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
CT INTRAPERI CATHETER 0 0 CT INTRAPERI CATH PROC 0 0 CT INTRA PERI CATH REMOVL 0 0 CT INTRAPERI CATH RMV 0 PRC 0 CT PLEURAL TUNNEL 0CATH RV 0 CT PLEURAL TUNNEL 0CATH RV 0 CT PLEURL TUNNL CATH 0 PROC 0 CT PLEURAL TUNNEL 0CATH 0 CT BIOPSY NECK PROC0 0 CT BIOPSY NECK 0 0 CT KIDNEY ASPIR LT 0 0 CT KIDNEY CYST ASPIR 0 RT 0 CT AB & PELVIS W/CONTRAST 138 138 CT AB AND PELVIS W/O 73 CONT 73 CT AB & PELVIS W W/O 3 CONT 3 CT-SI JOINT INJECTION0 0 CT LUMBAR FACET INJECTION 0 0 CT-SI JOINT NEEDLE GUIDE 0 0 CT BONE BX DEEP VERT 0 BODY 0 CT GUIDANCE 0 0 CT CHEST LIMITED STUDY 0 0 3D RECONSTRUCTION 0 CHARTE 0 CT GUIDED CELIAC PLEXUS 0 0 GASTROVIEW PER 1013 ML 1013 READICAT PER BOTTLE 306 306 CT VACUUM BTL/DRAIN 0 TUBE 0 CT PLEURAL CATHETER 0 SPLY 0 CT PERITONEAL CATHETER 0 0 CT BONE BIOPSY KIT 1 1 ABDOMEN (KUB/FLAT) 4 4 ABDOMEN FLAT & UPRIGHT 2 2 ABDOMEN LATERAL & 0 AP 0 ABDOMEN W/ DECUBITIS 0 0 ABDOMEN WITH LATERAL 0 0 AC JTS, W&WO WTS R&L 0 0 ANLLE RIGHT 4 4 ANKLE LEFT 5 5 ANKLE BILAT 0 0 CERV SPINE TRAUMA0 0 CERV SPINE W/OBL 4 4 CERV SPINE LAT ONLY0 0 CERV SPINE OBL ONLY0 0 CERV SPINE TWO VIEW0 0 CERV SPINE W FLEX EX0 0 CHEST PA & LAT 53 53 CHEST AP OR LATERAL 1 ONLY 1 CHEST DECUB ONLY 0 0
CHEST INS & EXP LAT0 0 CHEST PA INS & EXP 0 0 CHEST W APICAL VIEW0 0 CHEST W OBLIQUES 0 0 CHEST P A T 0 0 CHEST / DECUBITIS R 0& L 0 CLAVICLE LEFT 0 0 CLAVICLE RIGHT 0 0 DORSAL SPINE 6 6 DORSAL SPINE 2 VIEWS 0 0 ELBOW W/OBLIQ LEFT1 1 ELBOW W/ OBLIQUE 1RIGHT 1 ELBOW(2 VIEWS)LT 0 0 ELBOW(2 VIEWS) RT 0 0 ENTIRE SPINE SURVEY0 0 FACIAL BONES 0 0 FACIAL BONES(LTD) 0 0 FEMUR BILAT 0 0 FEMUR LEFT 0 0 SHOULDER NO TRAUMA 1 BILAT 1 SHOULDER TRAUMA 0BILAT 0 SI JOINTS 2 VIEWS 0 0 SINUSES 2 2 SKELETAL SURVEY 0 0 SKULL 0 0 SKULL AP & LAT 0 0 SOFT TISSUE NECK 0 0 STERNOCLAVICULAR 0JTS 0 STERNUM 0 0 TMJ BILATERAL 0 0 TMJ UNILATERAL 0 0 TOE LEFT 1 1 TOE RIGHT 2 2 UPPER EXT LT 0 0 UPPER EXT RT 0 0 WRIST LEFT 1 1 WRIST RIGHT 1 1 WRIST LT (2 VIEWS) 0 0 WRIST RT (2 VIEWS) 0 0 WRIST BILATERAL 0 0 FEMUR RIGHT 1 1 FINGER 2 OR MORE LT0 0 FINGER 2 OR MORE RT0 0 FINGER SINGLE LEFT 2 2 FINGER SINGLE RIGHT3 3 FOOT LEFT 8 8 FOOT RIGHT 4 4
- 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 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 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
- Page 634 and 635: ERTAPENEM 1GM ADDV 0 0 GLYCOPYRROLA
- Page 636 and 637: FOSPROPOFOL 1050MG/30ML 0 0 HAVRIX
- Page 638 and 639: BACITRACIN 50 MU INJ 4 VIAL 4 DRONE
- Page 640 and 641: ACETAMINOPH 100MG/ML 0 DROP0 REPAGL
- Page 642 and 643: FLUCONAZOLE 400 MG/200 0 ML 0 ZOSYN
- Page 644 and 645: SP-CANCEL VISIT DLS0 0 SP-ABSENT DL
CHEST INS & EXP LAT0 0<br />
CHEST PA INS & EXP 0 0<br />
CHEST W APICAL VIEW0 0<br />
CHEST W OBLIQUES 0 0<br />
CHEST P A T 0 0<br />
CHEST / DECUBITIS R 0& L 0<br />
CLAVICLE LEFT 0 0<br />
CLAVICLE RIGHT 0 0<br />
DORSAL SPINE 6 6<br />
DORSAL SPINE 2 VIEWS 0 0<br />
ELBOW W/OBLIQ LEFT1 1<br />
ELBOW W/ OBLIQUE 1RIGHT<br />
1<br />
ELBOW(2 VIEWS)LT 0 0<br />
ELBOW(2 VIEWS) RT 0 0<br />
ENTIRE SPINE SURVEY0 0<br />
FACIAL BONES 0 0<br />
FACIAL BONES(LTD) 0 0<br />
FEMUR BILAT 0 0<br />
FEMUR LEFT 0 0<br />
SHOULDER NO TRAUMA 1 BILAT 1<br />
SHOULDER TRAUMA 0BILAT<br />
0<br />
SI JOINTS 2 VIEWS 0 0<br />
SINUSES 2 2<br />
SKELETAL SURVEY 0 0<br />
SKULL 0 0<br />
SKULL AP & LAT 0 0<br />
SOFT TISSUE NECK 0 0<br />
STERNOCLAVICULAR 0JTS<br />
0<br />
STERNUM 0 0<br />
TMJ BILATERAL 0 0<br />
TMJ UNILATERAL 0 0<br />
TOE LEFT 1 1<br />
TOE RIGHT 2 2<br />
UPPER EXT LT 0 0<br />
UPPER EXT RT 0 0<br />
WRIST LEFT 1 1<br />
WRIST RIGHT 1 1<br />
WRIST LT (2 VIEWS) 0 0<br />
WRIST RT (2 VIEWS) 0 0<br />
WRIST BILATERAL 0 0<br />
FEMUR RIGHT 1 1<br />
FINGER 2 OR MORE LT0 0<br />
FINGER 2 OR MORE RT0 0<br />
FINGER SINGLE LEFT 2 2<br />
FINGER SINGLE RIGHT3 3<br />
FOOT LEFT 8 8<br />
FOOT RIGHT 4 4