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
MRI KEN KNEE WO CONT 9 LT 9 MRI KEN KNEE WO CONT 12 RT 12 MRI KEN KNEE W CONT 0 LT 0 MRI KEN KNEE W CONT 0 RT 0 MRI KEN KNEE W WO 0CO LT 0 MRI KEN KNEE W WO 0CONT RT 0 MRI KEN WRIST WO CONT 0 LT 0 MRI KEN WRIST WO CON 1 RT 1 MRI KEN WRIST W CON 0 LT 0 MRI KEN WRIST W CON 0 RT 0 MRI KEN WRIST W WO 0 CO LT 0 MRI KEN WRIST W WO 0 CO RT 0 MRI KEN ELBOW WO 0CON LT 0 MRI KEN ELBOW WO 0CON RT 0 MRI KEN ELBOW W CON 0 LT 0 MRI KEN ELBOW W CON 0 RT 0 MRI KEN ELBOW W/WO 0 CON LT 0 MRI KEN ELBOW W/WO 0 CON RT0 MRI KEN ANKLE WO CON 1 LT 1 MRI KEN ANKLE WO CON 1 RT 1 MRI KEN ANKLE W CONT 0 LT 0 MRI KEN ANKLE W CON 0 RT 0 MRI KEN ANKLE W/WO 0 CON LT 0 MRI KEN ANKLE W/WO 0 CO RT 0 MRI KEN UPEX NO JT 0WO LT 0 MRI KEN UPEX NO JT 0WO RT 0 MRI KEN LO EX NO JT 0WO LT 0 MRI KEN LO EX NO JT 1WO RT 1 MRI KEN ABDOMEN W/O 0 CONT 0 MRI KEN ABDOMEN W/CONT 0 0 MRI KEN ABDOMEN W/WO 0 CONT 0 MRI KEN CHEST W/O 0CONT 0 MRI KEN CHEST W/CONTRAST 0 0 MRI KEN CHEST W W/O 0 CONT 0 MRI KEN FACE W/O CONTRAST 0 0 MRI KEN FACE W/CONTRAST 0 0 MRI KEN FACE W W/O 0 CONT 0 MRI KEN HEAD W/O CONTRAST 0 0 MRI KEN HEAD W/CONTRAST 0 0 MRI KEN HEAD W W/O 0 CONT 0 MRI KEN IAC'S W W/O 0 CONT 0 MRI KEN IAC'S WO CONTRAST 0 0 MRI KEN PIT/SELLA W 0W/O 0 MRI KEN HIP WO CONT 0 LT 0 MRI KEN HIP W/O CONT 1 RT 1 MRI KEN HIP W W/O 0CONT LT 0 MRI KEN HIP W W/O 0CONT RT 0
MRI KEN HIP W/CONT 0 RT 0 MRI KEN HIP W/CONT 0 LT 0 MRI KEN MRCP 0 0 MRI KEN ORBITS W/O 0CONT 0 MRI KEN ORBITS W/CONT 0 0 MRI KEN ORBITS W W/O 0 CONT 0 MRI KEN PELVIS W/O 0CONT 0 MRI KEN PELVIS W/CONT 0 0 MRI KEN PELVIS W W/O 0 CONT 0 MRI KEN TMJ BILAT 0 0 MRI KEN TMJ UNI LT 0 0 MRI KEN UNILAT RT 0 0 MRI KEN UPEX NO JT 0W LT 0 MRI KEN MRI UPEX NO 0 JTWRT 0 MRI KEN UPEX NOJT W/WO 0 LT 0 MRI KEN BREASTS W 0W/O CON 0 MRI KEN BRST UNI W 0W/O LT 0 MRI KEN BRST UNI W 0W/O RT 0 MRI KEN MAMMO CAD 0 0 MRI KEN BRST W/O CONTRAST 0 0 3D RECONSTRUCTION 0 KEN 0 MRI KEN LOEX NO JT 0W LT 0 MRI KEN LOEX NO JT 0W RT 0 MRI KEN LOEX NOJT W 0 W/OLT 0 MRI KEN LOEX NOJT W 0 W/O R 0 MRV KEN WO CONTRAST 0 0 MRV KEN W W/O 0 0 MRA KEN LOEX W W/O 0 CON LT 0 MRI KEN L SPINE W WO 0 CON 0 MRI KEN ELBOW WO 0CON LT 0 MRI KEN UPEX NO JT 0W/WO R 0 MRI KEN PIT/SELLA W/O 0 CON 0 MRA LEN LOEX W W/O 0 CON RT 0 MRA KEN LOEX W W/O 0 BILAT 0 MRA KEN CHEST W W/O 0 CONT 0 MRA KEN HEAD W W/O 0 CONT 0 MRA KEN HEAD W/CONTRAST 0 0 MRA KEN HEAD W/O 0CONTRAST0 MRI KEN NECK W/O CONT 0 0 MRA KEN NECK W W/O 0 CONT 0 MRA KEN AB W W/O 0CONT 0 MRA KEN PELVIS W W/O 0 CONT 0 MRI KEN UPEXT JNT W/CO 0 LT 0 MRI KEN UPEXT JNT W/CO 0 RT 0 MRI KEN UPEXT JNT W/O 0 LT 0 MRI KEN UPEXT JNT W/O 0 RT 0 MRI KEN UPEXT W W/O 0 LT 0
- 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
- Page 574 and 575: PARAINFLUENZA TYPE 0 I 0 PARAINFLUE
- Page 578 and 579: MRI KEN UPEXT W/WO 0 CON RT 0 MRI K
- Page 580 and 581: PRO FEE STRESS MD SUPERVS 0 0 PRO F
- Page 582 and 583: LOWER LEG-LEFT 7 7 LOWER LEG-RIGHT
- Page 584 and 585: GASTRO TUBE REPLACEMENT 1 1 INSERT
- Page 586 and 587: MAMMO DUCT PROC-RT 1 1 HIP-2 VIEWS
- Page 588 and 589: PYROPHOSPHATE 7 7 I 123 - 200 2 2 S
- Page 590 and 591: US-BIOPSY PROC-PANCR 0 0 US-BIOPSY-
- Page 592 and 593: MRI-LS SPINE W/O CON 43 43 MRI-LS S
- Page 594 and 595: CT CHEST HIGH RESOLU 0 W/O 0 CT CHE
- Page 596 and 597: CT INTRAPERI CATHETER 0 0 CT INTRAP
- Page 598 and 599: FOOT LT(2 VIEWS) 0 0 FOOT RT(2 VIEW
- Page 600 and 601: CERV SPINE TWO VIEW0 0 CERV SPINE W
- Page 602 and 603: LS SPINE&OBL&FLEX&EX 0 6 VW 0 LS SP
- Page 604 and 605: MRI WRIST WO CON 0LT PLF 0 MRI-WRIS
- Page 606 and 607: CALCITRIOL 0.25 MCG 5 CAP 5 ALLOPUR
- Page 608 and 609: CALCIUM CHLORIDE 10% 0 VIAL 0 CANDE
- Page 610 and 611: DEXAMETHASONE 492 4MG/ML VIAL 492 D
- Page 612 and 613: FIORINAL CAP GENERIC 2 CAP 2 FLUNIS
- Page 614 and 615: HUMALOG MIX 75/250 INSULIN 0 ITRACO
- Page 616 and 617: METHENAMINE 1 GM 0TAB 0 METHOCARBAM
- Page 618 and 619: NITROGLYCERIN 0.4MG 0 SL SP 0 NITRO
- Page 620 and 621: PROCHLORPERAZINE 110 MG VI 1 PROCAI
- Page 622 and 623: TOBRAMYCIN 80 MG/2ML 11 VIAL11 TOBR
- Page 624 and 625: AMIODARONE 200 MG 16 TAB 16 CAFFEIN
MRI KEN KNEE WO CONT 9 LT 9<br />
MRI KEN KNEE WO CONT 12 RT 12<br />
MRI KEN KNEE W CONT 0 LT 0<br />
MRI KEN KNEE W CONT 0 RT 0<br />
MRI KEN KNEE W WO 0CO LT 0<br />
MRI KEN KNEE W WO 0CONT RT 0<br />
MRI KEN WRIST WO CONT 0 LT 0<br />
MRI KEN WRIST WO CON 1 RT 1<br />
MRI KEN WRIST W CON 0 LT 0<br />
MRI KEN WRIST W CON 0 RT 0<br />
MRI KEN WRIST W WO 0 CO LT 0<br />
MRI KEN WRIST W WO 0 CO RT 0<br />
MRI KEN ELBOW WO 0CON LT 0<br />
MRI KEN ELBOW WO 0CON RT 0<br />
MRI KEN ELBOW W CON 0 LT 0<br />
MRI KEN ELBOW W CON 0 RT 0<br />
MRI KEN ELBOW W/WO 0 CON LT 0<br />
MRI KEN ELBOW W/WO 0 CON RT0<br />
MRI KEN ANKLE WO CON 1 LT 1<br />
MRI KEN ANKLE WO CON 1 RT 1<br />
MRI KEN ANKLE W CONT 0 LT 0<br />
MRI KEN ANKLE W CON 0 RT 0<br />
MRI KEN ANKLE W/WO 0 CON LT 0<br />
MRI KEN ANKLE W/WO 0 CO RT 0<br />
MRI KEN UPEX NO JT 0WO LT 0<br />
MRI KEN UPEX NO JT 0WO RT 0<br />
MRI KEN LO EX NO JT 0WO LT 0<br />
MRI KEN LO EX NO JT 1WO RT 1<br />
MRI KEN ABDOMEN W/O 0 CONT 0<br />
MRI KEN ABDOMEN W/CONT 0 0<br />
MRI KEN ABDOMEN W/WO 0 CONT 0<br />
MRI KEN CHEST W/O 0CONT<br />
0<br />
MRI KEN CHEST W/CONTRAST 0 0<br />
MRI KEN CHEST W W/O 0 CONT 0<br />
MRI KEN FACE W/O CONTRAST 0 0<br />
MRI KEN FACE W/CONTRAST 0 0<br />
MRI KEN FACE W W/O 0 CONT 0<br />
MRI KEN HEAD W/O CONTRAST 0 0<br />
MRI KEN HEAD W/CONTRAST 0 0<br />
MRI KEN HEAD W W/O 0 CONT 0<br />
MRI KEN IAC'S W W/O 0 CONT 0<br />
MRI KEN IAC'S WO CONTRAST 0 0<br />
MRI KEN PIT/SELLA W 0W/O<br />
0<br />
MRI KEN HIP WO CONT 0 LT 0<br />
MRI KEN HIP W/O CONT 1 RT 1<br />
MRI KEN HIP W W/O 0CONT LT 0<br />
MRI KEN HIP W W/O 0CONT RT 0
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