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
PRO FEE STRESS MD SUPERVS 0 0 PRO FEE STRESS TEST 181REPOR 181 EKG P.A.T. 26 26 EKG P.A.T. PLAINFIELD1 1 MED STAFF COR SAL REC 0 0 ALBUTEROL S04 U.O.0 0 ALBUTEROL INH HFA0 0 DOBUTAMINE 28 28 ATROPINE BRISTO-JECT 13 13 LOPRESSOR 5MG 25 25 AMINOPHYLLIN 40 40 CARDIZEM 25MG 2 2 PERSANTINE PER 10MG 78 78 SKULL AP & LAT 0 0 SKULL 0 0 SINUSES 2 2 MASTOIDS 0 0 NASAL BONES 3 3 MANDIBLE 1 1 TMJ BILATERAL 0 0 ORBITS/FOREIGN BODY 6 6 ORBITS 2 2 FACIAL BONES 0 0 SOFT TISSUE NECK 4 4 CHEST AP OR LATERAL 10 ONLY 10 CHEST PA & LAT 563 563 CHEST W OBLIQUES 0 0 CHEST ER PORTABLE 126 126 RIBS ONE SIDE-LEFT23 23 RIBS ONE SIDE-RIGHT14 14 RIBS BILATERAL, R&L3 3 STERNUM 3 3 STERNOCLAVICULAR 0JTS 0 CHEST/DECUBITIS R&L1 1 CHEST DECUB ONLY 0 0 CHEST HOUSE PORTABLE 49 49 CHEST, P.A.T. 0 0 CERV SPINE TWO VIEW1 1 CERV SPINE OBL ONLY0 0 CERV SPINE - W/OBL28 28 CERV SPINE W FLEX EX0 0 CERV SPINE - TRAUMA 36 36 DORSAL SPINE 23 23 DORSAL SPINE 2 VIEWS 0 0 LS SPINE ROUTINE 75 75 LUMBAR SP W FLEX EXT 0 6 VW 0 SACROCOCCYGEAL SPINE 4 4
BONE DENSITY FX EVAL 1 1 ENTIRE SPINE SURVEY0 0 SCOLIOSIS FULL STUDY2 2 PELVIS 1 OR 2 VIEWS15 15 METASTATIC SERIES 0 0 SACROILIAC JOINTS 0 0 JOINT ASP/INJ W/FLOURO 0 0 LS SPINE-SHOOT-THRU 0 2VIEW 0 CERV SPINE LAT ONLY0 0 SCOLI F/UP (SCREEN)2 2 LS SPINE W UPRIGHT 14VIEWS 1 LS SPINE W OBLIQUES 19 4VIEW 19 FINGER 2 OR MORE-LT1 1 FINGER 2 OR MORE-RT 2 2 LS SPINE&OBL&FLEX&EX 0 6VW 0 SKELETAL SURVEY 0 0 FINGER,SINGLE-LEFT27 27 FINGER,SINGLE-RIGHT 27 27 HAND LEFT 24 24 HAND RIGHT 36 36 HAND-BILATERAL 9 9 NAVICULAR VIEWS-LT0 0 NAVICULAR VIEWS-RT0 0 WRIST LEFT 24 24 WRIST RIGHT 26 26 WRIST-BILATERAL 0 0 FOREARM-LEFT 5 5 FOREARM-RIGHT 4 4 HUMERUS-LEFT 6 6 HUMERUS-RIGHT 5 5 SHLDR NO TRAUMA-LT 5 5 SHLDR NO TRAUMA-RT 5 5 SHOULDER NO TRAUMA-BILAT 2 2 AC JTS, W&WO WTS R&L 0 0 CLAVICLE-LEFT 4 4 CLAVICLE-RIGHT 2 2 SCAPULA-LEFT 0 0 SCAPULA-RIGHT 3 3 TOE-LEFT 3 3 TOE-RIGHT 5 5 FOOT LEFT 38 38 FOOT RIGHT 42 42 FOOT-BILATERAL 5 5 HEEL(OS CALC)-LEFT 3 3 HEEL(OS CALC)-RIGHT1 1 ANKLE LEFT 36 36 ANKLE RIGHT 41 41
- 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 576 and 577: MRI KEN KNEE WO CONT 9 LT 9 MRI KEN
- Page 578 and 579: MRI KEN UPEXT W/WO 0 CON RT 0 MRI K
- 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
- Page 626 and 627: VITAMIN E 200 UNIT 0CAP 0 LAMOTRIGI
- Page 628 and 629: ATORVASTATIN 40205 MG TAB 205 GUAIF
BONE DENSITY FX EVAL 1 1<br />
ENTIRE SPINE SURVEY0 0<br />
SCOLIOSIS FULL STUDY2 2<br />
PELVIS 1 OR 2 VIEWS15 15<br />
METASTATIC SERIES 0 0<br />
SACROILIAC JOINTS 0 0<br />
JOINT ASP/INJ W/FLOURO 0 0<br />
LS SPINE-SHOOT-THRU 0 2VIEW 0<br />
CERV SPINE LAT ONLY0 0<br />
SCOLI F/UP (SCREEN)2 2<br />
LS SPINE W UPRIGHT 14VIEWS<br />
1<br />
LS SPINE W OBLIQUES 19 4VIEW 19<br />
FINGER 2 OR MORE-LT1 1<br />
FINGER 2 OR MORE-RT 2 2<br />
LS SPINE&OBL&FLEX&EX 0 6VW 0<br />
SKELETAL SURVEY 0 0<br />
FINGER,SINGLE-LEFT27 27<br />
FINGER,SINGLE-RIGHT 27 27<br />
HAND LEFT 24 24<br />
HAND RIGHT 36 36<br />
HAND-BILATERAL 9 9<br />
NAVICULAR VIEWS-LT0 0<br />
NAVICULAR VIEWS-RT0 0<br />
WRIST LEFT 24 24<br />
WRIST RIGHT 26 26<br />
WRIST-BILATERAL 0 0<br />
FOREARM-LEFT 5 5<br />
FOREARM-RIGHT 4 4<br />
HUMERUS-LEFT 6 6<br />
HUMERUS-RIGHT 5 5<br />
SHLDR NO TRAUMA-LT 5 5<br />
SHLDR NO TRAUMA-RT 5 5<br />
SHOULDER NO TRAUMA-BILAT 2 2<br />
AC JTS, W&WO WTS R&L 0 0<br />
CLAVICLE-LEFT 4 4<br />
CLAVICLE-RIGHT 2 2<br />
SCAPULA-LEFT 0 0<br />
SCAPULA-RIGHT 3 3<br />
TOE-LEFT 3 3<br />
TOE-RIGHT 5 5<br />
FOOT LEFT 38 38<br />
FOOT RIGHT 42 42<br />
FOOT-BILATERAL 5 5<br />
HEEL(OS CALC)-LEFT 3 3<br />
HEEL(OS CALC)-RIGHT1 1<br />
ANKLE LEFT 36 36<br />
ANKLE RIGHT 41 41
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