Date

YYYY

I/P

Evals

Do not count evals as patient visits

Patient Visits

# of CPT Codes Billed I/P (excluding eval)

for example, 2 units of therapeutic exercise, 1 unit of gait training, 1 unit of e-stim = 4 CPT codes billed

O/P

Evals

Do not count evals as patient visits

Patient Visits

Include all patient visits for all pt staff

Lori

Evals

# of evals done by Lori here, these are also included in the total count above.

Patient Visits

# of Patients seen by Lori here, these are also included in the total count above.

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