chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov
chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov
DLSN OT WHFOADMPFLXIL3860 0 0 DLSN OT ADDUEJWE,EA 0 L3890 0 DLSN OT WHFODYNHINGEL3900 0 0 DLSN OT WHFODYHGNCBLL3901 0 0 DLSN OT WHOWOJT L3906 0 0 DLSN OT WHOWRTHSPICAL3907 0 0 DLSN OT HFOWOJT L3913 0 0 DLSN OT FOWOJT L3933 0 0 DLSN OT FOWJT L39350 0 DLSN OT ADDOPERJT 0L3956 0 DLSN OT CERV COLLAR 0 FORM 0 DLSN OT UNIV CERV COLLAR 0 0 DLSN OT COLLAR W/OPEN 0 TRA 0 DLSN OT UNIV KNEE SPLINT 0 0 DLSN OT UNIV RIB BELT 0 0 RE-EVAL CPLX CTCA 0PLF 0 WHIRLPOOL (PROC) PLF 0 0 PLFD OT HEAT/CYRO 0(PROC) 0 PHYS PERF TEST FTE 15 0 MIN 0 PLFD OT SH ARM SP ST(PROC 0 0 PLFD OT SH ARM SP DY(PROC 0 0 PLFD OT FINGER SP ST(PROC 0 0 PLFD OT FINGER SP DY(PROC 0 0 LOW BACK STR(PROC) 0 PLF 0 SHOULDER STR(PROC) 0 PLF 0 ELBOW/WRIST STRAPPING 0 PLF 0 HAND/FNGR STR(PROC) 0 PLF 0 THORAX/CHEST STRAP 0 PLF 0 TOES STRAP (PROC) PLF 0 0 UNNA BOOT STR(PROC) 0 PLF 0 CONTRAST BATH/15MIN 0 PLF 0 COMM/WORK REINTEG 0 PER 15 0 PLFD OT DEV COGN SK/15MIN 0 0 DEV COGNITIVE SKILLS 0 /15M 0 AQUATIC REHAB/15 MIN 0 PLF 0 WC DEBR>20CM(PROC) 0 PLF 0 WC DEBR
PLFD OT WHFOADDTHUM 0 L38100 PLFD OT WHFOADD2NDMPL3815 0 0 PLFD OT WHFADIPMP 0 L3820 0 PLFD OT WHFADMPEXT 0 L3825 0 PLFD OT WHFOADDMPASTL3830 0 0 PLFD OT WHFOADSPREXTL3835 0 0 PLFD OT WHFOADSPGSW 0 3840 0 PLFD OT WHFOADDTHMP 0 L38450 PLFD OT WHFOADDASST 0 L3850 0 PLFD OT WHFOADDMPFLXL3855 0 0 PLFD OT WHFOADMPFLXIL3860 0 0 PLFD OT ADDUEJWE,EA 0 L3890 0 PLFD OT WHFODYNHNG 0 L3900 0 PLFD OT WHFODYHNGCBLL3901 0 0 PLFD OT WHOWRTHSPICAL3907 0 0 PLFD OT FOWJT L39350 0 PLFD OT ADDOPERJT 0L3956 0 PLFD OT CERV COLLAR 0 FORM 0 PLFD OT UNIV CERV COLLAR 0 0 PLFD OT COLLAR W/OP 0 TRACH 0 PLFD OT UNIV KNEE SPLINT 0 0 PLFD OT UNIV RIB BELT 0 0 MISSED APPOINTMENT 0 0 CANCELLATION 0 0 INITIAL IP CONSULT 0 0 FOLLOW-UP IP CONSULT 0 0 INDIV THER 20-30 MIN0 0 FAMILY PSYCHOTHERAPY 0 0 GROUP THERAPY BY DR 0 0 GROUP THERAPY BY PRN 0 0 GROUP THERAPY-DBT0 0 EMERG PSYCH EVAL NON 0 CR 0 EMER PSYCH EVAL-CREDENTLD 0 0 THERAPY&MED EVA-APRN 0 45 0 MEDS EVAL BY MD 0 0 MEDS EVAL BY APRN0 0 INITIAL M.D. EVAL 0 0 INITIAL APRN EVAL 0 0 INIT PSYCHOTHER EVAL 0 0 MISSED APPOINTMENT 0 0 CANCELLATION 0 0 PROF FEE EMERG PSYCH 0 EVAL 0 PRO FEE INDIV 20 300MIN 0 PRO FEE INDIV 45 500MIN 0 PRO FEE INDIV THER 0W/MED 0 PRO FEE INDIV 20 300W/MED 0 PROF FEE INDIV 75 800 MIN 0
- Page 666 and 667: H/L SAGA ADMINISTRATION 0 0 H/L SAG
- Page 668 and 669: TFR FROM B/D TO A/R3 3 TFR FROM A/R
- Page 670 and 671: PHYS PRAC ATHENA CASH 0 0 MEDICAL O
- Page 672 and 673: CAFETERIA SALES CAFE 0 0 CAFETERIA
- Page 674 and 675: LABORATORY - UTILITIES 0 0 CARDIA R
- Page 676 and 677: OPER OF PLANT-GAS0 0 NON MEDICAL SU
- Page 678 and 679: PERSONAL PYMT (P/R -37DED) -37 TCOR
- Page 680 and 681: BLUE CROSS OF RI PAYMENT -88 -88 OU
- Page 682 and 683: SEVEN CORNERS PAYMENT 0 0 IMG PAYME
- Page 684 and 685: ZZ OHM UNSPECIFIED 0PYMT 0 ZZ STERL
- Page 686 and 687: SITE ASSESSMENT 0 0 SITE ASSESSMENT
- Page 688 and 689: TX COCCYGEAL FX 0 0 HIP DISLOCW/O A
- Page 690 and 691: CL INTE FACE7.6-12.50 0 LYR FACE 12
- Page 692 and 693: THORACENTESIS W/TUBE 0 0 TUBE THOR
- Page 694 and 695: POST-OP SHOE 0 0 T-LOOP ELECTRODE 0
- Page 696 and 697: SYN L PL DCP BR 07 H0 0 SYN L PL DC
- Page 698 and 699: FULVESTRANT 125 MG 0 SYRING 0 CYTAR
- Page 700 and 701: KENNEDY DISEASE DNA 0 0 APOLIPO.E G
- Page 702 and 703: MEN2/FMTC MUTATIONS 0 0 COMPLETE CM
- Page 704 and 705: PCR BY IMUGEN 0 0 A PHAGOCYTOPHILUM
- Page 706 and 707: PLANAR CARDIAC RE&EX 0 0 PLANAR CAR
- Page 708 and 709: PROCAINAMIDE SR 500 MG TA 0 TEGASER
- Page 710 and 711: DLSN MOIST HEAT/CRYO(PROC 0 0 FUNCT
- Page 712 and 713: PLFD WHFOADDSPREXT 0 L3835 0 PLFD W
- Page 714 and 715: VIDEO FLUORO EVAL I0 0 OT REEVAL CP
- Page 718 and 719: PRO FEE FAMILY THERAPY 0 0 PROF FEE
- Page 720 and 721: MISC MEDICARE MCO 0 PMT 0 NATIONAL
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DLSN OT WHFOADMPFLXIL3860 0 0<br />
DLSN OT ADDUEJWE,EA 0 L3890 0<br />
DLSN OT WHFODYNHINGEL3900 0 0<br />
DLSN OT WHFODYHGNCBLL3901 0 0<br />
DLSN OT WHOWOJT L3906 0 0<br />
DLSN OT WHOWRTHSPICAL3907 0 0<br />
DLSN OT HFOWOJT L3913 0 0<br />
DLSN OT FOWOJT L3933 0 0<br />
DLSN OT FOWJT L39350 0<br />
DLSN OT ADDOPERJT 0L3956<br />
0<br />
DLSN OT CERV COLLAR 0 FORM 0<br />
DLSN OT UNIV CERV COLLAR 0 0<br />
DLSN OT COLLAR W/OPEN 0 TRA 0<br />
DLSN OT UNIV KNEE SPLINT 0 0<br />
DLSN OT UNIV RIB BELT 0 0<br />
RE-EVAL CPLX <strong>CT</strong>CA 0PLF<br />
0<br />
WHIRLPOOL (PROC) PLF 0 0<br />
PLFD OT HEAT/CYRO 0(PROC)<br />
0<br />
PHYS PERF TEST FTE 15 0 MIN 0<br />
PLFD OT SH ARM SP ST(PROC 0 0<br />
PLFD OT SH ARM SP DY(PROC 0 0<br />
PLFD OT FINGER SP ST(PROC 0 0<br />
PLFD OT FINGER SP DY(PROC 0 0<br />
LOW BACK STR(PROC) 0 PLF 0<br />
SHOULDER STR(PROC) 0 PLF 0<br />
ELBOW/WRIST STRAPPING 0 PLF 0<br />
HAND/FNGR STR(PROC) 0 PLF 0<br />
THORAX/CHEST STRAP 0 PLF 0<br />
TOES STRAP (PROC) PLF 0 0<br />
UNNA BOOT STR(PROC) 0 PLF 0<br />
CONTRAST BATH/15MIN 0 PLF 0<br />
COMM/WORK REINTEG 0 PER 15 0<br />
PLFD OT DEV COGN SK/15MIN 0 0<br />
DEV COGNITIVE SKILLS 0 /15M 0<br />
AQUATIC REHAB/15 MIN 0 PLF 0<br />
WC DEBR>20CM(PROC) 0 PLF 0<br />
WC DEBR
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