pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	pbp_vbid_group_id	pbp_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_coins_yn	pbp_b17a_coins_ehc	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_rex_min	pbp_b17a_copay_amt_rex_max	pbp_b17a_copay_amt_other_min	pbp_b17a_copay_amt_other_max	pbp_b17a_ded_nmc_yn	pbp_b17a_ded_nmc_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_coins_yn	pbp_b17b_coins_ehc	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_nmc_yn	pbp_b17b_ded_nmc_amt	pbp_b17b_copay_yn	pbp_b17b_copay_ehc	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
H0028	039	0	1	01	01	H0028_039_0	5	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H0028	046	0	1	01	01	H0028_046_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H0473	003	0	1	04	01	H0473_003_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H0523	801	0	1	01	01	H0523_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H0523	801	0	1	01	01	H0523_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H0523	805	0	1	01	01	H0523_805_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H0523	805	0	1	01	01	H0523_805_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H0628	801	0	1	01	01	H0628_801_0	2	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H0628	801	0	1	01	01	H0628_801_0	2	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H0783	004	0	1	01	01	H0783_004_0	2	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1019	001	0	1	02	01	H1019_001_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1019	006	0	1	01	01	H1019_006_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1019	103	1	1	01	01	H1019_103_1	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1019	103	2	1	01	01	H1019_103_2	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1019	113	0	1	01	01	H1019_113_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1019	124	0	1	02	01	H1019_124_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1019	130	0	1	02	01	H1019_130_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1019	147	2	1	01	01	H1019_147_2	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1019	151	2	1	01	01	H1019_151_2	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	054	0	1	01	01	H1036_054_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	062	0	1	01	01	H1036_062_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	065	0	1	01	01	H1036_065_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	077	0	1	01	01	H1036_077_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	102	0	1	01	01	H1036_102_0	5	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	209	0	1	01	01	H1036_209_0	5	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	210	0	1	01	01	H1036_210_0	5	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	213	0	1	01	01	H1036_213_0	5	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	214	0	1	01	01	H1036_214_0	5	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	230	0	1	01	01	H1036_230_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	285	0	1	01	01	H1036_285_0	5	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	301	0	1	01	01	H1036_301_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	302	0	1	01	01	H1036_302_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	304	0	1	01	01	H1036_304_0	5	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	314	0	1	01	01	H1036_314_0	5	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	315	0	1	01	01	H1036_315_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	316	0	1	01	01	H1036_316_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	336	0	1	01	01	H1036_336_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	337	0	1	01	01	H1036_337_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	338	0	1	01	01	H1036_338_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	339	0	1	01	01	H1036_339_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	340	0	1	01	01	H1036_340_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1036	341	0	1	01	01	H1036_341_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H1109	801	0	1	01	01	H1109_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H1109	801	0	1	01	01	H1109_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H1109	802	0	1	01	01	H1109_802_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H1109	802	0	1	01	01	H1109_802_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H1206	801	0	1	01	01	H1206_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H1206	801	0	1	01	01	H1206_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H1608	801	0	1	04	01	H1608_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H1608	801	0	1	04	01	H1608_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H1609	801	0	1	01	01	H1609_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H1609	801	0	1	01	01	H1609_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H1609	807	0	1	01	01	H1609_807_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H1609	807	0	1	01	01	H1609_807_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H1692	801	0	1	01	01	H1692_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H1692	801	0	1	01	01	H1692_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H2056	801	0	1	01	01	H2056_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H2056	801	0	1	01	01	H2056_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H2056	802	0	1	01	01	H2056_802_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H2056	802	0	1	01	01	H2056_802_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H2663	805	0	1	01	01	H2663_805_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H2663	805	0	1	01	01	H2663_805_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H2875	001	0	1	02	01	H2875_001_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H2875	002	0	1	02	01	H2875_002_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H2875	006	0	1	02	01	H2875_006_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H3146	801	0	1	01	01	H3146_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3146	801	0	1	01	01	H3146_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3152	801	0	1	01	01	H3152_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3152	801	0	1	01	01	H3152_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3152	804	0	1	01	01	H3152_804_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3152	804	0	1	01	01	H3152_804_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3192	801	0	1	01	01	H3192_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3192	801	0	1	01	01	H3192_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3219	801	0	1	04	01	H3219_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3219	801	0	1	04	01	H3219_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3288	801	0	1	04	01	H3288_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3288	801	0	1	04	01	H3288_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3312	801	0	1	01	01	H3312_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3312	801	0	1	01	01	H3312_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3312	804	0	1	01	01	H3312_804_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3312	804	0	1	01	01	H3312_804_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3597	801	0	1	01	01	H3597_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3597	801	0	1	01	01	H3597_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3597	802	0	1	01	01	H3597_802_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3597	802	0	1	01	01	H3597_802_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3748	801	0	1	01	01	H3748_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3748	801	0	1	01	01	H3748_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3928	801	0	1	01	01	H3928_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3928	801	0	1	01	01	H3928_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3928	803	0	1	01	01	H3928_803_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3928	803	0	1	01	01	H3928_803_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3931	801	0	1	01	01	H3931_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3931	801	0	1	01	01	H3931_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3931	804	0	1	01	01	H3931_804_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3931	804	0	1	01	01	H3931_804_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3959	804	0	1	01	01	H3959_804_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H3959	804	0	1	01	01	H3959_804_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H4003	009	0	1	01	01	H4003_009_0	5	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4003	017	0	1	01	01	H4003_017_0	6	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4003	019	0	1	02	01	H4003_019_0	6	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4003	034	0	1	02	01	H4003_034_0	5	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4003	055	0	1	02	01	H4003_055_0	6	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4003	058	0	1	01	01	H4003_058_0	5	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4004	048	0	1	01	01	H4004_048_0	5	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4004	056	0	1	02	01	H4004_056_0	7	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4004	065	0	1	02	01	H4004_065_0	5	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4004	066	0	1	02	01	H4004_066_0	6	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4004	068	0	1	01	01	H4004_068_0	5	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4004	069	0	1	01	01	H4004_069_0	5	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4004	070	0	1	02	01	H4004_070_0	5	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4004	071	0	1	02	01	H4004_071_0	5	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4004	072	1	1	01	01	H4004_072_1	5	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4004	072	2	1	01	01	H4004_072_2	5	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4004	072	3	1	01	01	H4004_072_3	5	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4004	073	1	1	02	01	H4004_073_1	6	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4004	073	2	1	02	01	H4004_073_2	6	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4004	073	3	1	02	01	H4004_073_3	6	1																																			1	11100	2	1				2	1														2	2																							2												2		2												2	2
H4329	001	0	1	01	01	H4329_001_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H4461	022	0	1	01	01	H4461_022_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H4461	038	0	1	01	01	H4461_038_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H4461	052	0	1	01	01	H4461_052_0	2	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H4461	066	0	1	01	01	H4461_066_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H4523	801	0	1	01	01	H4523_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H4523	801	0	1	01	01	H4523_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H4523	802	0	1	01	01	H4523_802_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H4523	802	0	1	01	01	H4523_802_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H4711	801	0	1	01	01	H4711_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H4711	801	0	1	01	01	H4711_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H4835	801	0	1	01	01	H4835_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H4835	801	0	1	01	01	H4835_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H4939	001	0	1	02	01	H4939_001_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H4982	801	0	1	01	01	H4982_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H4982	801	0	1	01	01	H4982_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5178	002	0	1	01	01	H5178_002_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5216	242	0	1	04	01	H5216_242_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5216	243	0	1	04	01	H5216_243_0	2	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5216	257	0	1	04	01	H5216_257_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5216	277	0	1	04	01	H5216_277_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5216	352	0	1	04	01	H5216_352_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5216	353	0	1	04	01	H5216_353_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5216	362	0	1	04	01	H5216_362_0	2	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5216	369	0	1	04	01	H5216_369_0	2	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5216	400	0	1	04	01	H5216_400_0	5	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5216	401	0	1	04	01	H5216_401_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5216	402	0	1	04	01	H5216_402_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5216	413	0	1	04	01	H5216_413_0	2	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5216	416	0	1	04	01	H5216_416_0	2	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5216	432	0	1	04	01	H5216_432_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5216	444	0	1	04	01	H5216_444_0	2	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5216	446	0	1	04	01	H5216_446_0	2	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5216	447	0	1	04	01	H5216_447_0	2	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5216	453	0	1	04	01	H5216_453_0	2	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5302	809	0	1	01	01	H5302_809_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5302	809	0	1	01	01	H5302_809_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5521	801	0	1	04	01	H5521_801_0	2	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5521	801	0	1	04	01	H5521_801_0	2	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5521	805	0	2	04	01	H5521_805_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5521	805	0	2	04	01	H5521_805_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	802	0	1	04	01	H5522_802_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	802	0	1	04	01	H5522_802_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	803	0	1	04	01	H5522_803_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	803	0	1	04	01	H5522_803_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	808	0	2	04	01	H5522_808_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	808	0	2	04	01	H5522_808_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	809	0	2	04	01	H5522_809_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	809	0	2	04	01	H5522_809_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	810	0	1	04	01	H5522_810_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	810	0	1	04	01	H5522_810_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	811	0	1	04	01	H5522_811_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	811	0	1	04	01	H5522_811_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	813	0	2	04	01	H5522_813_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	813	0	2	04	01	H5522_813_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	814	0	2	04	01	H5522_814_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	814	0	2	04	01	H5522_814_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	815	0	1	04	01	H5522_815_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	815	0	1	04	01	H5522_815_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	816	0	1	04	01	H5522_816_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	816	0	1	04	01	H5522_816_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	817	0	2	04	01	H5522_817_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	817	0	2	04	01	H5522_817_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	818	0	2	04	01	H5522_818_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	818	0	2	04	01	H5522_818_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	819	0	1	04	01	H5522_819_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	819	0	1	04	01	H5522_819_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	820	0	1	04	01	H5522_820_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	820	0	1	04	01	H5522_820_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	821	0	1	04	01	H5522_821_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	821	0	1	04	01	H5522_821_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	822	0	2	04	01	H5522_822_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	822	0	2	04	01	H5522_822_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	823	0	1	04	01	H5522_823_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	823	0	1	04	01	H5522_823_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	824	0	2	04	01	H5522_824_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	824	0	2	04	01	H5522_824_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	825	0	2	04	01	H5522_825_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	825	0	2	04	01	H5522_825_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	827	0	2	04	01	H5522_827_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	827	0	2	04	01	H5522_827_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	828	0	1	04	01	H5522_828_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	828	0	1	04	01	H5522_828_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	832	0	1	04	01	H5522_832_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	832	0	1	04	01	H5522_832_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	836	0	1	04	01	H5522_836_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	836	0	1	04	01	H5522_836_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	837	0	1	04	01	H5522_837_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	837	0	1	04	01	H5522_837_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	838	0	2	04	01	H5522_838_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5522	838	0	2	04	01	H5522_838_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5525	036	0	1	04	01	H5525_036_0	4	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5593	801	0	1	01	01	H5593_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5593	801	0	1	01	01	H5593_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5619	173	0	1	01	01	H5619_173_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H5793	801	0	1	01	01	H5793_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5793	801	0	1	01	01	H5793_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5793	802	0	1	01	01	H5793_802_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H5793	802	0	1	01	01	H5793_802_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H6622	033	0	1	01	01	H6622_033_0	2	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H6622	057	0	1	02	01	H6622_057_0	5	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H7149	801	0	1	01	01	H7149_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H7149	801	0	1	01	01	H7149_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H7301	803	0	1	04	01	H7301_803_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H7301	803	0	1	04	01	H7301_803_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H7617	053	0	1	04	01	H7617_053_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H7617	063	0	1	04	01	H7617_063_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H7617	095	0	1	04	01	H7617_095_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H8332	801	0	1	01	01	H8332_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H8332	801	0	1	01	01	H8332_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H8649	801	0	1	01	01	H8649_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H8649	801	0	1	01	01	H8649_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H8649	803	0	1	01	01	H8649_803_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H8649	803	0	1	01	01	H8649_803_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H8908	007	0	1	01	01	H8908_007_0	3	1																																			1	00111						2	1				2	1				2	1					2																							2												2		2												1	2
H9431	801	0	1	04	01	H9431_801_0	1	1	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
H9431	801	0	1	04	01	H9431_801_0	1	2	1	11	2	1				Non-Medicare (Other Eye Exam Services)	2	1				2					2						2						2		2	2	1	11111	2	1				2	1				2	1				2	1				2	2																							2												2		2												2	2
