| 85413-3 | Program interruption date:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 85413-3 | Program interruption date:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 85413-3 | Program interruption date:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 85413-3 | Program interruption date:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 85413-3 | Program interruption date:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 85413-3 | Program interruption date:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 85413-3 | Program interruption date:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 85413-3 | Program interruption date:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 85414-1 | Program return date:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 85414-1 | Program return date:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 85414-1 | Program return date:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 85414-1 | Program return date:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 85414-1 | Program return date:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 85414-1 | Program return date:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 85414-1 | Program return date:Date:RptPeriod:^Patient:Qn:CMS Assessment | |
| 85414-1 | Program return date:Date:RptPeriod:^Patient:Qn:CMS Assessment | |