Many times the large and small bearing difference does not come into play. However, starting in 1970, Ford went to a larger diameter bearing on their air conditioning pulleys, both fixed and adjustable. Most of the 1970 and later pulley assemblies for A/C have a casting number stamped onto the brackets.
The adjustable pulley is easy, 1968-69 versions do not have a stamped casting number and uses the small bearing for the pulley.
Starting in 1970, that adjustable pulley was stamped D0AA-8A617-_, Ford also used 2 different pulleys, a one piece design, and a two piece design. Have also found several different dust caps for the bearing too.
Picture shows both versions of the adjustable pulley, the large bearing on the left, shown with a nickel, small bearing pulley on right with a quarter.