{"aaData": [["01 A", "12\n", "AID FOR BLIND\n", "ADMINISTRATIVE ISSUE\n", "122\n"], ["06", "1\n", "SPEC APPLS OVER $2,500\n", "ADMINISTRATIVE ISSUE\n", "123\n"], ["10", "", "TRACHEAL APPLIANCES\n", "RESTORATION LAB\n", "133\n"], ["11", "", "OTHER NEW ITEMS FOR PATIENT\n", "RESTORATION LAB\n", "133\n"], ["R12", "", "REPAIRS TO APPLIANCES\n", "RESTORATION LAB REPAIR\n", "133\n"], ["R13", "", "OTHER ITEMS OR SERVICES\n", "RESTORATION LAB REPAIR\n", "133\n"], ["07", "2\n", "CONT LENS, EA.\n", "ADMINISTRATIVE ISSUE\n", "124\n"], ["08", "2\n", "CORSET/BELT\n", "ADMINISTRATIVE ISSUE\n", "124\n"], ["09", "2\n", "EAR INSERT\n", "ADMINISTRATIVE ISSUE\n", "124\n"], ["10", "4\n", "ELAS HOSE, EA\n", "ADMINISTRATIVE ISSUE\n", "124\n"], ["11", "1\n", "EYEGLASSES PR\n", "ADMINISTRATIVE ISSUE\n", "124\n"], ["12", "2\n", "HEARING AIDS\n", "ADMINISTRATIVE ISSUE\n", "124\n"], ["13 A", "1\n", "TRANSCUTANEOUS NERVE STIM.\n", "ADMINISTRATIVE ISSUE\n", "125\n"], ["13 B", "1\n", "BED HOSP SPEC\n", "ADMINISTRATIVE ISSUE\n", "125\n"], ["13 C", "1\n", "BED HOSP STD\n", "ADMINISTRATIVE ISSUE\n", "125\n"], ["01 B", "1\n", "SPEC BLIND EQP OVER $2,000\n", "ADMINISTRATIVE ISSUE\n", "122\n"], ["13 D", "1\n", "HOME DIAL EQP\n", "ADMINISTRATIVE ISSUE\n", "125\n"], ["13 E", "1\n", "INVALID LIFT\n", "ADMINISTRATIVE ISSUE\n", "125\n"], ["13 F", "2\n", "WALKING AIDS\n", "ADMINISTRATIVE ISSUE\n", "125\n"], ["13 G", "1\n", "ENVIRON CONTR\n", "ADMINISTRATIVE ISSUE\n", "126\n"], ["13 H", "3\n", "SPEC HOME EQP (SAFETY)\n", "ADMINISTRATIVE ISSUE\n", "126\n"], ["13 I", "4\n", "OXYGEN EQP\n", "ADMINISTRATIVE ISSUE\n", "126\n"], ["13 J", "1\n", "OXYGEN CONCEN\n", "ADMINISTRATIVE ISSUE\n", "126\n"], ["13 K", "2\n", "MED EQP AL/OTH\n", "ADMINISTRATIVE ISSUE\n", "126\n"], ["14 A", "2\n", "CUSHION, W/CHR\n", "ADMINISTRATIVE ISSUE\n", "126\n"], ["14 B", "1\n", "HOME DIAL SUP\n", "ADMINISTRATIVE ISSUE\n", "127\n"], ["04 A", "1\n", "ART LEG,IPOP\n", "ADMINISTRATIVE ISSUE\n", "122\n"], ["14 C", "4\n", "MED SUP AL/OTH\n", "ADMINISTRATIVE ISSUE\n", "127\n"], ["15", "3\n", "ARCH SUPT, EA\n", "ADMINISTRATIVE ISSUE\n", "127\n"], ["16 A", "2\n", "SHOE INLAY, EA\n", "ADMINISTRATIVE ISSUE\n", "127\n"], ["16 B", "2\n", "SHOE MOLDED, EA\n", "ADMINISTRATIVE ISSUE\n", "127\n"], ["16 C", "2\n", "SHOE ORTH OTH\n", "ADMINISTRATIVE ISSUE\n", "127\n"], ["17 A", "1\n", "W/CHR FLD DEP\n", "ADMINISTRATIVE ISSUE\n", "128\n"], ["17 B", "1\n", "W/CHR FLD AL/OTH\n", "ADMINISTRATIVE ISSUE\n", "128\n"], ["18", "1\n", "W/CHR MOTOR\n", "ADMINISTRATIVE ISSUE\n", "128\n"], ["19", "3\n", "EQP RENTAL\n", "ADMINISTRATIVE ISSUE\n", "128\n"], ["20", "2\n", "AL/OTH ITEMS\n", "ADMINISTRATIVE ISSUE\n", "128\n"], ["04 B", "1\n", "ART LEG,TEM\n", "ADMINISTRATIVE ISSUE\n", "122\n"], ["21 A", "12\n", "MOD VANS\n", "ADMINISTRATIVE ISSUE\n", "139\n"], ["21 B", "6\n", "ADAPTIVE EQP AL/OTH\n", "ADMINISTRATIVE ISSUE\n", "139\n"], ["R03 B", "2\n", "ARTIFICAL LEG, BELOW KNEE, PTB\n", "ADMINISTRATIVE REPAIR\n", "129\n"], ["R03 D", "2\n", "ART LEG, ALL OTHER\n", "ADMINISTRATIVE REPAIR\n", "129\n"], ["R10", "2\n", "MEDICAL EQUIPMENT, ALL OTHER\n", "ADMINISTRATIVE REPAIR\n", "131\n"], ["R14", "2\n", "WHEELCHAIR\n", "ADMINISTRATIVE REPAIR\n", "131\n"], ["R02", "2\n", "ART ARM,TOTAL\n", "ADMINISTRATIVE REPAIR\n", "129\n"], ["R04", "2\n", "BRACE TOTAL\n", "ADMINISTRATIVE REPAIR\n", "130\n"], ["R15", "1\n", "ALL OTHER\n", "ADMINISTRATIVE REPAIR\n", "131\n"], ["R06", "1\n", "EYEGLASS RPR\n", "ADMINISTRATIVE REPAIR\n", "130\n"], ["04 C", "1\n", "ART LEG,PER\n", "ADMINISTRATIVE ISSUE\n", "123\n"], ["R09", "1\n", "INVALID LIFTS\n", "ADMINISTRATIVE REPAIR\n", "130\n"], ["R12", "2\n", "SHOE MODIFICATIONS\n", "ADMINISTRATIVE REPAIR\n", "131\n"], ["R16", "1\n", "ADAPTIVE EQUIPMENT\n", "ADMINISTRATIVE REPAIR\n", "139\n"], ["R03 A", "2\n", "ART LEG, AK\n", "ADMINISTRATIVE REPAIR\n", "129\n"], ["R01", "2\n", "AID FOR BLIND\n", "ADMINISTRATIVE REPAIR\n", "129\n"], ["R03 C", "2\n", "ARTIFICIAL LEG, BELOW KNEE, STD\n", "ADMINISTRATIVE REPAIR\n", "129\n"], ["R17", "1\n", "REPAIR TO ENVIROMENTAL CONTROL UNIT\n", "ADMINISTRATIVE REPAIR\n", "139\n"], ["02", "2\n", "ARTIFICIAL EYE, TOTAL\n", "ADMINISTRATIVE ISSUE\n", "122\n"], ["03", "1\n", "ARTIFICIAL ARM, TOTAL\n", "ADMINISTRATIVE ISSUE\n", "122\n"], ["R05", "1\n", "CLOTHING REPAIR\n", "ADMINISTRATIVE REPAIR\n", "130\n"], ["05 A", "1\n", "BRACE ANKLE\n", "ADMINISTRATIVE ISSUE\n", "123\n"], ["R07", "2\n", "HEARING AID, LOCAL REPAIRS\n", "ADMINISTRATIVE REPAIR\n", "130\n"], ["R08", "2\n", "HOME DIALYSIS EQUIPMENT\n", "ADMINISTRATIVE REPAIR\n", "130\n"], ["R11", "2\n", "SHOE INLAY\n", "ADMINISTRATIVE REPAIR\n", "131\n"], ["R13", "2\n", "SHOE, ORTHOPEDIC\n", "ADMINISTRATIVE REPAIR\n", "131\n"], ["01", "", "ARCH SUPPORTS (EACH)\n", "ORTHOTIC LAB\n", "135\n"], ["02", "", "ARTIFICIAL ARMS, ALL TYPES\n", "ORTHOTIC LAB\n", "135\n"], ["03", "", "ART. LEG, PERMANENT, ALL TYPES\n", "ORTHOTIC LAB\n", "135\n"], ["04", "", "ARTIFICAL LEGS, ABOVE KNEE, TEMP\n", "ORTHOTIC LAB\n", "135\n"], ["05", "", "ARTIFICIAL LEGS, BELOW-KNEE, TEMP\n", "ORTHOTIC LAB\n", "135\n"], ["06", "", "BELTS, CUSTOM\n", "ORTHOTIC LAB\n", "135\n"], ["05 B", "1\n", "BRACE LEG AK\n", "ADMINISTRATIVE ISSUE\n", "123\n"], ["07", "", "BELT, (PREFABRICATED)\n", "ORTHOTIC LAB\n", "135\n"], ["08 A", "", "BRACES, ANKLE\n", "ORTHOTIC LAB\n", "135\n"], ["08 B", "", "BRACES, CERVICAL, CUSTOM-MADE\n", "ORTHOTIC LAB\n", "136\n"], ["08 C", "", "BRACES, LEG, A/K\n", "ORTHOTIC LAB\n", "136\n"], ["08 D", "", "BRACES, SPINAL\n", "ORTHOTIC LAB\n", "136\n"], ["08 E", "", "BRACES, ALL OTHER\n", "ORTHOTIC LAB\n", "136\n"], ["09", "", "CERVICAL COLLARS, (PREFABRICATED)\n", "ORTHOTIC LAB\n", "136\n"], ["10", "", "ELASTIC HOSE (EA.) (PREFABRICATED)\n", "ORTHOTIC LAB\n", "136\n"], ["11", "", "SHOE MODIFICATIONS\n", "ORTHOTIC LAB\n", "136\n"], ["12", "", "SHOES, INLAY\n", "ORTHOTIC LAB\n", "136\n"], ["05 C", "1\n", "BRACE, SPINAL\n", "ADMINISTRATIVE ISSUE\n", "123\n"], ["13", "", "SHOES, ORTHOPEDIC (EACH)\n", "ORTHOTIC LAB\n", "137\n"], ["14", "", "OTHER NEW ITEMS FOR PATIENTS\n", "ORTHOTIC LAB\n", "137\n"], ["R15 A", "", "REPAIRS - ARTIFICIAL LIMBS\n", "ORTHOTIC LAB REPAIR\n", "137\n"], ["R15 B", "", "REPAIRS-BRACES\n", "ORTHOTIC LAB REPAIR\n", "137\n"], ["R15 C", "", "REPAIRS, SHOES\n", "ORTHOTIC LAB REPAIR\n", "137\n"], ["R15 D", "", "REPAIRS-PATIENT WHEELCHAIRS\n", "ORTHOTIC LAB REPAIR\n", "137\n"], ["R15 E", "", "REPAIRS-ALL OTHER FOR PATIENTS\n", "ORTHOTIC LAB REPAIR\n", "137\n"], ["R16", "", "WORK FOR STATION\n", "ORTHOTIC LAB REPAIR\n", "137\n"], ["01", "", "ARTIFICIAL EYES\n", "RESTORATION LAB\n", "132\n"], ["02", "", "BODY RESTORATIONS\n", "RESTORATION LAB\n", "132\n"], ["05 D", "2\n", "BRACE AL/OTH\n", "ADMINISTRATIVE ISSUE\n", "123\n"], ["03", "", "COSMETIC GLOVES\n", "RESTORATION LAB\n", "132\n"], ["04", "", "EYE IMPLANTS\n", "RESTORATION LAB\n", "132\n"], ["05 A", "", "FACIAL RESTORATION, ARTIFICIAL EAR\n", "RESTORATION LAB\n", "132\n"], ["05 B", "", "FACIAL RESTORATION, ARTIFICIAL NOSE\n", "RESTORATION LAB\n", "132\n"], ["05 C", "", "FACIAL RESTORATION, ORBITAL\n", "RESTORATION LAB\n", "132\n"], ["05 D", "", "FACIAL RESTORATION, ALL OTHER\n", "RESTORATION LAB\n", "132\n"], ["06", "", "OCULAR CONFORMERS\n", "RESTORATION LAB\n", "133\n"], ["07", "", "PLASTIC HANDS, FULL OR PARTIAL\n", "RESTORATION LAB\n", "133\n"], ["08", "", "SKULL PLATES\n", "RESTORATION LAB\n", "133\n"], ["09", "", "FACE MASKS, RADIO THERAPY\n", "RESTORATION LAB\n", "133\n"]]}