chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov

RED CAP LUER LOCK MED 0 SUP 0
INTUBATION KIT 0 0
IV EQUIPMENT 1 SET0 0
CONTAINER EMPTY IV 0 100ML 0
CONTAINER EMPTY 13 IV 100ML 13
EMPTY IV BAG 250ML0 0
EMPTY IV BAG 250ML0 0
CONTAINER EMPTY BAG 0 LITER 0
CONTAINER EMPTY 10 BAG 500 M10
CONTAINER EVAC BOT 0 250ML 0
CONTAINER EVAC BOT 0 500ML 0
CONTAINER EVAC BOT 0 1000 M 0
EVAL SPEECH & LANGU(PROC) 11 11
SPEECH & LANG TX (PROC) 33 33
SWALLOW EVAL (PROC) 20 20
SWALLOW TX (PROC) 33 33
AAC EVAL NON-SP GEN(PROC) 0 0
AAC EVAL SP GEN 1ST 0HR
0
AAC 30 ADD'L MIN 0 0
VIDEO FLUORO EVAL 5(PROC)
5
DVLPMT COG SKILLS PER 0 15 0
TREATMENT SP/LANG, 0 GRP 0
AC THER SVC SPEECH 0GEN
0
EVAL VOICE PROSTHETIC 0 DEV 0
SPEECH STROKE SCREEN 0 0
SPEECH OUTPT VISIT76 76
SPEECH INPT VISIT 43 43
SPEECH IP-NO CHARGE 1 1
SP/CANCELLED VISIT 0 0
SP/CANCELLED-DSCHGD 0 0
SP-ABSENT 0 0
DVLPT, COG SKILL PER 64 15 M 64
AAC THER SVC, SPEECH-GEN 0 0
EVAL NON SPEECH EA 0ADD'L
0
SPEECH&LANG EVAL(PRO 0 DLS 0
SPEECH&LANG TX(PROC) 0 0
SWALLOW EVAL (PROC) 0 DLS 0
SWALLOW TX (PROC) 0DLS
0
DVLPMT COG SKILL PER 0 15 M 0
TREATMENT SP/LANG, 0 GROUP 0
AAC THER SVC, SPEECH-GEN 0 0
EVAL VOICE PROS DEVICE 0 0
MOTION FLUORA EVAL 0 (MBS) 0
EVAL NON SPEECH ADD'L 0 30 0
SP-STROKE SCREEN DLS 0 0
SP OUTPT VISIT DLS 0 0
SP-CANCEL-DISCH DLS0 0