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
1000090 SITE ASSESSMENT 260 0 0 4320 1000108 SITE ASSESSMENT W OR W/O FLUSH 269 0 0 4320 1000116 PERIPHERAL DRESSING CHANGE 269 0 0 4320 1000124 CENTRAL LINE DRESSING CHANGE 269 0 0 4320 1000132 SQ PORT ACCESSING 269 0 0 4320 1000140 SQ PORT DE ACCESSING 269 0 0 4320 1000173 PPD PLANTING/READING 269 0 0 4320 1000181 BLOOD DRAW W/IV STARTS 269 0 0 4320 1000207 MIDLINE EVALUATION/INSERTION 269 0 0 4320 1000223 PICC EVALUATION 269 0 0 4320 1000231 MIDLINE EVALUATION 269 0 0 4320 1000249 PICC LINE REMOVAL 269 0 0 4320 1100080 IV START 260 0 0 4320 1100106 PERIPHERAL DRESSING CHANGE 260 0 0 4320 1300359 FACILITY FEE-RECHECK 450 0 0 3780 1300607 ED-LWBS 450 0 0 3780 1300714 NES PHY FEE-BRIEF 981 0 0 2120 1300771 NES PHY FEE-RECHECK 981 0 0 2120 1300789 NES URGENT-MINIMAL 450 0 0 2120 1300797 NES URGENT-BRIEF 450 0 0 2120 1300805 NES URGENT-LIMITED 450 0 0 2120 1300813 PHY INTERMED 456 0 0 3780 1300854 PHY INTERMED 456 0 0 2120 1300862 PHY COMPREHENSIVE 456 0 0 2120 1300870 PHY EXTENDED 456 0 0 2120 1300904 PHY FEE-MINIMAL 981 0 0 2120 1300912 PHY FEE-BRIEF 981 0 0 2120 1300920 PHY FEE-LIMITED 981 0 0 2120 1300938 PHY FEE-INTERMEDIATE 450 0 0 2120 1300946 PHY FEE-EXTENDED 450 0 0 2120 1300953 PHY FEE-RECHECK 981 0 0 2120 1300961 PHY FEE-NO CHG 450 0 0 2120 1300979 PHY FEE-COMPREHENSIVE 450 0 0 2120 1300987 PHY FEE-RECHECK 450 0 0 2120 1301589 I&D CMPL POST-OP ABS 450 0 0 3780 1301597 DEBR SKN UPTO 10%TBS 450 0 0 3780 1301621 DEBR SKIN FULL THICK 450 0 0 3780 1301647 BX SKIN SUBC SINGLE 450 0 0 3780 1301654 BX SKIN SUBC MULTI 450 0 0 3780 1301662 EXC BEN SCALP..0.5CM 450 0 0 3780 1301670 REM SKIN TAGS;UPTO15 450 0 0 3780 1301688 EXC BENIGN O.6-1.0CM 450 0 0 3780 1301696 DEBR NAILS 1-5 450 0 0 3780 1301860 SMPL FACE20.1-30.0CM 450 0 0 3780 1301878 SMPL FACE >30.0 CM 450 0 0 3780 1301944 LYR BODY SC >30.0 CM 450 0 0 3780 1301985 LY NECK EXTS 12.6-20 450 0 0 3780
1301993 LY NECK EXTS 20.1-30 450 0 0 3780 1302009 LYR NECK EXTS >30 CM 450 0 0 3780 1302058 LYR FACE 12.6-20.0 450 0 0 3780 1302066 LYR FACE 20.1-30.0 450 0 0 3780 1302074 LYR FACE >30.0 CM 450 0 0 3780 1302082 CMPLX TRNK 1.1-2.5CM 450 0 0 3780 1302090 CMPLX TRNK 2.6-7.5 450 0 0 3780 1302108 CMPLX SC EXTS1.1-2.5 450 0 0 3780 1302132 CMPLX FACE EXTS
- 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 and 170: 9003112 INITIAL PSYCH EVAL MD 900 0
- Page 171 and 172: 9300518 SWALLOW GOAL STATUS 440 0 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: 501205 LARYNGOSCOPY 361 0 0 3720 50
- 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
- Page 221 and 222: 4612685 CX 26 DNA SEQUENCING 300 0
- Page 223 and 224: 5600812 MRI KEN UPEX NO JT WO RT 61
- Page 225 and 226: 6500052 MRI-SPECIAL 352 0 0 4270 65
- Page 227 and 228: 7600570 POTASSIUM ACETATE 2 258 0 0
- Page 229 and 230: 8203465 DLSN HFOWOJT L3913 274 0 0
- Page 231 and 232: 8403263 EWHORTHO L3763 274 0 0 4370
- Page 233 and 234: 8603557 JOINT JACK 274 0 0 4390 860
- Page 235 and 236: 8803306 PLFD OT WHFOADDTHUM L3810 2
- Page 237 and 238: 9742503 TCORS AUTO ALOOWANCE 0 0 52
- Page 239 and 240: 9944786 NATIONAL HEALTH INS NASE PA
- Page 241 and 242: 9709817 CHARITY MEDICARE B/D-COINS
- Page 243 and 244: 90460 0 23000086 A A 35109990 35109
- Page 245 and 246: 99213 0 49000030 A A 37209990 37209
- Page 247 and 248: 10060 0 A A 37309990 37309990 10061
- Page 249 and 250: 0 A A 37309990 37309990 69287 0 A A
- Page 251 and 252: 12002 0 26600071 A A 37809990 37809
- Page 253 and 254: 28660 0 26600430 A A 37809990 37809
1301993 LY NECK EXTS 20.1-30 450 0 0 3780<br />
1302009 LYR NECK EXTS >30 CM 450 0 0 3780<br />
1302058 LYR FACE 12.6-20.0 450 0 0 3780<br />
1302066 LYR FACE 20.1-30.0 450 0 0 3780<br />
1302074 LYR FACE >30.0 CM 450 0 0 3780<br />
1302082 CMPLX TRNK 1.1-2.5CM 450 0 0 3780<br />
1302090 CMPLX TRNK 2.6-7.5 450 0 0 3780<br />
1302108 CMPLX SC EXTS1.1-2.5 450 0 0 3780<br />
1302132 CMPLX FACE EXTS
Change language