HCRS|Home Care-Resp Care|99504|Y||I~05/050;05/053||MAXFEE|PT5||24.34|0.0||20220101|22991231||
HCRS|Home Care-Resp Care|99504|Y||I~05/050;05/053||MAXFEE|PT5|TD|48.17|0.0||20220101|20251231||
HCRS|Home Care-Resp Care|99504|Y||I~05/050;05/053||MAXFEE|PT5|TD|75.00|0.0||20260101|22991231||
HCRS|Home Care-Resp Care|99504|Y||I~05/050;05/053||MAXFEE|PT5|TE|32.11|0.0||20220101|20251231||
HCRS|Home Care-Resp Care|99504|Y||I~05/050;05/053||MAXFEE|PT5|TE|61.05|0.0||20260101|22991231||
HCRS|Home Care-Resp Care|99504|Y||I~05/080;09/090;09/092;09/093;09/095;16/209||MAXFEE|C21||22.54|0.0||20220101|22991231||
HCRS|Home Care-Resp Care|99504|Y||I~05/080;09/090;09/092;09/093;09/095;16/209||MAXFEE|C21|TD|44.63|0.0||20220101|22991231||
HCRS|Home Care-Resp Care|99504|Y||I~05/080;09/090;09/092;09/093;09/095;16/209||MAXFEE|C21|TE|29.75|0.0||20220101|22991231||
HCRS|Home Care-Resp Care|99504|Y||I~05/080;16/208||MAXFEE|C21||22.54|0.0||20220101|22991231||
HCRS|Home Care-Resp Care|99504|Y||I~05/080;16/208||MAXFEE|C21|TD|44.63|0.0||20220101|22991231||
HCRS|Home Care-Resp Care|99504|Y||I~05/080;16/208||MAXFEE|C21|TE|29.75|0.0||20220101|22991231||