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
9200551 M V V 460 0 665.18 4340 9200650 METHACHOLINE EVAL 460 0 1129.6 4340 9200858 ARTERIAL PUNCT-PUL KIT 270 0 14.4 4340 9200957 DLCO 460 0 625.5 4340 9201054 SPIROMETRY 460 0 199.21 4340 9201153 SPRIOMETRY W/BRONCHO 460 0 286.03 4340 9201252 PULSE OXIMETRY 460 0 514.18 4340 9201351 PULSE OX W/EXERCISE 460 0 303.56 4340 9201450 INHALATION TEACH&EVA 460 0 70.46 4340 9290016 PROVOCHOLINE PER 1MG 636 0 21.45 4340 9300013 MOBILITY CURRENT STATUS 420 0 0.01 4371 9300021 MOBILITY GOAL STATUS 420 0 0.01 4371 9300039 MOBILITY D/C STATUS 420 0 0.01 4371 9300047 BODY POS CURRENT STATUS 420 0 0.01 4371 9300054 BODY POS GOAL STATUS 420 0 0.01 4371 9300062 BODY POS D/C STATUS 420 0 0.01 4371 9300070 CARRY CURRENT STATUS 420 0 0.01 4371 9300088 CARRY GOAL STATUS 420 0 0.01 4371 9300096 CARRY D/C STATUS 420 0 0.01 4371 9300104 SELF CARE CURRENT STATUS 420 0 0.01 4371 9300112 SELF CARE GOAL STATUS 420 0 0.01 4371 9300120 SELF CARE D/C STATUS 420 0 0.01 4371 9300138 OTHER PT/OT CURRENT STATUS 420 0 0.01 4371 9300146 OTHER PT/OT GOAL STATUS 420 0 0.01 4371 9300153 OTHER PT/OT D/C STATUS 420 0 0.01 4371 9300161 SUB PT/OT CURRENT STATUS 420 0 0.01 4371 9300179 SUB PT/OT GOAL STATUS 420 0 0.01 4371 9300187 SUB PT/OT D/C STATUS 420 0 0.01 4371 9300195 MOBILITY CURRENT STATUS 430 0 0.01 4371 9300203 MOBILITY GOAL STATUS 430 0 0.01 4371 9300211 MOBILITY D/C STATUS 430 0 0.01 4371 9300229 BODY POS CURRENT STATUS 430 0 0.01 4371 9300237 BODY POS GOAL STATUS 430 0 0.01 4371 9300245 BODY POS D/C STATUS 430 0 0.01 4371 9300252 CARRY CURRENT STATUS 430 0 0.01 4371 9300260 CARRY GOAL STATUS 430 0 0.01 4371 9300278 CARRY D/C STATUS 430 0 0.01 4371 9300286 SELF CARE CURRENT STATUS 430 0 0.01 4371 9300294 SELF CARE GOAL STATUS 430 0 0.01 4371 9300302 SELF CARE D/C STATUS 430 0 0.01 4371 9300310 OTHER PT/OT CURRENT STATUS 430 0 0.01 4371 9300328 OTHER PT/OT GOAL STATUS 430 0 0.01 4371 9300336 OTHER PT/OT D/C STATUS 430 0 0.01 4371 9300344 SUB PT/OT CURRENT STATUS 430 0 0.01 4371 9300351 SUB PT/OT GOAL STATUS 430 0 0.01 4371 9300369 SUB PT/OT D/C STATUS 430 0 0.01 4371 9300500 SWALLOW CURRENT STATUS 440 0 0.01 4371
9300518 SWALLOW GOAL STATUS 440 0 0.01 4371 9300526 SWALLOW D/C STATUS 440 0 0.01 4371 9300534 MOTOR SPEECH CURRENT STATUS 440 0 0.01 4371 9300542 MOTOR SPEECH D/C STATUS 440 0 0.01 4371 9300559 LANG COMP CURRENT STATUS 440 0 0.01 4371 9300567 LANG COMP GOAL STATUS 440 0 0.01 4371 9300575 LANG COMP D/C STATUS 440 0 0.01 4371 9300583 LANG EXPRESS CURRENT STATUS 440 0 0.01 4371 9300591 LANG EXPRESS GOAL STATUS 440 0 0.01 4371 9300609 LANG EXPRESS D/C STATUS 440 0 0.01 4371 9300617 ATTEN CURRENT STATUS 440 0 0.01 4371 9300625 ATTEN GOAL STATUS 440 0 0.01 4371 9300633 ATTEN D/C STATUS 440 0 0.01 4371 9300641 MEMORY CURRENT STATUS 440 0 0.01 4371 9300658 MEMORY GOAL STATUS 440 0 0.01 4371 9300666 MEMORY D/C STATUS 440 0 0.01 4371 9300674 VOICE CURRENT STATUS 440 0 0.01 4371 9300682 VOICE GOAL STATUS 440 0 0.01 4371 9300690 VOICE D/C STATUS 440 0 0.01 4371 9300708 SPEECH LANG CURRENT STATUS 440 0 0.01 4371 9300716 SPEECH LANG GOAL STATUS 440 0 0.01 4371 9300724 SPEECH LANG D/C STATUS 440 0 0.01 4371 9300732 MOTOR SPEECH GOAL STATUS 440 0 0.01 4371 9300740 MOBILITY CURRENT STATUS 420 0 0.01 4371 9300757 MOBILITY CURRENT STATUS 420 0 0.01 4371 9300765 MOBILITY CURRENT STATUS 420 0 0.01 4371 9300773 MOBILITY CURRENT STATUS 420 0 0.01 4371 9300781 MOBILITY CURRENT STATUS 420 0 0.01 4371 9300799 MOBILITY CURRENT STATUS 420 0 0.01 4371 9300807 MOBILITY CURRENT STATUS 430 0 0.01 4371 9300815 MOBILITY CURRENT STATUS 430 0 0.01 4371 9300823 MOBILITY CURRENT STATUS 430 0 0.01 4371 9300831 MOBILITY CURRENT STATUS 430 0 0.01 4371 9300849 MOBILITY CURRENT STATUS 430 0 0.01 4371 9300856 MOBILITY CURRENT STATUS 430 0 0.01 4371 9300864 SWALLOW CURRENT STATUS 440 0 0.01 4371 9300872 SWALLOW CURRENT STATUS 440 0 0.01 4371 9300880 SWALLOW CURRENT STATUS 440 0 0.01 4371 9300898 SWALLOW CURRENT STATUS 440 0 0.01 4371 9300906 SWALLOW CURRENT STATUS 440 0 0.01 4371 9300914 SWALLOW CURRENT STATUS 440 0 0.01 4371 9300922 SWALLOW GOAL STATUS 440 0 0.01 4371 9300930 SWALLOW GOAL STATUS 440 0 0.01 4371 9300948 SWALLOW GOAL STATUS 440 0 0.01 4371 9300955 SWALLOW GOAL STATUS 440 0 0.01 4371 9300963 SWALLOW GOAL STATUS 440 0 0.01 4371 9300971 SWALLOW GOAL STATUS 440 0 0.01 4371
- Page 119 and 120: 6901607 FINGER 2 OR MORE RT 320 0 1
- Page 121 and 122: 7000094 MRI-CHEST W/WO CONTR PLF 61
- Page 123 and 124: 7001084 MRI-LOEX NO JT W/WO RT-PLF
- Page 125 and 126: 7500820 ASPIRIN 325 MG TAB 250 0 0
- Page 127 and 128: 7501794 CHOLESTYRAMINE/SUCRO PACKET
- Page 129 and 130: 7502768 DULOXETINE 30MG. CAP EC 250
- Page 131 and 132: 7503741 HALOPERIDOL LACTATE VIAL 63
- Page 133 and 134: 7504723 LIDOCAINE HCL/D7.5W INJ 250
- Page 135 and 136: 7505704 MULTIVITAMINS THERAP 250 0
- Page 137 and 138: 7506645 PHENAZOPYRIDINE HCL TAB 250
- Page 139 and 140: 7507601 SODIUM BICARBONATE SYRINGE
- Page 141 and 142: 7508583 ISOPROPYL ALCOHOL SOLN 250
- Page 143 and 144: 7509532 ISOSORBIDE MONONITRA T SR 2
- Page 145 and 146: 7510506 SUMATRIPTAN SUCCINAT TAB 25
- Page 147 and 148: 7511488 BUPROPION HCL 100 MG TAB 25
- Page 149 and 150: 7512486 LANTUS INSULIN VIAL 636 0 0
- Page 151 and 152: 7513500 POVIDONE-IODINE 10% SOLN 25
- Page 153 and 154: 7514649 PYRAZINAMIDE 500MG TAB 250
- Page 155 and 156: 7515620 BUSPIRONE 2.5 MG TAB 250 0
- Page 157 and 158: 7517618 TETANUS AND DIPTHERIA TOX .
- Page 159 and 160: 7600398 CONTAINER EMPTY 500 270 0 0
- Page 161 and 162: 7690001 RED CAP LUER LOCK MED SUPPL
- Page 163 and 164: 8201709 PROSTETIC TRAIN PER 15 MIN
- Page 165 and 166: 8403214 WHFOWOJT L3808 274 0 509.69
- Page 167 and 168: 8701500 IONTOPHORESIS PER 15 MIN DL
- Page 169: 9003112 INITIAL PSYCH EVAL MD 900 0
- Page 173 and 174: 9301441 LANG EXPRESS GOAL STATUS 44
- Page 175 and 176: 9302381 MOBILITY GOAL STATUS 420 0
- Page 177 and 178: 9303330 OTHER PT/OT D/C STATUS 420
- Page 179 and 180: 9304296 SUB PT/OT GOAL STATUS 430 0
- Page 181 and 182: 9702796 MIC MEDICAID INTGRTY ALLOWA
- Page 183 and 184: 9704602 UNITED HLTHCR/UNITED HLTHCR
- Page 185 and 186: 9707886 TR PAUL ALLOWANCE 0 0 5210
- Page 187 and 188: 9805813 H/L SAGA B/D I/P ALLOWANCE
- Page 189 and 190: 9822297 STATE INCOME TAXES WITHHELD
- Page 191 and 192: 9826116 RENTAL INCOME LLC - VAN LEA
- Page 193 and 194: 9827627 HC HOSPICE MED SUPLS MED/SU
- Page 195 and 196: 9829565 MATERIAL MGMT-NON-MED SUP S
- Page 197 and 198: 9915646 SUPP TRICARE PAYMENT 0 0 10
- Page 199 and 200: 9940453 CT CARPENTERS HEALTH FUND P
- Page 201 and 202: 9945072 PSYCH DKH CIGNA BEHAV PAYME
- Page 203 and 204: 501205 LARYNGOSCOPY 361 0 0 3720 50
- Page 205 and 206: 1301993 LY NECK EXTS 20.1-30 450 0
- Page 207 and 208: 1304385 EXCIS OF X THORB HEM 450 0
- Page 209 and 210: 1402759 THUMB FX W/MAN 456 0 0 3780
- Page 211 and 212: 1800150 JAMSHIDI NEEDLE 270 0 0 375
- Page 213 and 214: 2525640 EYE RETROBULBAR NDL 270 0 0
- Page 215 and 216: 2600153 AMNIO SUPPLIES 270 0 0 3800
- Page 217 and 218: 4100384 BENZODIAZEPINES 300 0 0 401
- Page 219 and 220: 4605929 MUTATION ID ALLELE S 300 0
9300518 SWALLOW GOAL STATUS 440 0 0.01 4371<br />
9300526 SWALLOW D/C STATUS 440 0 0.01 4371<br />
9300534 MOTOR SPEECH CURRENT STATUS 440 0 0.01 4371<br />
9300542 MOTOR SPEECH D/C STATUS 440 0 0.01 4371<br />
9300559 LANG COMP CURRENT STATUS 440 0 0.01 4371<br />
9300567 LANG COMP GOAL STATUS 440 0 0.01 4371<br />
9300575 LANG COMP D/C STATUS 440 0 0.01 4371<br />
9300583 LANG EXPRESS CURRENT STATUS 440 0 0.01 4371<br />
9300591 LANG EXPRESS GOAL STATUS 440 0 0.01 4371<br />
9300609 LANG EXPRESS D/C STATUS 440 0 0.01 4371<br />
9300617 ATTEN CURRENT STATUS 440 0 0.01 4371<br />
9300625 ATTEN GOAL STATUS 440 0 0.01 4371<br />
9300633 ATTEN D/C STATUS 440 0 0.01 4371<br />
9300641 MEMORY CURRENT STATUS 440 0 0.01 4371<br />
9300658 MEMORY GOAL STATUS 440 0 0.01 4371<br />
9300666 MEMORY D/C STATUS 440 0 0.01 4371<br />
9300674 VOICE CURRENT STATUS 440 0 0.01 4371<br />
9300682 VOICE GOAL STATUS 440 0 0.01 4371<br />
9300690 VOICE D/C STATUS 440 0 0.01 4371<br />
9300708 SPEECH LANG CURRENT STATUS 440 0 0.01 4371<br />
9300716 SPEECH LANG GOAL STATUS 440 0 0.01 4371<br />
9300724 SPEECH LANG D/C STATUS 440 0 0.01 4371<br />
9300732 MOTOR SPEECH GOAL STATUS 440 0 0.01 4371<br />
9300740 MOBILITY CURRENT STATUS 420 0 0.01 4371<br />
9300757 MOBILITY CURRENT STATUS 420 0 0.01 4371<br />
9300765 MOBILITY CURRENT STATUS 420 0 0.01 4371<br />
9300773 MOBILITY CURRENT STATUS 420 0 0.01 4371<br />
9300781 MOBILITY CURRENT STATUS 420 0 0.01 4371<br />
9300799 MOBILITY CURRENT STATUS 420 0 0.01 4371<br />
9300807 MOBILITY CURRENT STATUS 430 0 0.01 4371<br />
9300815 MOBILITY CURRENT STATUS 430 0 0.01 4371<br />
9300823 MOBILITY CURRENT STATUS 430 0 0.01 4371<br />
9300831 MOBILITY CURRENT STATUS 430 0 0.01 4371<br />
9300849 MOBILITY CURRENT STATUS 430 0 0.01 4371<br />
9300856 MOBILITY CURRENT STATUS 430 0 0.01 4371<br />
9300864 SWALLOW CURRENT STATUS 440 0 0.01 4371<br />
9300872 SWALLOW CURRENT STATUS 440 0 0.01 4371<br />
9300880 SWALLOW CURRENT STATUS 440 0 0.01 4371<br />
9300898 SWALLOW CURRENT STATUS 440 0 0.01 4371<br />
9300906 SWALLOW CURRENT STATUS 440 0 0.01 4371<br />
9300914 SWALLOW CURRENT STATUS 440 0 0.01 4371<br />
9300922 SWALLOW GOAL STATUS 440 0 0.01 4371<br />
9300930 SWALLOW GOAL STATUS 440 0 0.01 4371<br />
9300948 SWALLOW GOAL STATUS 440 0 0.01 4371<br />
9300955 SWALLOW GOAL STATUS 440 0 0.01 4371<br />
9300963 SWALLOW GOAL STATUS 440 0 0.01 4371<br />
9300971 SWALLOW GOAL STATUS 440 0 0.01 4371