The high output is referring to its wattage and the fact that t5 bulbs typically run higher wattage than their t8 counterparts. With higher wattage, you have a stronger bulb.
For example:
a 48" t8 reptisun is 32w
A 46" t5 reptisun is 54w
The reptisun 10.0 and 5.0 in the t5 version are both high output bulbs. The difference is the 5.0 is made for tropical creatures that dont need as much uvb. It's high output in the sense that the t8 5.0 is less watts.
So to put it simple, HO means more watts than a standard t8 bulb
Reptisun 10.0s (t8 or t5) are made for desert creatures.
Reptisun 5.0s (t8 or t5) are made for creatures with less uvb requirements.
So in our situation, t5 and HO can be used interchangeably. because one just describes the other in this case.
-Brandon