				2	1															1	2	2	1	200.00	3																		2					2														2		2														2	2
H9485	002	0	1	04	01	H9485_002_0	11	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	01100	2	1				2	1															1	2	2	1	300.00	3																		2					2														2		2														2	2
H9485	801	0	1	04	01	H9485_801_0	7	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9489	001	0	1	01	01	H9489_001_0	9	1	01	2	2	1	3								2					2				2								1	010	0.00	40.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1		2	2				01001	100.00	3								100.00	3					2					2														2		2														2	2
H9489	801	0	1	01	01	H9489_801_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9489	802	0	1	02	01	H9489_802_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9489	803	0	1	01	01	H9489_803_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9489	804	0	1	02	01	H9489_804_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9489	805	0	1	01	01	H9489_805_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9489	806	0	1	02	01	H9489_806_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9489	807	0	1	01	01	H9489_807_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9489	808	0	1	02	01	H9489_808_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9525	003	0	1	01	01	H9525_003_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	450.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9525	004	0	1	01	01	H9525_004_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9525	006	0	1	01	01	H9525_006_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9525	007	0	1	01	01	H9525_007_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	001111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9525	011	0	1	01	01	H9525_011_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9525	012	0	1	01	01	H9525_012_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9525	013	1	1	01	01	H9525_013_1	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9525	013	2	1	01	01	H9525_013_2	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9525	013	3	1	01	01	H9525_013_3	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9525	013	4	1	01	01	H9525_013_4	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9525	015	0	1	01	01	H9525_015_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9525	016	0	1	01	01	H9525_016_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9525	017	0	1	01	01	H9525_017_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	4	1				4	1				4	1				4	1				2	1		2	1	125.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9525	801	0	1	01	01	H9525_801_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9525	802	0	1	01	01	H9525_802_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9525	803	0	2	01	01	H9525_803_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9525	804	0	1	01	01	H9525_804_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9525	805	0	1	01	01	H9525_805_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9525	806	0	2	01	01	H9525_806_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9525	807	0	2	01	01	H9525_807_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9525	809	0	1	01	01	H9525_809_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9525	811	0	2	01	01	H9525_811_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9525	813	0	1	01	01	H9525_813_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9525	815	0	2	01	01	H9525_815_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9525	816	0	2	01	01	H9525_816_0	4	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9564	001	0	1	20	08	H9564_001_0	1																																																																																																																													
H9564	002	0	1	20	08	H9564_002_0	1																																																																																																																													
H9572	001	1	1	04	01	H9572_001_1	5	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	35.00	35.00	2		2	2	1	01011	4	2	1	6	Glasses or elective contacts are covered every calendar year. The mandatory vision benefit provides a $150 maximum every calendar year for frames or elective contacts.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	001	2	1	04	01	H9572_001_2	5	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	35.00	35.00	2		2	2	1	01011	4	2	1	6	Glasses or elective contacts are covered every calendar year. The mandatory vision benefit provides a $150 maximum every calendar year for frames or elective contacts.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	001	3	1	04	01	H9572_001_3	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	35.00	35.00	2		2	2	1	01011	4	2	1	6	Glasses or elective contacts are covered every calendar year. The mandatory vision benefit provides a $150 maximum every calendar year for frames or elective contacts.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	001	4	1	04	01	H9572_001_4	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	35.00	35.00	2		2	2	1	01011	4	2	1	6	Glasses or elective contacts are covered every calendar year. The mandatory vision benefit provides a $150 maximum every calendar year for frames or elective contacts.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	001	6	1	04	01	H9572_001_6	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	35.00	35.00	2		2	2	1	01011	4	2	1	6	Glasses or elective contacts are covered every calendar year. The mandatory vision benefit provides a $150 maximum every calendar year for frames or elective contacts.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	002	1	1	04	01	H9572_002_1	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	40.00	40.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	002	2	1	04	01	H9572_002_2	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	40.00	40.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	002	3	1	04	01	H9572_002_3	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	40.00	40.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	002	4	1	04	01	H9572_002_4	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	40.00	40.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	002	6	1	04	01	H9572_002_6	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	40.00	0.00	0.00	40.00	40.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	003	1	1	04	01	H9572_003_1	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								2								2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	003	2	1	04	01	H9572_003_2	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								2								2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	003	3	1	04	01	H9572_003_3	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								2								2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	003	4	1	04	01	H9572_003_4	5	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								2								2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	003	6	1	04	01	H9572_003_6	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								2								2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	004	1	1	04	01	H9572_004_1	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	45.00	45.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	004	2	1	04	01	H9572_004_2	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	45.00	45.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	004	3	1	04	01	H9572_004_3	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	45.00	45.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	004	4	1	04	01	H9572_004_4	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	45.00	45.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	004	6	1	04	01	H9572_004_6	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	45.00	45.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	006	1	1	04	01	H9572_006_1	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	50.00	50.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $100 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $100 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	100.00	3																		2					2														2		2														2	2
H9572	006	2	1	04	01	H9572_006_2	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	50.00	50.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $100 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $100 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	100.00	3																		2					2														2		2														2	2
H9572	006	3	1	04	01	H9572_006_3	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	50.00	50.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $100 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $100 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	100.00	3																		2					2														2		2														2	2
H9572	006	4	1	04	01	H9572_006_4	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	50.00	50.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $100 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $100 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	100.00	3																		2					2														2		2														2	2
H9572	006	6	1	04	01	H9572_006_6	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	50.00	50.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $100 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $100 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	100.00	3																		2					2														2		2														2	2
H9572	007	1	1	04	01	H9572_007_1	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	45.00	45.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	007	2	1	04	01	H9572_007_2	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	45.00	45.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	007	3	1	04	01	H9572_007_3	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	45.00	45.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	007	4	1	04	01	H9572_007_4	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	45.00	45.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	007	6	1	04	01	H9572_007_6	4	1	11	2	2	1	3		Lasik and RK	2	1				2					2				2								1	111	0.00	45.00	0.00	0.00	45.00	45.00	2		2	2	1	01011	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses.						2	2	1	6	Standard lenses for glasses covered every calendar year.	4	2	1	6	The mandatory vision benefit provides a $150 maximum benefit every calendar year that applies to frames or elective contact lenses only.		1	2	2	1	150.00	3																		2					2														2		2														2	2
H9572	801	0	1	04	01	H9572_801_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9572	802	0	1	04	01	H9572_802_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9572	803	0	1	04	01	H9572_803_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9572	804	0	1	04	01	H9572_804_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9572	805	0	1	04	01	H9572_805_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9572	806	0	1	04	01	H9572_806_0	2	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9576	001	0	1	48	05	H9576_001_0	8	1	11	2	2	1	2		Eye Exam Services	2	1				2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			2																							2					2														2		2														1	2
H9585	001	0	1	01	01	H9585_001_0	13	2																		2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	325.00	3																		2					1	010000	20	20											2		2														2	2
H9589	003	0	1	04	01	H9589_003_0	9	1	01	2	2	1	3								2					2				2								1	010	50.00	50.00					2		2	2	1	00100						2	2	1	3													1	2	2	1	200.00	3																		2					2														2		2														2	2
H9590	001	0	1	01	01	H9590_001_0	5	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	2																		2					2														2		2														2	2
H9592	001	0	1	20	08	H9592_001_0	1																																																																																																																													
H9592	002	0	1	20	08	H9592_002_0	1																																																																																																																													
H9614	001	0	1	04	01	H9614_001_0	12	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1	1	2	1	150.00	2																		2					2														2		2														2	2
H9614	801	0	1	04	01	H9614_801_0	2	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														1	2
H9614	802	0	1	04	01	H9614_802_0	2	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														1	2
H9614	803	0	1	04	01	H9614_803_0	2	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														1	2
H9614	804	0	1	04	01	H9614_804_0	2	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1	1	2	1	150.00	3																		2					2														2		2														1	2
H9615	007	0	1	04	01	H9615_007_0	11	1	01	2	2	1	3								1	2	300.00	3		2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					1	010000	20	20											2		2														2	2
H9615	008	0	1	04	01	H9615_008_0	10	1	01	2	2	1	3								1	2	300.00	3		2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H9615	010	0	1	04	01	H9615_010_0	10	1	01	2	2	1	3								1	2	300.00	3		2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H9615	012	0	1	04	01	H9615_012_0	10	1	01	2	2	1	3								1	2	300.00	3		2				2								1	010	45.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	175.00	3																		2					1	010000	20	20											2		2														2	2
H9615	014	0	1	04	01	H9615_014_0	10	1	01	2	2	1	3								1	2	300.00	3		2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	175.00	3																		2					1	010000	20	20											2		2														2	2
H9615	015	0	1	04	01	H9615_015_0	14	1	01	2	2	1	3								1	2	300.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	175.00	3																		2					1	010000	20	20											2		2														2	2
H9615	016	0	1	04	01	H9615_016_0	13	1	01	2	2	1	3								1	2	300.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	175.00	3																		2					1	010000	20	20											2		2														2	2
H9615	017	0	1	04	01	H9615_017_0	12	1	01	2	2	1	3								1	2	300.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					1	010000	20	20											2		2														2	2
H9615	018	0	1	04	01	H9615_018_0	11	1	01	2	2	1	3								1	2	300.00	3		2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	175.00	3																		2					1	010000	20	20											2		2														2	2
H9615	019	0	1	04	01	H9615_019_0	11	1	01	2	2	1	3								1	2	300.00	3		2				2								1	010	50.00	50.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	225.00	3																		2					1	010000	20	20											2		2														2	2
H9615	802	0	1	04	01	H9615_802_0	4	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H9615	807	0	1	04	01	H9615_807_0	4	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H9615	810	0	1	04	01	H9615_810_0	4	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H9615	811	0	1	04	01	H9615_811_0	4	2																		2				1	010	20	20					2								2		1	2	2																																														2					1	010000	20	20											2		2														1	2
H9616	001	0	1	20	08	H9616_001_0	1																																																																																																																													
H9616	002	0	1	20	08	H9616_002_0	1																																																																																																																													
H9630	002	0	1	01	01	H9630_002_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9630	005	0	1	01	01	H9630_005_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9630	008	0	1	01	01	H9630_008_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9630	010	0	1	01	01	H9630_010_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9630	011	0	1	01	01	H9630_011_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9630	013	0	1	01	01	H9630_013_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9630	014	0	1	01	01	H9630_014_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9649	001	0	1	20	08	H9649_001_0	1																																																																																																																													
H9649	002	0	1	20	08	H9649_002_0	1																																																																																																																													
H9656	001	0	1	01	01	H9656_001_0	4	1	01	2	2	1	3								2					2				1	010	38	38					1	001			0.00	0.00			2		2	2	1	11100	2	1				2	1														2	1		2	1	150.00	3																		2					1	010000	38	38											2		2														2	2
H9656	002	0	1	01	01	H9656_002_0	4	1	01	2	2	1	3								2					2				1	010	38	38					1	001			0.00	0.00			2		2	2	1	11100	2	1				2	1														2	1		2	1	150.00	3																		2					1	010000	38	38											2		2														2	2
H9662	801	0	1	01	01	H9662_801_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H9662	802	0	1	01	01	H9662_802_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H9678	001	0	1	04	01	H9678_001_0	12	1	11	2	2	1	3		Contact Lens Fitting	2	2	1	3		2					2				2								2								2		2	2	1	01100	2	1				2	1															1	2	2	1	250.00	2																		2					2														2		2														1	2
H9686	001	0	1	01	01	H9686_001_0	12	1	01	2	1										1		1000.00	4		2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		1																					2					2														2		2														2	2
H9686	004	0	1	01	01	H9686_004_0	13	1	01	2	2	1	3								1		750.00	4		2				2								2								2		2	2	1	01111	2	1				2	1				2	1				2	1					1		1																					2					2														2		2														2	2
H9686	005	0	1	01	01	H9686_005_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	1	300.00	3																		2					2														2		2														2	2
H9686	801	0	1	01	01	H9686_801_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H9686	802	0	1	01	01	H9686_802_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H9686	803	0	1	01	01	H9686_803_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H9686	804	0	1	01	01	H9686_804_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H9690	001	0	1	01	01	H9690_001_0	5	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H9699	007	0	1	01	01	H9699_007_0	3	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		2	2	1	11100	2	2	1	3		2	2	1	3												2	1		2	1	100.00	3																		2					2														2		1	111100	0.00	0.00	0.00	0.00	0.00	0.00					0.00	0.00	2	2
H9706	001	0	1	01	01	H9706_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H9706	002	0	1	01	01	H9706_002_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11011	2	1									2	1				2	1				2	1		2	1	200.00	3																		2					1	010000	20	20											2		1	101011			0.00	0.00			0.00	0.00	0.00	0.00	0.00	0.00	2	2
H9706	005	0	1	01	01	H9706_005_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	150.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H9706	007	0	1	01	01	H9706_007_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H9706	008	0	1	01	01	H9706_008_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	100.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H9706	009	0	1	01	01	H9706_009_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		2	2	1	01011	2	1									2	2	1	3		2	2	1	3			1		2	1	150.00	3																		2					2														2		1	011011	0.00	0.00	0.00	0.00			0.00	0.00	0.00	0.00			2	2
H9706	801	0	1	01	01	H9706_801_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9706	802	0	1	01	01	H9706_802_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9706	803	0	1	01	01	H9706_803_0	3	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9712	001	0	1	48	05	H9712_001_0	13	1	01	2	2	1	2								2									2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			2																												2														2		2														1	2
H9725	003	0	1	01	01	H9725_003_0	8	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H9725	005	0	1	01	01	H9725_005_0	5	1	01	2	2	1	3								2					2				2								1	010	0.00	50.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H9725	006	0	1	01	01	H9725_006_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	15.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	200.00	3																		2					2														2		2														2	2
H9725	008	0	1	01	01	H9725_008_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H9725	009	1	1	01	01	H9725_009_1	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H9725	009	2	1	01	01	H9725_009_2	7	1	01	2	2	1	3								2					2				2								1	010	0.00	20.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	350.00	3																		2					2														2		2														2	2
H9725	009	3	1	01	01	H9725_009_3	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H9725	009	4	1	01	01	H9725_009_4	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H9725	010	0	1	01	01	H9725_010_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H9725	011	0	1	01	01	H9725_011_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	250.00	3																		2					2														2		2														2	2
H9725	012	0	1	01	01	H9725_012_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	50.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	150.00	3																		2					2														2		2														2	2
H9725	013	0	1	01	01	H9725_013_0	8	1	01	2	2	1	3								2					2				1	010	0	20					2								2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H9725	014	0	1	01	01	H9725_014_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	25.00					2		2	2	1	11111	2	1				2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	2	1	6	Frequency limitations apply. See notes related to max coverage amount.	2	1		2	1	300.00	3																		2					2														2		2														2	2
H9725	801	0	1	01	01	H9725_801_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H9730	003	0	1	01	01	H9730_003_0	16	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9730	004	0	1	01	01	H9730_004_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9730	005	0	1	02	01	H9730_005_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9730	007	0	1	01	01	H9730_007_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9730	009	0	1	01	01	H9730_009_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9730	010	0	1	01	01	H9730_010_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9730	011	0	1	01	01	H9730_011_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9761	001	0	1	04	01	H9761_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9761	002	0	1	04	01	H9761_002_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9761	004	0	1	04	01	H9761_004_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9763	003	1	1	01	01	H9763_003_1	9	1	01	2	2	1	3								2					2				2								1	011	20.00	20.00	20.00	20.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	400.00	3																		2					2														2		2														2	2
H9763	003	2	1	01	01	H9763_003_2	8	1	01	2	2	1	3								2					2				2								1	011	20.00	20.00	20.00	20.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	400.00	3																		2					2														2		2														2	2
H9763	004	1	1	02	01	H9763_004_1	8	1	01	2	2	1	3								2					2				2								1	011	20.00	20.00	20.00	20.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	400.00	3																		2					2														2		2														2	2
H9763	004	2	1	02	01	H9763_004_2	9	1	01	2	2	1	3								2					2				2								1	011	20.00	20.00	20.00	20.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	400.00	3																		2					2														2		2														2	2
H9763	005	0	1	01	01	H9763_005_0	8	1	01	2	2	1	3								2					2				2								1	011	20.00	20.00	20.00	20.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	400.00	3																		2					2														2		2														2	2
H9763	006	0	1	02	01	H9763_006_0	7	1	01	2	2	1	3								2					2				2								1	011	20.00	20.00	20.00	20.00			2		2	2	1	01100	2	2	1	3		2	2	1	3													1		2	1	300.00	3																		2					2														2		2														2	2
H9808	004	0	1	04	01	H9808_004_0	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H9808	005	0	1	04	01	H9808_005_0	10	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H9808	009	0	1	04	01	H9808_009_0	7	1	01	2	1										1	2	1000.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H9808	807	0	1	04	01	H9808_807_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H9808	808	0	1	04	01	H9808_808_0	5	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H9811	801	0	1	01	01	H9811_801_0	13	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
H9826	002	1	1	01	01	H9826_002_1	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	350.00	3																		2					1	010000	20	20											2		2														2	2
H9826	002	2	1	01	01	H9826_002_2	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	350.00	3																		2					1	010000	20	20											2		2														2	2
H9826	002	3	1	01	01	H9826_002_3	9	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1		2	1	350.00	3																		2					1	010000	20	20											2		2														2	2
H9827	001	0	1	01	01	H9827_001_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9827	002	0	1	01	01	H9827_002_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	250.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9827	003	0	1	01	01	H9827_003_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	25.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	200.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9827	004	0	1	01	01	H9827_004_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	45.00	0.00	0.00			2		2	2	1	01111	2	1				2	1				2	1				2	1					1		2	1	150.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
H9827	801	0	1	01	01	H9827_801_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9827	802	0	1	01	01	H9827_802_0	5	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9830	001	0	1	20	08	H9830_001_0	1																																																																																																																													
H9830	002	0	1	20	08	H9830_002_0	1																																																																																																																													
H9834	001	0	1	01	01	H9834_001_0	4	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	10.00	10.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1000.00	3																		2					2														2		2														2	2
H9834	003	0	1	01	01	H9834_003_0	4	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	750.00	3																		2					2														2		2														2	2
H9834	004	0	1	01	01	H9834_004_0	3	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	750.00	3																		2					2														2		2														2	2
H9834	005	0	1	01	01	H9834_005_0	3	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	10.00	10.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	1000.00	3																		2					2														2		2														2	2
H9834	006	0	1	01	01	H9834_006_0	4	1	11	2	2	1	3		Refraction	2	2	1	3		2					2				2								1	010	25.00	25.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	600.00	3																		2					2														2		2														2	2
H9842	001	0	1	20	08	H9842_001_0	1																																																																																																																													
H9842	002	0	1	20	08	H9842_002_0	1																																																																																																																													
H9861	001	0	1	02	01	H9861_001_0	11	1	01	2	1										1		300.00	3		2				2								1	010	0.00	10.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H9861	003	0	1	01	01	H9861_003_0	11	1	01	2	1										1		550.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H9869	001	0	1	48	05	H9869_001_0	5	1	01	2	2	1	2								2					2				2								2								2		2	2	1	01100	2	2	1	2		2	2	1	2													2																							2					2														2		2														1	2
H9876	001	0	1	04	01	H9876_001_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11100	2	1				2	1														2	1	2	2	1	400.00	3																		2					2														2		2														2	2
H9876	002	0	1	04	01	H9876_002_0	9	1	01	2	2	1	3								2					2				2								2								2		2	2	1	11100	2	1				2	1														2	1	2	2	1	400.00	3																		2					2														2		2														2	2
H9884	001	0	1	04	01	H9884_001_0	11	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	2000.00	3																		2					2														2		2														2	2
H9884	003	0	1	04	01	H9884_003_0	10	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	2000.00	3																		2					2														2		2														2	2
H9884	004	0	1	04	01	H9884_004_0	10	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	2000.00	3																		2					2														2		2														2	2
H9884	005	0	1	04	01	H9884_005_0	10	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	1250.00	3																		2					2														2		2														2	2
H9884	006	0	1	04	01	H9884_006_0	10	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	1250.00	3																		2					2														2		2														2	2
H9884	007	0	1	04	01	H9884_007_0	10	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	2000.00	3																		2					2														2		2														2	2
H9884	008	0	1	04	01	H9884_008_0	10	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	1250.00	3																		2					2														2		2														2	2
H9884	011	0	1	04	01	H9884_011_0	11	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		2														2	2
H9884	012	0	1	04	01	H9884_012_0	10	1	01	2	2	1	3								2					2				2								1	010	30.00	30.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	2000.00	3																		2					2														2		2														2	2
H9884	013	0	1	04	01	H9884_013_0	10	1	01	2	2	1	3								2					2				2								1	010	40.00	40.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	350.00	3																		2					2														2		2														2	2
H9888	001	0	1	04	01	H9888_001_0	11	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H9888	002	0	1	04	01	H9888_002_0	11	1	01	2	2	1	3								2					2				2								1	010	20.00	20.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	3																		2					2														2		2														2	2
H9900	001	0	1	01	01	H9900_001_0	16	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9900	002	0	1	01	01	H9900_002_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	400.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9900	003	0	1	01	01	H9900_003_0	17	1	01	2	2	1	3								2					2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9900	004	0	1	01	01	H9900_004_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9900	005	0	1	01	01	H9900_005_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9900	006	0	1	01	01	H9900_006_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9900	007	0	1	01	01	H9900_007_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9900	008	0	1	01	01	H9900_008_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9900	009	0	1	01	01	H9900_009_0	7	1	01	2	2	1	3								2					2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9904	001	0	1	04	01	H9904_001_0	6	1	01	2	2	1	3								2					2				2								1	010	45.00	45.00					2		2	2	1	11111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3		2	1	2	2	1	200.00	3																		2					2														2		2														2	2
H9907	001	0	1	04	01	H9907_001_0	7	1	01	2	2	1	3								2					2				2								1	010	0.00	45.00					2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		2														2	2
H9907	801	0	1	04	01	H9907_801_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9907	802	0	1	04	01	H9907_802_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9907	803	0	1	04	01	H9907_803_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9907	804	0	1	04	01	H9907_804_0	1	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9909	001	0	1	01	01	H9909_001_0	6	1	01	2	2	1	3								2					2				1	010	20	20					1	001			0.00	0.00			2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		1	101111			0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
H9917	001	0	1	01	01	H9917_001_0	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H9917	002	0	1	01	01	H9917_002_0	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H9917	003	0	1	01	01	H9917_003_0	8	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	150.00	3																		2					1	010000	20	20											2		2														2	2
H9917	004	0	1	01	01	H9917_004_0	10	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H9940	001	0	1	01	01	H9940_001_0	11	2																		2				1	010	20	20					2								2		2	2	2																																														2					2														2		2														2	2
H9942	001	0	1	04	01	H9942_001_0	5	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	300.00	2																		2					2														2		2														2	2
H9943	001	0	1	02	01	H9943_001_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	350.00	2																		2					2														2		2														2	2
H9943	002	0	1	02	01	H9943_002_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	350.00	2																		2					2														2		2														2	2
H9943	003	0	1	01	01	H9943_003_0	14	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	350.00	2																		2					2														2		2														2	2
H9943	004	0	1	01	01	H9943_004_0	15	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	2		2	2	1	2		2	2	1	2		2	2	1	2			1		2	1	350.00	2																		2					2														2		2														2	2
H9943	005	0	1	02	01	H9943_005_0	13	1	01	2	2	1	3								2					2				2								2								2		2	2	1	01111	2	2	1	3		2	2	1	3		2	2	1	3		2	2	1	3			1		2	2				01111	100.00	3		200.00	3		200.00	3		200.00	3					2					2														2		2														2	2
H9943	801	0	1	01	01	H9943_801_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H9943	802	0	1	01	01	H9943_802_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H9943	803	0	1	01	01	H9943_803_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H9943	804	0	1	01	01	H9943_804_0	2	2																		2				1	010	20	20					2								2		2	1	2																																														2					1	010000	20	20											2		2														1	2
H9946	001	0	1	04	01	H9946_001_0	7	1	01	2	2	1	3								2					2				1	010	20	20					2								2		2	2	1	01100	2	1				2	1															1	2	2	1	300.00	3																		2					1	010000	20	20											2		2														2	2
H9952	001	0	1	01	01	H9952_001_0	6	2																		2				1	010	20	20					2								2		2	2	1	10000																					2	2																							2					1	010000	20	20											2		2														2	2
H9955	001	0	1	01	01	H9955_001_0	5	1	01	2	1										1		200.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					2														2		2														2	2
H9955	002	0	1	01	01	H9955_002_0	7	1	01	2	1										1		100.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					1	010000	20	20											2		2														2	2
H9955	003	0	1	01	01	H9955_003_0	6	1	01	2	1										1		200.00	3		2				2								2								2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1		1																					2					1	010000	20	20											2		2														2	2
H9955	004	0	1	01	01	H9955_004_0	5	2																		2				2								2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9976	002	0	1	04	01	H9976_002_0	17	1	01	2	2	1	3								2					2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	100.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	1	2
H9986	001	0	1	01	01	H9986_001_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9986	002	0	1	01	01	H9986_002_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9986	003	0	1	01	01	H9986_003_0	6	2																		2				1	010	20	20					2								2		2	2	2																																														2					1	010000	20	20											2		2														2	2
H9998	001	0	1	20	08	H9998_001_0	1																																																																																																																													
H9998	002	0	1	20	08	H9998_002_0	1																																																																																																																													
R0110	001	0	1	31	11	R0110_001_0	6	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	550.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R0110	003	0	1	31	11	R0110_003_0	9	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R0110	801	0	1	31	11	R0110_801_0	5	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R0110	802	0	1	31	11	R0110_802_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R0759	001	0	1	31	11	R0759_001_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
R0759	002	0	1	31	11	R0759_002_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
R0759	003	0	1	31	11	R0759_003_0	4	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	2	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
R0865	001	0	1	31	11	R0865_001_0	8	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R0865	003	0	1	31	11	R0865_003_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R0865	801	0	1	31	11	R0865_801_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R0865	802	0	1	31	11	R0865_802_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R0923	001	0	1	31	11	R0923_001_0	12	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	300.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R0923	002	0	1	31	11	R0923_002_0	18	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R0923	801	0	1	31	11	R0923_801_0	4	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R0923	802	0	1	31	11	R0923_802_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R1390	001	0	1	31	11	R1390_001_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R1390	002	0	1	31	11	R1390_002_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R1390	003	0	1	31	11	R1390_003_0	7	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R1390	801	0	1	31	11	R1390_801_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R1390	802	0	1	31	11	R1390_802_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R1532	001	0	1	31	11	R1532_001_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R1532	002	0	1	31	11	R1532_002_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R1532	801	0	1	31	11	R1532_801_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R1532	802	0	1	31	11	R1532_802_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R2604	001	0	1	31	11	R2604_001_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
R2604	002	0	1	31	11	R2604_002_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
R2604	003	0	1	31	11	R2604_003_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
R2604	005	0	1	31	11	R2604_005_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
R3175	003	0	1	31	11	R3175_003_0	4	2																		2				2								1	010	0.00	0.00					2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
R3332	001	0	1	31	11	R3332_001_0	9	1	01	2	2	1	3								2					2				2								1	011	0.00	50.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
R3392	001	0	1	31	11	R3392_001_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R3392	002	0	1	31	11	R3392_002_0	9	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R3392	004	0	1	31	11	R3392_004_0	9	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R3392	801	0	1	31	11	R3392_801_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R3392	802	0	1	31	11	R3392_802_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R3444	008	0	1	31	11	R3444_008_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					1	010000	20	20											2		1	001100			0.00	0.00	0.00	0.00							2	2
R3444	009	0	1	31	11	R3444_009_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
R3444	012	0	1	31	11	R3444_012_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
R3887	001	0	1	31	11	R3887_001_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R3887	002	0	1	31	11	R3887_002_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R3887	801	0	1	31	11	R3887_801_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R3887	802	0	1	31	11	R3887_802_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R4182	001	0	1	31	11	R4182_001_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R4182	003	0	1	31	11	R4182_003_0	8	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R4182	004	0	1	31	11	R4182_004_0	8	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R4182	801	0	1	31	11	R4182_801_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R4182	802	0	1	31	11	R4182_802_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R4487	001	0	1	31	11	R4487_001_0	12	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
R4845	001	0	1	31	11	R4845_001_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R4845	002	0	1	31	11	R4845_002_0	5	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R4845	801	0	1	31	11	R4845_801_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R4845	802	0	1	31	11	R4845_802_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R5329	001	0	1	31	11	R5329_001_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
R5342	001	0	1	31	11	R5342_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
R5342	002	0	1	31	11	R5342_002_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
R5342	005	0	1	31	11	R5342_005_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	250.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
R5342	006	0	1	31	11	R5342_006_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
R5361	001	0	1	31	11	R5361_001_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R5361	002	0	1	31	11	R5361_002_0	5	1	01	2	2	1	3								1	2	75.00	3		2				1	010	20	20					1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R5361	801	0	1	31	11	R5361_801_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R5361	802	0	1	31	11	R5361_802_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R5495	001	0	1	31	11	R5495_001_0	7	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	35.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	450.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R5495	002	0	1	31	11	R5495_002_0	7	1	01	2	2	1	3								1	2	40.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	350.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R5495	801	0	1	31	11	R5495_801_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R5495	802	0	1	31	11	R5495_802_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R5826	005	0	1	31	11	R5826_005_0	7	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R5826	018	0	1	31	11	R5826_018_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R5826	074	0	1	31	11	R5826_074_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	50.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R5826	805	0	1	31	11	R5826_805_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R5826	819	0	1	31	11	R5826_819_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R5941	013	0	1	31	11	R5941_013_0	7	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		2	2	1	01111	4	1				4	1				4	1				4	1					1	2	2	1	275.00	3																		2					2														2		1	011111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00			2	2
R5941	014	0	1	31	11	R5941_014_0	8	1	01	2	2	1	3								1	2	69.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		2	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
R6694	003	0	1	31	11	R6694_003_0	8	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	20.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	200.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
R6694	005	0	1	31	11	R6694_005_0	7	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	35.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	500.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
R6694	006	0	1	31	11	R6694_006_0	9	1	11	2	2	1	3		Follow up Diabetic Eye Exams	2	1				2					2				2								1	111	0.00	50.00	0.00	0.00	0.00	0.00	2		2	2	1	11111	2	1				2	1				2	1				2	1				2	1	2	2	1	150.00	3																		2					2														2		1	111111	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00	2	2
R6801	008	0	1	31	11	R6801_008_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
R6801	009	0	1	31	11	R6801_009_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	2																																														2					2														2		1	010000	0.00	0.00											2	2
R6801	011	0	1	31	11	R6801_011_0	5	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	200.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
R6801	012	0	1	31	11	R6801_012_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
R7220	001	0	1	31	11	R7220_001_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	40.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R7220	002	0	1	31	11	R7220_002_0	4	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R7220	801	0	1	31	11	R7220_801_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R7220	802	0	1	31	11	R7220_802_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R7315	001	0	1	31	11	R7315_001_0	8	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	30.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	010100	0.00	0.00			0.00	0.00							1	2
R7315	002	0	1	31	11	R7315_002_0	6	1	01	2	2	1	3								1	2	75.00	3		2				2								1	011	0.00	45.00	0.00	0.00			2		1	2	1	01100	2	2	1	3		2	2	1	3													1	2	2	1	150.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							1	2
R7315	801	0	1	31	11	R7315_801_0	3	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R7315	802	0	1	31	11	R7315_802_0	2	2																		2				1	010	20	20					2								2		1	1	2																																														2					1	010000	20	20											2		2														1	1
R7444	001	0	1	31	11	R7444_001_0	6	1	01	2	2	1	3								2					2				2								1	011	0.00	0.00	0.00	0.00			2		1	2	1	01100	2	1				2	2	1	3													1	2	2	1	100.00	3																		2					2														2		1	011100	0.00	0.00	0.00	0.00	0.00	0.00							2	2
