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
83912 36.05 31611338 D D 40109990 40109990 83912 36.05 31611339 D D 40109990 40109990 83912 36.05 31611340 D D 40109990 40109990 83912 36.05 31611341 D D 40109990 40109990 0 D D 40109990 40109990 0 D D 40109990 40109990 0 D D 40109990 40109990 0 D D 40109990 40109990 0 D D 40109990 40109990 0 D D 40109990 40109990 83908 106.09 31611344 D D 40109990 40109990 84999 161 31611357 D D 40109990 40109990 83909 244.11 D D 40109990 40109990 82533 0 D D 40109990 40109990 83858 0 D D 40109990 40109990 82634 54 D D 40109990 40109990 83904 61.02 D D 40109990 40109990 83909 88.25 D D 40109990 40109990 83891 45.32 D D 40109990 40109990 0 D D 40109990 40109990 83914 81.25 D D 40109990 40109990 83909 72.82 D D 40109990 40109990 83891 15.1 D D 40109990 40109990 83898 63.19 D D 40109990 40109990 83904 63.19 D D 40109990 40109990 83909 63.19 D D 40109990 40109990 83912 15.1 D D 40109990 40109990 83891 15.11 D D 40109990 40109990 83892 15.11 D D 40109990 40109990 83900 0 D D 40109990 40109990 83901 63.19 D D 40109990 40109990 83909 63.19 D D 40109990 40109990 83914 63.19 D D 40109990 40109990 80102 0 D D 40109990 40109990 80102 0 D D 40109990 40109990 83891 0 D D 40109990 40109990 83898 0 D D 40109990 40109990 83904 0 D D 40109990 40109990 83909 0 D D 40109990 40109990 0 D D 40109990 40109990 0 D D 40109990 40109990 0 D D 40109990 40109990 0 D D 40109990 40109990 0 D D 40109990 40109990 0 D D 40109990 40109990 0 D D 40109990 40109990 0 D D 40109990 40109990
83890 0 D D 40109990 40109990 83890 0 D D 40109990 40109990 83890 0 D D 40109990 40109990 83890 0 D D 40109990 40109990 83789 0 D D 40109990 40109990 88262 1013.52 31800031 D D 40109990 40109990 84030 91.67 31800053 D D 40109990 40109990 87252 77.25 31800076 D D 40109990 40109990 86235 162.74 31800096 D D 40109990 40109990 83898 281.19 31610173 D D 40109990 40109990 83912 2102.23 31610898 D D 40109990 40109990 88160 98.88 31784004 D D 40109990 40109990 88160 98.88 31784006 D D 40109990 40109990 88172 157.59 31784011 D D 40109990 40109990 88160 98.88 31784012 D D 40109990 40109990 88112 101.97 31791012 D D 40109990 40109990 0 D D 37209990 37209990 P9019 0 32400665 D D 41009990 41009990 P9016 0 32412348 D D 41009990 41009990 P9033 0 32415551 D D 41009990 41009990 P9033 0 32415552 D D 41009990 41009990 P9040 744 32415554 D D 41009990 41009990 P9047 0 32419954 D D 41009990 41009990 P9017 0 32421364 D D 41009990 41009990 P9012 0 32423345 D D 41009990 41009990 P9016 0 32427544 D D 41009990 41009990 P9016 0 32429888 D D 41009990 41009990 36430 0 32433344 D D 41009990 41009990 P9016 0 32443210 D D 41009990 41009990 P9016 0 32455347 D D 41009990 41009990 P9012 163 32455990 D D 41009990 41009990 J7192 5591.7 32460033 D D 41009990 41009990 J7192 3914.19 32460034 D D 41009990 41009990 J7192 5527 32460035 D D 41009990 41009990 J7192 8912 32460037 D D 41009990 41009990 P9045 146 32460082 D D 41009990 41009990 P9033 0 32460158 D D 41009990 41009990 0 32461142 D D 41009990 41009990 P9019 0 32466005 D D 41009990 41009990 23 32473278 D D 41009990 41009990 0 32478125 D D 41009990 41009990 P9012 0 32499519 D D 41009990 41009990 0 32499523 D D 41009990 41009990 72158 0 D D 42759990 42759990 73222 LT 0 D D 42759990 42759990 73222 RT 0 D D 42759990 42759990 73218 LT 0 D D 42759990 42759990
- Page 411 and 412: 94200 426.42 47000062 A A 43409990
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- Page 459 and 460: 83912 36.05 31610152 D D 40109990 4
- Page 461: 83912 142.14 31611065 D D 40109990
- Page 465 and 466: 78452 39.181 35091172 D D 42409990
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- Page 469 and 470: 97010 15 41200107 D D 43709990 4370
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- Page 477 and 478: 90847 0 D D 44709990 44709990 90849
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- Page 481 and 482: 0 I I 38009990 38009990 51180 0 I I
- Page 483 and 484: CBDSC MTDQTY YTDQTY MED/SURG, SEMI-
- Page 485 and 486: ITEL IV TX HYDRA ADD'L 224 HR 224 I
- Page 487 and 488: ACU VISIT 5 5 ENDO DUAL VISIT 0 0 S
- Page 489 and 490: EX MAL LES FACE 4.0 0 CM 0 DEBRIDE
- Page 491 and 492: IV TX HYDRA ADD'L HR0 0 VACCINE INJ
- Page 493: RADIAL SHFT FX W/MAN 0 0 FX CARE W/
- Page 496 and 497: SHAVING SKIN LESION 0
- Page 498 and 499: CMPLX SC EXTS EA ADD 0 0 CMPLX FACE
- Page 500 and 501: SUTURE REMOVAL-DKH 0 0 REMOVAL FB U
- Page 502 and 503: ART FASTFIX KNT PSHR2 2 ART FASTFIX
- Page 504 and 505: LAP UNIV TROCAR SLVE 14 5MM 14 ART
- Page 506 and 507: MIS DRAIN BAKER JEJUN 0 0 MIS DRAIN
- Page 508 and 509: ORT MITEK SUPER 0 0 ORT PLATE HUMER
- Page 510 and 511: TKA X3 TRIATHLON CS 0 INS 0 TOPAZ W
83890 0 D D 40109990 40109990<br />
83890 0 D D 40109990 40109990<br />
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86235 162.74 31800096 D D 40109990 40109990<br />
83898 281.19 31610173 D D 40109990 40109990<br />
83912 2102.23 31610898 D D 40109990 40109990<br />
88160 98.88 31784004 D D 40109990 40109990<br />
88160 98.88 31784006 D D 40109990 40109990<br />
88172 157.59 31784011 D D 40109990 40109990<br />
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J7192 5527 32460035 D D 41009990 41009990<br />
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