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

CHCKOT ORTH PROS 0PER 15 0
WHEELCHAIR MGMT 0/15 MIN 0
ORTHOTIC TRAINING 0/ 15MIN 0
PLFD ELBOWORTHO L3702 0 0
PLFD EWHORTHO L3763 0 0
PLFD EWHFOWOJT L3765 0 0
PLFD PT VASOPNEUMO 54 DEVICE54
PLFD ELECTRODES 0 0
PLFD PUTTY 0 0
PLFD TENS UNIT 0 0
PLFD THERABAND 0 0
PLFD GAUZE 2X2 0 0
PLFD GAUZE 4X4 0 0
PLFD KERLIX ROLLS 0 0
PLFD KERLIX SPONGE0 0
PLFD TELFA 8X3 0 0
PLFD PADS ABD 10X80 0
PLFD STROKE SCREEN0 0
PLFD-OUTPATIENT 688 VISIT 688
PLFD-OP NO CHARGE6 6
PLFD-ABSENT 0 0
PLFD/CANCELLED VISIT 0 0
PLFD/CANCELLED-DSCHG 0 0
EVALUATION (PROC) 233 233
RE-EVALUATION (PROC) 0 0
GAIT TRAINING PER 256 15 MIN 256
THERAPEUTIC EX 1181 PER 15 MIN1181
ULTRASOUND PER 15 37MIN
37
WHIRLPOOL (PROC) 0 0
PARAFIN (PROC) 0 0
E-STIM,MANUAL ATTEND/15MI 13 13
E-STIM INTER UNATTEN(PROC 83 83
TENS (PROC) 2 2
ADL-15 PER 15 MIN 0 0
IONTOPHORESIS PER 015 MIN 0
MECHANICAL TRACTION(PROC) 4 4
NEURO-MUSC RE-EDUCAT/15MI
81 81
MANUAL THER TECHNIQ/15MIN
381 381
PROSTHETIC TRAINING/15MIN 0 0
THERAPEUTIC ACTIVITY/15MI 297 297
SHORT ARM SPLINT STA(PROC 0 0
KNEE STRAPPING (PROC) 0 0
ANKLE/FOOT STRAPPING(PROC 0 0
HIP STRAPPING (PROC) 0 0
W/C MOB/MANAGE PER 0 15 MIN0
ORTHOTIC FIT & TRAIN/15MI 0 0
WHFOJTL L3806 0 0