PHYSICAL THERAPY
SERVICE CHARGE CODE	SERVICE DESCRIPTION	SERVICE CHARGE PRICE
5400002	PT STATUS SUMMARY	41.25
5400146	PT-WHIRLPOOL-15 MIN	44.60
5400187	WHIRLPOOL W/ EXERCISE-15 MIN	44.60
5400245	TRANS 5 MILE RADIUS	24.23
5400260	TRANS P/M BEYOND 5 MILES	4.69
5400302	CASE CONFERENCE, ADD 15 MIN	15.60
5409775	EXTREMITY TESTING, INIT 15 MIN	26.14
5421179	PT-NEUROMUSCULAR RETRNG-15 MIN	55.00
5471129	PT-KINETIC EXERCISE-15 MIN	55.00
5475309	PT-FUNCTIONAL TX ACTIVITY-15 MIN	55.00
5477509	PT-EVALUATION/ASSESSMENT-15 MIN	65.00
5495001	EXTREMITY TESTING, ADD 15 MIN	44.60
5495003	PT-COLD PACKS-15 MIN	26.14
5495005	DRESSING APPLICATION	26.14
5495006	PT-ELECTRICAL STIMULATION, UNATTENDED	26.14
5495007	EXERCISES	26.14
5495008	FLUIDOTHERAPY	25.33
5495012	HOME EVALUATION	209.09
5495013	PT-HOT PACKS-15 MIN	26.14
5495016	MASSAGE, ADD 15 MIN	44.60
5495020	PARAFFIN BATH	26.14
5495021	PROSTHETIC TRAINING, ADD 15 MIN	44.60
5495023	TRACTION	26.14
5495024	PT-ULTRASOUND, ADD 15 MIN	18.56
5495026	WORK HARD/CONDIT, 1ST 2 HOUR	209.09
5495027	WORK HARDENING, ADD 1 HOUR	104.56
5495028	PT-COGNITIVE TRAINING-15 MIN	52.27
5495029	GAIT TRAINING, ADD 15 MIN	44.60
5497001	PT-FUNCTIONAL EVAL, INIT 15 MIN	54.44
5497032	PT-ELECTRICAL STIM, MANUAL-15 MIN	39.21
5497035	PT-ULTRASOUND, INIT 15 MIN	26.14
5497116	GAIT TRAINING, INIT 15 MIN	26.14
5497124	MASSAGE, INIT 15 MIN	26.14
5497140	PT-JOINT MOBILIZATION	55.00
5497150	PT-GROUP THERAPY	49.00
5497520	PROSTHETIC TRAINING, INIT 15 MIN	18.56
5497597	PT-WOUND DEBRIDEMENT, 20SQCM OR <	86.00
5497598	PT-WOUND DEBRIDEMENT,> 20SQCM	101.00
5497799	CASE CONFERENCE, INIT 15 MIN	27.13
5498000	PT-IONTOPHORESIS	148.43
5498001	PT-FUNCTIONAL EVAL, ADD 15 MIN	80.05