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

BONE MARROW BIOPSY 1 1
IV TX CONCURR INF 7 7
BONE MARROW TRAY1 1
IV TX HYDRAT 31 6025 MIN 25
IV TX HYDRA ADD'L 51 HR 51
ONC INJECTED SC, 100 IM 100
IV PUSH INITIAL 3 3
IVP EACH ADD'L SEQ 7 7
IVP SEQ SAME DRUG>30 0 MIN 0
GLUSOCE CHECK 0 0
INSER FOLEY CATH 0 0
LEVEL I NV 2 2
CHEMO INFUSD 1ST 130 HR 130
CHEMO INFUSD AD'L 44HR
44
CHEMO INF SEQ 1ST 44 HR 44
CHEMO SPINAL INC LUMBAR 0 0
CHEMO IVP INITIAL 1 1
CHEMO IVP EA ADD'L 22 22
CHEMO SC/IM NON-HORM 12 12
CHEMO SC/IM HORMONAL 3 3
BLOOD ADMIN-ONCOLOGY 20 20
PORT FLUSH ONLY 55 55
PNEUMON VACCINE 0ADMIN
0
CONSULT ONLY ONC 0N/C
0
EKG ONCOLOGY 2 2
CHEMOTHERAPY VISIT 144 144
NON CHEMOTHERAPY 258 VISIT 258
VENOUS DRAW THROUGH 28 PORT 28
CHEMO PUMP RENTAL 15 15
CHEMO SPILL KIT 1 1
CHEMO PUMP KIT 15 15
ONCOLOGY OXYGEN 4 4
ONCOLOGY E&M LEVEL 0 3 0
CONSULT ONLY ONC 0N/C
0
BLEOMYCIN 15 UNIT 2VIAL
2
DOXORUBICIN 10MG 40VIAL
40
FLUDARABINE 50 MG 0VIAL
0
VINCRISTINE 1MG/ML 6 2MLVIA 6
VINBLASTINE 10 MG 0VIAL
0
DOCETAXEL 1 MG INJECTION1300
DOXORUBICIN LIPOSOME 0 20MG0
RITUXIMAB 100MG/ML 64 VIAL 64
TRASTUZUMAB 440 718 MG VIAL 718
VINORELBINE 10 MG 0VIAL
0
CARBOPLATIN 10MG/ML 104 VIAL104
CYCLOPHOSPHAMIDE 0100 MG 0
IRINOTECAN 40 MG 126 SDV VIAL 126