The medium duty rear axle was 74-75 only. There were only two options for 73, large bearing or small bearing. This one was originally small bearing. Of course someone could’ve changed it over the years.
The medium duty axles were 10” drums, but large bearing. The small bearing axles all had the 10” drums.
Also, those U codes you gave aren’t necessarily correct. U152 was BB axle, 1475 rear springs, and V8 engine. U151 and U153 were 1475 rear springs but no designated axle. U150 was typically no rear seat, standard springs, small bearing.