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
GASTRO TUBE REPLACEMENT 1 1 INSERT GASTRO JEJUNOSTOMY 0 0 GASTRO TUBE PLACEMENT 0 0 JEJUN TUBE RE PLACEMENT 0 0 JEJUN TUBE PLACEMENT 0 0 MAMMO SCREEN DIGITAL 4 RT 4 BIOPSY SPECIMEN 0 0 MAMMO SPECIMEN 14 LEFT 14 MAMMO SPECIMEN RIGHT 4 4 ABSCESSOGRAM 0 0 HYSTEROSALPINGOGRAM 0 W/RAD0 NEPHROSTOGRAM-LT2 2 NEPHROSTOGRAM-RT1 1 NEPHR TUBE CHGE-LT0 0 NEPHR TUB CHGE-RT0 0 PERCUT NEPHROS-LT0 0 PERCUT NEPHROS-RT0 0 TOMOGRAPHY 0 0 CERVICAL MYELO W/RAD 0 0 LUMBAR MYELO W/RAD 0 0 DORSAL-MYELO W/RAD 0 0 LUMBAR PUNC 2 2 URETERAL STENT PL-LT 0 0 URETERAL STENT PL-RT 0 0 DRAINAGE CATH CHANGE 0 0 BILIARY DRAINAGE 0 0 DRAINAGE-ABDOMEN0 0 C-ARM OR < 1 HR 22 22 C-ARM OR > 1 HR 14 14 C-ARM ACU < 1 HR 0 0 C-ARM ACU > 1 HR 0 0 FLOURO GUIDE FOR SPINE 7 IN 7 C-ARM ICU > 1 HR 0 0 C-ARM ICU < 1 HR 0 0 C-ARM PACEMAKER 1 1 FLOURO CHARGE 0 0 FLUORO CHRG W RAD/CASE 2 XA 2 HICK CATH/TRIP LUMEN 0 0 MAMMO NED LOC ADD'L 0 BILAT 0 KNEES STANDING-BILAT 1 1 ORBITS-WATER VIEW0 0 NOSE TO RECTUM/FB2 2 PERCUTAN IN/EX DRAIN 0 0 LUMBAR PUNC/INSERT 2 2 WRST-ARTH PRO/INS-LT 1 1 WRST-ARTH PRO/INS-RT 0 0 SHLDR-ARTH PRO/INS-LT 3 3
SHLDR-ARTH PRO/INS-RT 5 5 ELBW ARTH PRO/INS-LT 0 0 ELBW ARTH PRO/INS-RT 0 0 HIP-ARTH PRC/INS-LT1 1 HIP-ARTH PRC/INS-RT1 1 KNEE-ARTH PRO/INS-LT 0 0 KNEE-ARTH PRO/INS-RT 0 0 ANKLE-ARTH PRO/IN-LT 0 0 ANKLE-ARTH PRO/IN-RT 0 0 PERC NEPH PROC-LT 0 0 PERC NEPH PROC-RT0 0 HYSTERO PLACE/INSERT 0 0 ABSCESS INJ VIA CATH0 0 DRAINAGE-ABDOMEN-PRO 0 0 NEPHROST PROC-LT 1 1 NEPHROST PROC-RT 1 1 NEPHRO TUBE CHG-LT0 0 NEPHRO TUBE CHG-RT0 0 CHEST W APICAL VIEW1 1 CHEST INS & EXP LAT3 3 BA SWALLOW-MODIFIED 5 5 CHEST PA INS & EXP 5 5 BONE DENSITY (DEXA) 77 77 CERV SPINE PORT LAT0 0 PORT INJECTION PROC0 0 PORT INJECTION W/RAD 0 0 MAMMO DUCTOGR-LT 0 0 MAMMO DUCTOGR-RT 1 1 ABDOMEN WITH LATERAL 0 0 MAMMO DUCT MULTI-LT 0 0 MAMMO DUCT MULTI-RT 0 0 MANDIBLE (LIMITED)0 0 MASTOIDS (LIMITED)0 0 FACIAL BONES (LTD) 0 0 TMJ UNILATERAL 0 0 SI JOINTS-2 VIEWS 2 2 SHOULDER 1 VIEW LT0 0 SHOULDER 1 VIEW RT0 0 ELBOW (2 VIEWS) LT 3 3 ELBOW (2 VIEWS) RT3 3 UPPER EXT LT 0 0 UPPER EXT RT 1 1 WRIST RT (2 VIEWS) 0 0 WRIST LT (2 VIEWS) 0 0 HAND LT (2 VIEWS) 0 0 HAND RT (2 VIEWS) 0 0 MAMMO DUCT-PROC-LT 0 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 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 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
- Page 630 and 631: FLUVASTATIN 20 MG 0CAP 0 CASTOR OIL
- Page 632 and 633: PRAMIPEXOLE .25MG 0TAB 0 AMOXICILLI
GASTRO TUBE REPLACEMENT 1 1<br />
INSERT GASTRO JEJUNOSTOMY 0 0<br />
GASTRO TUBE PLACEMENT 0 0<br />
JEJUN TUBE RE PLACEMENT 0 0<br />
JEJUN TUBE PLACEMENT 0 0<br />
MAMMO SCREEN DIGITAL 4 RT 4<br />
BIOPSY SPECIMEN 0 0<br />
MAMMO SPECIMEN 14 LEFT 14<br />
MAMMO SPECIMEN RIGHT 4 4<br />
ABSCESSOGRAM 0 0<br />
HYSTEROSALPINGOGRAM 0 W/RAD0<br />
NEPHROSTOGRAM-LT2 2<br />
NEPHROSTOGRAM-RT1 1<br />
NEPHR TUBE CHGE-LT0 0<br />
NEPHR TUB CHGE-RT0 0<br />
PERCUT NEPHROS-LT0 0<br />
PERCUT NEPHROS-RT0 0<br />
TOMOGRAPHY 0 0<br />
CERVICAL MYELO W/RAD 0 0<br />
LUMBAR MYELO W/RAD 0 0<br />
DORSAL-MYELO W/RAD 0 0<br />
LUMBAR PUNC 2 2<br />
URETERAL STENT PL-LT 0 0<br />
URETERAL STENT PL-RT 0 0<br />
DRAINAGE CATH CHANGE 0 0<br />
BILIARY DRAINAGE 0 0<br />
DRAINAGE-ABDOMEN0 0<br />
C-ARM OR < 1 HR 22 22<br />
C-ARM OR > 1 HR 14 14<br />
C-ARM ACU < 1 HR 0 0<br />
C-ARM ACU > 1 HR 0 0<br />
FLOURO GUIDE FOR SPINE 7 IN 7<br />
C-ARM ICU > 1 HR 0 0<br />
C-ARM ICU < 1 HR 0 0<br />
C-ARM PACEMAKER 1 1<br />
FLOURO CHARGE 0 0<br />
FLUORO CHRG W RAD/CASE 2 XA 2<br />
HICK CATH/TRIP LUMEN 0 0<br />
MAMMO NED LOC ADD'L 0 BILAT 0<br />
KNEES STANDING-BILAT 1 1<br />
ORBITS-WATER VIEW0 0<br />
NOSE TO RE<strong>CT</strong>UM/FB2 2<br />
PERCUTAN IN/EX DRAIN 0 0<br />
LUMBAR PUNC/INSERT 2 2<br />
WRST-ARTH PRO/INS-LT 1 1<br />
WRST-ARTH PRO/INS-RT 0 0<br />
SHLDR-ARTH PRO/INS-LT 3 3
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