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

OT AQUATIC REHAB/15 0 MIN 0
OT ORTHOTIC FIT&TRN/15MIN 0 0
OT WHFOJT L3806 0 0
OT WHFOWOJT L38080 0
OT ELBOWORTHO L3702 0 0
OT WHOWOJT L39060 0
OT HFOWOJT L3913 1 1
OT HOWOJT L3919 0 0
OT HFO1+JT L3921 0 0
OT FOWOJT L3933 0 0
MOLDED INSERT PREFAB 0 0
OT-VASOPNEUMATIC 26DEVICE
26
OT-FLUIDOTHERAPY 0 0
ELECTRODES 0 0
PUTTY 0 0
THERABAND 0 0
OT-GAUZE 2X2 0 0
OT GAUZE 4X4 0 0
OT-KERLIX RLS 4-1/2 0 0
OT-KERLIX SPONGE 0 0
OT-TELFA 8X3 0 0
OT-PADS ABO 10X8 0 0
WHO, NON TORSION 0JOINTS
0
EO,ADJ POS LOCK, ACTV 0 CL 0
EO, EXT/FLEX ASSIST 0L3730
0
EWHO, NON TORSION 0 JOINTS 0
EWHFO, NON TORSION 0 L3766 0
SO, ABD POS, W/O JOINTS 0 0
OT STROKE SCREEN 0 0
OT INPATIENT VISIT68 68
OT-CANCELLED VISIT0 0
OT-CANCELLED-DSCHGD 0 0
OT ABSENT 0 0
OT DKH/OP NO CHG 1 1
OT DKH/IP NO CHG 7 7
OT OUTPAT VISITS201 201
DLSN OT EVALUATION 19 (PROC) 19
DLSN OT RE-EVAL (PROC)DLS 1 1
THERA PROCEDURE 54 PER 15MIN54
THERAP ACT/15 MIN 4DLS
4
ULTRASOUND/15 MIN 19 DLS 19
WHIRLPOOL (PROC) DLS 0 0
PARAFIN (PROC) DLS15 15
ELECT STIM ATTEND PER 0 15 0
ELECT STIM UNATTENDED 1 DLS 1
TENS APPLICATION DLS 0 0
SELF CARE HME MGMT 1 15 MIN 1