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
BILIRUBIN TOTAL 25 25 BILIRUBIN DIRECT 15 15 BILIRUBIN, INDIRECT0 0 IRON 291 291 TIBC 0 0 UIBC 269 269 CALCIUM 61 61 FLUID CHLORIDE 0 0 CARBON MONOXIDE 8(CO) 8 CALCIUM URINE RANDOM 0 0 CHLORIDE (CL) 3 3 CHOLESTEROL 20 20 PCP (TDAS) 0 0 BENZO (TDAS) 0 0 COCAINE (TDAS) 0 0 AMPT (TDAS) 0 0 THC (TDAS) 0 0 OPIATES (TDAS) 0 0 BARBITURATES (TDAS) 0 0 CPK 986 986 IRON/TIBC 0 0 IRON SATURATION 0 0 CREATININE CLEARANCE 13 13 CREAT JP DRAINAGE 0 0 CREATININE RANDOM 88 UR 88 PH BLOOD 1 1 BICARBONATE (HCO3)3 3 BLOOD GASES 69 69 GGTP 47 47 PROTEIN 24HR URINE 24 24 CHLORIDE UR RANDOM 4 4 LUTEINIZING HORMONE 39 39 CALCIUM 24HR URINE2 2 PROLACTIN 81 81 HDL PANEL 2319 2319 CHLORIDE 24HR URINE 0 0 LIPASE 214 214 CREATININE 24HR UR9 9 ELECTROLYTES & MG0 0 LDH 152 152 LACTOSE TOL FASTING1 1 LACTOSE TOL 1/2 HR1 1 LACTOSE TOL 1HR 1 1 LACTOSE TOL 2 HR 1 1 LITHIUM LEVEL 30 30 MAGNESIUM 373 373 MAGNESIUM,UR.RANDOM 0 0
OSMOLALITY SERUM8 8 PSA DIAGNOSTIC 86 86 PSA SCREENING 256 256 ALKALINE PHOS 21 21 PHOSPHOROUS 154 154 PHOSPHORUS,RANDOM 0 UR 0 POTASSIUM (K),SERUM 49 49 POTASSIUM (K),FLUID0 0 LYTES 182 182 COMP.METABOL.PNL 1716NF 1716 COMP.METABOL.PNL 1243FST 1243 BASIC METABOL.PNL 1083NF 1083 BASIC METABOL FSTING 650 650 HEPATIC FUNCTION 575 PNL 575 RENAL FUNCTION PANEL 20 20 TOTAL PROTEIN 10 10 PROTEIN UR RANDOM 36 36 CSF PROTEIN 7 7 SALICYLATE 136 136 COSTISOL STIMULATION 0 0 SODIUM (NA),SERUM8 8 SODIUM (NA),FLUID 0 0 GLUCOSE 24HR URINE0 0 POTASSIUM 24HR URINE 0 0 GLUCOSE FASTING147 147 IGG 19 19 IGA 32 32 IGM 20 20 RA FACTOR,QUANT72 72 POTASSIUM RANDOM 0 UR 0 FLUID GLUCOSE 5 5 SGOT 506 506 SGPT 555 555 TRIGLYCERIDES 7 7 GLUCOSE 2HHP 0 0 BUN 303 303 CREATININE 364 364 BUN/CREA RATIO 0 0 CREATININE,FLUID 0 0 URIC ACID 262 262 GLUCOSE RANDOM25 25 PHOSPHOROUS 24HR 1UR 1 SODIUM URINE RANDOM 12 12 AMYLASE RANDOM URINE 0 0 B NATRIURETIC PEPTIDE 0 0 FSH SERUM 58 58 SODIUM 24HR URINE3 3
- Page 473 and 474: L0210 90 41000090 D D 43709990 4370
- Page 475 and 476: L3860 90 48200015 D D 43909990 4390
- Page 477 and 478: 90847 0 D D 44709990 44709990 90849
- Page 479 and 480: 0 D D 10001000 10001000 0 D D 10001
- 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
- Page 512 and 513: STAPLE PURSESTRING0 0 STAPLE PURSTR
- Page 514 and 515: URO CATH SILIC 22/3WAY* 0 0 URO CAT
- Page 516 and 517: THA ACCOLADE C CS 0127NK 0 THA ACCO
- Page 518 and 519: ETOPOSIDE 20 MG/ML 450 VIAL 450 FLU
- Page 520 and 521: EPOGEN 1000 UNITS 0WASTAGE 0 EPOGEN
- Page 522 and 523: CYTO SPUTUM 0 0 CYTO URINE 6 6 CYTO
- Page 526 and 527: GASTRIC PH 0 0 CSF GLUCOSE 7 7 FLUI
- Page 528 and 529: DIFFERENTIAL/MANUAL 797 797 SMEAR R
- Page 530 and 531: WOUND CULTURE124 124 BLOOD CULTURE
- Page 532 and 533: PH URINE 0 0 SPEC.GRAVITY URINE0 0
- Page 534 and 535: ECHOVIRUS AB 0 0 HLA A,B TYPING DNA
- Page 536 and 537: IGA 26 26 IGM 26 26 PORPHYRINS, RAN
- Page 538 and 539: PTH N TERM INTACT 0 0 SEROTONIN-SER
- Page 540 and 541: BARBITURATES,SERUM0 0 BARBITURATES,
- Page 542 and 543: IBT RAST ALLERGEN 24 12 24 SGPG 0 0
- Page 544 and 545: METHADONE,UR 0 0 HEPATITIS E IGM 0
- Page 546 and 547: SUBSTITUTION PLASMA 0 0 RMSF IGG 0
- Page 548 and 549: ANTI-STREPTOLYSIN O3 3 S.CEREVISIAE
- Page 550 and 551: RUBEOLA AB,IGG 28 28 SEX HORMONE BI
- Page 552 and 553: COXSACKIE B2 AB 0 0 COXSACKIE B3 AB
- Page 554 and 555: N.GONORRHOEAE RNA 0 0 CORTISONE,SER
- Page 556 and 557: ALBUMIN 0 0 YERSINIA AB 1 1 JANUS K
- Page 558 and 559: GLYCOMARK 0 0 STREPTOMYCIN 0 0 THYR
- Page 560 and 561: CHROMAGRANIN A 3 3 CMV DNA QUANT RT
- Page 562 and 563: ANTI MULLERIAN HORMONE 0 0 TSH ANTI
- Page 564 and 565: INSULIN 0 0 LD, BODY FLUID 0 0 LACT
- Page 566 and 567: MUMPS ANTIBODIES, 0IGG 0 MYCOPLASMA
- Page 568 and 569: C1 ESTERASE INHIB, FUNC 0 0 CCP ANT
- Page 570 and 571: UREAPLASMA MYCOPLASMA 0 HOM 0 MYCOB
- Page 572 and 573: COCONUT, IGE 0 0 ONIONS, IGE 0 0 PI
OSMOLALITY SERUM8 8<br />
PSA DIAGNOSTIC 86 86<br />
PSA SCREENING 256 256<br />
ALKALINE PHOS 21 21<br />
PHOSPHOROUS 154 154<br />
PHOSPHORUS,RANDOM 0 UR 0<br />
POTASSIUM (K),SERUM 49 49<br />
POTASSIUM (K),FLUID0 0<br />
LYTES 182 182<br />
COMP.METABOL.PNL 1716NF<br />
1716<br />
COMP.METABOL.PNL 1243FST<br />
1243<br />
BASIC METABOL.PNL 1083NF<br />
1083<br />
BASIC METABOL FSTING 650 650<br />
HEPATIC FUN<strong>CT</strong>ION 575 PNL 575<br />
RENAL FUN<strong>CT</strong>ION PANEL 20 20<br />
TOTAL PROTEIN 10 10<br />
PROTEIN UR RANDOM 36 36<br />
CSF PROTEIN 7 7<br />
SALICYLATE 136 136<br />
COSTISOL STIMULATION 0 0<br />
SODIUM (NA),SERUM8 8<br />
SODIUM (NA),FLUID 0 0<br />
GLUCOSE 24HR URINE0 0<br />
POTASSIUM 24HR URINE 0 0<br />
GLUCOSE FASTING147 147<br />
IGG 19 19<br />
IGA 32 32<br />
IGM 20 20<br />
RA FA<strong>CT</strong>OR,QUANT72 72<br />
POTASSIUM RANDOM 0 UR 0<br />
FLUID GLUCOSE 5 5<br />
SGOT 506 506<br />
SGPT 555 555<br />
TRIGLYCERIDES 7 7<br />
GLUCOSE 2HHP 0 0<br />
BUN 303 303<br />
CREATININE 364 364<br />
BUN/CREA RATIO 0 0<br />
CREATININE,FLUID 0 0<br />
URIC ACID 262 262<br />
GLUCOSE RANDOM25 25<br />
PHOSPHOROUS 24HR 1UR<br />
1<br />
SODIUM URINE RANDOM 12 12<br />
AMYLASE RANDOM URINE 0 0<br />
B NATRIURETIC PEPTIDE 0 0<br />
FSH SERUM 58 58<br />
SODIUM 24HR URINE3 3
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