source_invoice_line_id,source_date_of_service,source_hcpcs,source_modifier_1,source_diagnosis_1,source_diagnosis_2,source_diagnosis_3,source_diagnosis_4,source_diagnosis_5,source_admission_diagnosis,source_billed_amount,source_row_number,invoice_line_id,date_of_service,hcpcs,modifiers,diagnoses,billed_amount,articles_evaluated,line_result,validation_error,reference_only_disclaimer
PERF-000001,2021-06-15,80050,,Z00.00,,,,,,125.00,2,PERF-000001,2021-06-15,80050,,diagnosis_1:Z0000,125.00,2,supported_in_at_least_one_article,,"CMS LCD/Article reference result only; not a coverage determination, denial recommendation, or finding of improper billing."