1 | ECXAPRO3 ;ALB/JAP - PRO Extract Audit Report (cont) ; APR 25,2006
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2 | ;;3.0;DSS EXTRACTS;**21,31,76,94**;Dec 22, 1997
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3 | ;
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4 | TEXT ;description of line numbers as in des^rmprn62 plus summary headers
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5 | ;;100;WHEELCHAIRS AND ACCESSORIES
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6 | ;;100 A;MOTORIZED
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7 | ;;100 A1;SCOOTERS
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8 | ;;100 B;MANUAL CUSTOM
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9 | ;;100 C;MANUAL A/O
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10 | ;;100 D;ACCESSORIES
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11 | ;;100 E;CUSHION FOAM
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12 | ;;100 F;CUSHION SPEC
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13 | ;;100 G;CARRIERS
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14 | ;;100 H;NSC VAN MODS
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15 | ;;100 I;SCOOTER ACCESSORIES
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16 | ;;200;ARTIFICIAL LEGS
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17 | ;;200 A;LEG IPOP
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18 | ;;200 B;LEG TEM
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19 | ;;200 C;LEG PART FOOT
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20 | ;;200 E;LEG SYMES
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21 | ;;200 F;LEG B/K
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22 | ;;200 G;LEG A/O
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23 | ;;200 H;LEG A/K
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24 | ;;200 I;LEG COMPONENT
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25 | ;;300;ARTIFICIAL ARMS AND TERMINAL DEVICES
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26 | ;;300 A;ARM B/E
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27 | ;;300 B;ARM, A/E
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28 | ;;300 C;COSMETIC GLOVES
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29 | ;;300 D;ARM, A/O
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30 | ;;300 E;TERMINAL DEVICES
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31 | ;;300 F;EXT. POWERED,ARM
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32 | ;;400;BRACES AND ORTHOTICS
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33 | ;;400 A;BRACE ANKLE
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34 | ;;400 B;BRACE LEG AK
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35 | ;;400 C;BRACE, SPINAL
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36 | ;;400 D;BRACE AL/OTH
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37 | ;;400 E;ELAS HOSE, EA
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38 | ;;400 F;BRACES, KNEE
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39 | ;;400 G;CORSET/BELT
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40 | ;;400 H;ORTHOSIS WHO
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41 | ;;400 X;ORTHOTICS UNKNOWN
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42 | ;;500;SHOES/ORTHOTICS
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43 | ;;500 A;ARCH SUPT, EA
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44 | ;;500 B;SHOE INLAY, EA
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45 | ;;500 C;SHOE MOLDED, EA
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46 | ;;500 D;SHOE ORTH OTH
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47 | ;;500 E;INSERTS, SHOE
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48 | ;;500 F;SHOES A/O, EA
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49 | ;;600;NEUROSENSORY AIDS
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50 | ;;600 1;EYEGLASSES PR
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51 | ;;600 A;SP OVER 2,500
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52 | ;;600 B;HEARING AIDS
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53 | ;;600 C;AID FOR BLIND
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54 | ;;600 D;CONT LENS, EA.
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55 | ;;600 E;EAR INSERT
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56 | ;;600 F;ASST LISTENING DEVICES
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57 | ;;600 G;SPEECH DEVICES
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58 | ;;700;RESTORATIONS
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59 | ;;700 A;EYE
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60 | ;;700 B;FACIAL
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61 | ;;700 C;BODY, OTHER
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62 | ;;800;OXYGEN AND RESPIRATORY
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63 | ;;800 A;OXYGEN EQP
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64 | ;;800 B;OXYGEN CONCEN
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65 | ;;800 C;OXYGEN GAS
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66 | ;;800 D;OXYGEN, SUPPLIES
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67 | ;;800 E;OXYGEN LIQUID
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68 | ;;800 F;VENTILATOR, A/O
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69 | ;;800 G;RESPIRATORY EQUIPMENT
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70 | ;;800 H;RESPIRATORY SUPPLIES
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71 | ;;900;MEDICAL EQUIPMENT
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72 | ;;900 A;WALKING AIDS
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73 | ;;900 B;INVALID LIFT
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74 | ;;900 C;BED HOSP STD
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75 | ;;900 D;BED HOSP SPEC
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76 | ;;900 E;MATTRESS STAN
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77 | ;;900 F;MATTRESS SPEC
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78 | ;;900 G;BED, ACCESSORIES
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79 | ;;900 H;ENVIRON CONTR
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80 | ;;900 I;SPEC HOME EQP (SAFETY)
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81 | ;;900 J;TENS UNIT
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82 | ;;900 K;MED EQP AL/OTH
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83 | ;;900 L;EQP RENTAL
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84 | ;;900 M;COMPUTER EQUIPMENT
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85 | ;;900 N;TELEHEALTH
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86 | ;;910;ALL OTHER SUPPLIES AND EQUIPMENT
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87 | ;;910 A;MED SUP AL/OTH
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88 | ;;920;HOME DIALYSIS PROGRAM
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89 | ;;920 A;HOME DIAL EQP
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90 | ;;920 B;HOME DIAL SUP
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91 | ;;930;ADAPTIVE EQUIPMENT
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92 | ;;930 A;MOD VANS
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93 | ;;930 B;ADAPT EQP AL/OTH
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94 | ;;940;HISA
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95 | ;;940 A;HISA SC
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96 | ;;940 B;HISA NSC
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97 | ;;960;SURGICAL IMPLANTS
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98 | ;;960 A;HEAD & NECK
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99 | ;;960 A1;H&N INTRAOCULAR LENS
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100 | ;;960 A2;H&N HEAD
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101 | ;;960 A3;H&N NECK
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102 | ;;960 A4;H&N EYES A/O
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103 | ;;960 B;ABDOMEN
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104 | ;;960 B1;ABDOMEN STENT
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105 | ;;960 B2;ABDOMEN MESH
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106 | ;;960 B3;ABDOMEN CATHETER
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107 | ;;960 C;UPPER EXTREMITY
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108 | ;;960 C1;UE ARM
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109 | ;;960 C2;UE SHOULDER
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110 | ;;960 C3;UE HAND
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111 | ;;960 D;LOWER EXTREMITY
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112 | ;;960 D1;LE HIP
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113 | ;;960 D2;LE KNEE
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114 | ;;960 D3;LE FOOT
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115 | ;;960 E;THORACIC
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116 | ;;960 E1;THOR PACEMAKER/LEADS
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117 | ;;960 E2;THOR ICD/LEADS
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118 | ;;960 E3;THOR STENTS
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119 | ;;960 E4;THOR VALVE
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120 | ;;960 F;DENTAL IMPLANT
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121 | ;;960 G;ALL SCRWS,PLTS, ANCRS, ETC.
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122 | ;;960 X;SI UNKNOWNS (ALL)
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123 | ;;999;MISC
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124 | ;;999 A;AL/OTH ITEMS
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125 | ;;999 X;HCPCS NOT GRP
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126 | ;;999 Z;NO HCPCS
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127 | ;;R07;HEARING AID, LOCAL REPAIRS
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128 | ;;R10;WHEELCHAIRS AND ACCESSORIES
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129 | ;;R10 A;WHEELCHAIR
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130 | ;;R10 B;CARRIERS
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131 | ;;R10 C;NSC VAN MODS
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132 | ;;R10 ;WHEELCHAIR
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133 | ;;R20;ARTIFICIAL LEGS
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134 | ;;R20 A;LEG A/K
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135 | ;;R20 B;LEG B/K, PTB
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136 | ;;R20 C;LEG B/K, STD
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137 | ;;R20 D;LEG ALL OTHER
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138 | ;;R30;ARTIFICIAL ARMS AND TERMINAL DEVICES
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139 | ;;R30 ;ART ARM,TOTAL
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140 | ;;R40;BRACES AND ORTHOTICS
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141 | ;;R40 ;BRACE TOTAL
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142 | ;;R50;SHOES/ORTHOTICS
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143 | ;;R50 A;ORTH SHOE ALL
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144 | ;;R50 B;SHOE MOD
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145 | ;;R50 C;A/O ITEM SERV
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146 | ;;R60;NEUROSENSORY AIDS
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147 | ;;R60 A;AID FOR BLIND
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148 | ;;R60 B;EYEGLASS RPR
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149 | ;;R60 C;HEARING AID
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150 | ;;R60 D;ASST LISTENING DEVICE
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151 | ;;R60 E;SPEECH DEVICES
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152 | ;;R70;HOME DIALYSIS EQUIPMENT
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153 | ;;R70 ;HOME DIAL EQU
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154 | ;;R80;MEDICAL EQUIPMENT
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155 | ;;R80 A;INVALID LIFTS
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156 | ;;R80 B;REPAIR TO ECU
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157 | ;;R80 C;MED EQUIP A/O
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158 | ;;R80 D;HME DELIVERY/PICKUP
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159 | ;;R80 E;TELEHEALTH
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160 | ;;R90;ALL OTHER
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161 | ;;R90 ;ALL OTHER
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162 | ;;R90 A;SHIPPING
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163 | ;;R90 B;TRAINING
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164 | ;;R91;O2 & RESPIRATORY
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165 | ;;R91 A;CONCENTRATOR
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166 | ;;R91 B;VENTILATOR
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167 | ;;R91 C;EQUIPMENT A/O
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168 | ;;R91 D;SERVICE VISIT
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169 | ;;R91 E;COMPRESSED O2
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170 | ;;R91 F;LIQUID O2
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171 | ;;R91 G;LIQUID DEL SYS
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172 | ;;R91 H;RESPIRATORY EQUIP
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173 | ;;R99 A;SHIPPING
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174 | ;;R99 X;HCPCS NOT GRP
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175 | ;;R99 Z;NO HCPCS
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176 | ;;QUIT
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