chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov

ACU VISIT 5 5
ENDO DUAL VISIT 0 0
SPEC PROC RM PM 10HR
0
OMNIPAQUE 240 PER 0ML
0
CONSULT RET GI N/C0 0
CONSULT INT GI N/C 0 0
PROC DISCONT WO ANES 0 0
PROC DISCONT W/ANES 0 0
COLONOSCOPY 261 261
GASTROSCOPY 95 95
BRONCHOSCOPY 1 1
LARYNGOSCOPY 0 0
TEE PROBE 0 0
SIGMOIDOSCOPY 2 2
POLYPECTOMY 60 60
PORT OR PICC FLUSH 0ONLY
0
IV PUSH INITIAL 0 0
IVP EA ADD'L SEQ 0 0
POSTOP IVP INITIAL 1 1
POSTOP IVP AD'L SEQ0 0
ACU FLOOR RECOVERY 0 PER HR 0
BLOOD ADMIN GASTRO 0 0
G TUBE REPLACEMENT 1 1
PEG BUTTON CHANGE0 0
PILL CAM ENDOSCOPY2 2
CANCELLED N/C 0 0
NO SHOW N/C 0 0
ENDO VISIT 294 294
ENDO DUAL VISIT 33 33
BONE MARROW ASPIRATION 2 2
E&M EST PATIENT (BRIEF) 2 2
E&M EST PATIENT(LIMITED) 29 29
E&M EST PATIENT(INTER) 21 21
E&M EST PATIENT(EXTENDED) 58 58
E&M EST PATIENT(COMPLEX) 6 6
SKIN TAG REMOVAL=15 0 LES 0
SKIN TAG RMVL EA ADDL 0 10 0
UNNA BOOT 0 0
SELECTIVE DEBRIDE 120 CM 1
NON SELECTIVE DEBRIDEMENT 0 0
ART DOPPLER MULTI 0LVEL BI 0
FINGERSTICK 0 0
PUNTURE ASPIRATN ABSCESS 0 0
I&D POST OP WOUND0 0
NEG PRESS(VACUUM) 17WD50 SQ 1 CM 1