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
ACETAMINOPH 100MG/ML 0 DROP0 REPAGLINIDE 0.5 MG 0TAB 0 HYDROCORTIS 2.5% CR 1 RCTL 1 MESALAMINE 4 GM/60ML 0 ENEM0 MERCAPTOPURINE 50 MG TAB 0 PYRIDOXINE 100 MG 0VIAL 0 HYDROCORTISONE 1000 MG ENE 0 EPINEPHRINE 0.3MG 0AUTO-IN 0 FLEET BAGENEMA 0 0 FLEET 4.5 ENEMA 22 22 FLEET PREP KIT #1 0 0 NON FORMULARY MED 0 0 AMINO ACIDS 7% IV SOLN 0 0 AA 5%/D25%W IV SOLN 0 1000M 0 AMINO ACIDS 3.5%/D5W 0 INJ 0 AMINO ACIDS 10% IV 0SOLN 0 AA 3.5%/D25W IV SOLN 0 0 DEXTROSE 10%W/ 250ML 6 IV 6 DEXTROSE 10%W/ IV 01000ML 0 DEXTROSE 20%W IV 500 0 ML 0 DEXTROSE 5% 1/4NS 1000ML 1 DEXTROSE 5% 1/4NS 0500ML 0 DEXTROSE 5% 1/4NS 0250 ML 0 D5W-1/4NS KCL 40MEQ/1000M 0 0 D5W-1/4NS 20MEQ/1000ML 0 0 D5W-1/2NS 1000ML 57IV SOLN 57 D5W-1/2NS KCL40 MEQ/1000M 16 16 D5-1/2NS KCL 20 MEQ/L 21 IV 21 DEXTROSE 50%-WATER 0 500 ML 0 DEXTROSE 5%-LR 1000 45 ML IV 45 DEXTROSE 5%-NS IV 98 1000ML 98 D5W-NS 20 MEQ KCL/LITER 11 11 D5W 1000 ML IV BAG15 15 D5W 250 ML PVC IV 42BAG 42 D5W 50 ML PVC IV 22 BAG 22 D5W 250 ML ADDV 137 IV BAG 137 D5W 100 ML PVC 106 IV BAG 106 D5W 500 ML IV BAG37 37 NS KCL 20 MEQ/LITER 42IV 42 NS KCL 20 MEQ/LITER 30IV 30 OXYTOCIN-NS 30 UNITS/500M 96 96 D5W 100 ML ADDV 256 IV BAG 256 CONTAINER EVAC BOT 0 1000 M 0 CONTAINER EVAC BOT 0 250ML 0 CONTAINER EVAC BOT 0 500ML 0 CONTAINER EMPTY BAG 0 LITER 0 CONTAINER EMPTY BAG 0 250 0
CONTAINER EMPTY BAG 0 500 M 0 HETASTARCH 6%/NS 0500ML 0 FAT EMULSION 20% IV 0 200ML 0 FAT EMULSION 10% IV 0 500ML 0 LACTATED RINGERS 691 1000 ML 691 NACL 0.9% 100 ML 248 IVPB 248 NACL 0.45% 1000 ML 26BAG 26 NACL 0.9% 1000 ML 1025 IV BAG 1025 NACL 0.9% 500 ML 437 BAG 437 NACL 0.9% 100 ML 142ADDV 142 NACL 0.9% 25084000 ML PVC 84000 MANNITOL 20% IV BAG 0 500ML 0 STERILE WATER INJ 1000 ML 0 WATER FOR INJ 250 ML 0 GLS 0 MAGNESIUM SULF 160 40GM/LITER 160 7 HIGH PRESSURE SET" 0 0 BLOOD I.V. SET 0 0 SURGICAL IV SET 0 0 IV FILTER SET 0 0 BLOOD PUMP SET #4602 0 0 SECONDARY SET 0 0 PRIMARY IV SET 0 0 DEXTROSE 5% 250ML 0GLS BTL 0 NACL 0.9% 250 ML 82 ADDV 82 D5%W-1/2NS 250ML 0BAG INJ 0 D5%W 1/2NS 500ML 0BAG INJ 0 LMD 10% W/5% DEXTROSE 0 500 0 STERILE WATER INJ 1000 ML 0 NACL 0.9% 250ML GLASS 0 BTL 0 DILTIAZEM DRIP KIT VIAL 0 0 METRONIDAZOLE 125MG 0 PB 0 0.9% NACL 250ML EXCEL 0 0 0.9% NACL 50ML PAB 29 PB 29 0.9% NACL 100ML PAB 15 15 D5W 50ML PAB 0 0 D5W 250ML EXCEL PGBK 0 0 D5W 100ML PAB 2 2 D5W 400ML 18 18 AZITHROMYCIN 500MG/250ML 0 0 DOXYCYCLINE 100MG/250ML 0 0 ERTAPENAM 1GM/100ML 0 IVPB 0 NAFCILLIN 1GM/100ML 0 IVPB 0 CEFOXITIN 1GM/50ML 17 IVPB 17 UNASYN 1.5GM/100ML 0 NACL 0 UNASYN 3GM/100ML 0NACL 0 CEFTAZIDINE 2 GM/100 148 ML 148 VANCOMYCIN 500 MG/100 0 ML 0
- 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
- 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 642 and 643: FLUCONAZOLE 400 MG/200 0 ML 0 ZOSYN
- Page 644 and 645: SP-CANCEL VISIT DLS0 0 SP-ABSENT DL
- Page 646 and 647: CHCKOT ORTH PROS 0PER 15 0 WHEELCHA
- Page 648 and 649: OT AQUATIC REHAB/15 0 MIN 0 OT ORTH
- Page 650 and 651: HIP STRAP (PROC) PLF0 0 SENSORY INT
- Page 652 and 653: M V V 0 0 METHACHOLINE EVAL5 5 ARTE
- Page 654 and 655: SWALLOW D/C STATUS 1 1 SWALLOW D/C
- Page 656 and 657: VOICE CURRENT STATUS 0 0 VOICE CURR
- Page 658 and 659: CARRY CURRENT STATUS 2 2 CARRY CURR
- Page 660 and 661: CARRY D/C STATUS 0 0 SELF CARE CURR
- Page 662 and 663: SUPP BLUE CROSS -237 ALLOW -237 SUP
- Page 664 and 665: GOLDEN RULE ALLOW -38 -38 GREAT WES
- Page 666 and 667: H/L SAGA ADMINISTRATION 0 0 H/L SAG
- Page 668 and 669: TFR FROM B/D TO A/R3 3 TFR FROM A/R
- Page 670 and 671: PHYS PRAC ATHENA CASH 0 0 MEDICAL O
- Page 672 and 673: CAFETERIA SALES CAFE 0 0 CAFETERIA
- Page 674 and 675: LABORATORY - UTILITIES 0 0 CARDIA R
- Page 676 and 677: OPER OF PLANT-GAS0 0 NON MEDICAL SU
- Page 678 and 679: PERSONAL PYMT (P/R -37DED) -37 TCOR
- Page 680 and 681: BLUE CROSS OF RI PAYMENT -88 -88 OU
- Page 682 and 683: SEVEN CORNERS PAYMENT 0 0 IMG PAYME
- Page 684 and 685: ZZ OHM UNSPECIFIED 0PYMT 0 ZZ STERL
- Page 686 and 687: SITE ASSESSMENT 0 0 SITE ASSESSMENT
- Page 688 and 689: TX COCCYGEAL FX 0 0 HIP DISLOCW/O A
ACETAMINOPH 100MG/ML 0 DROP0<br />
REPAGLINIDE 0.5 MG 0TAB<br />
0<br />
HYDROCORTIS 2.5% CR 1 R<strong>CT</strong>L 1<br />
MESALAMINE 4 GM/60ML 0 ENEM0<br />
MERCAPTOPURINE 50 MG TAB 0<br />
PYRIDOXINE 100 MG 0VIAL<br />
0<br />
HYDROCORTISONE 1000 MG ENE 0<br />
EPINEPHRINE 0.3MG 0AUTO-IN<br />
0<br />
FLEET BAGENEMA 0 0<br />
FLEET 4.5 ENEMA 22 22<br />
FLEET PREP KIT #1 0 0<br />
NON FORMULARY MED 0 0<br />
AMINO ACIDS 7% IV SOLN 0 0<br />
AA 5%/D25%W IV SOLN 0 1000M 0<br />
AMINO ACIDS 3.5%/D5W 0 INJ 0<br />
AMINO ACIDS 10% IV 0SOLN<br />
0<br />
AA 3.5%/D25W IV SOLN 0 0<br />
DEXTROSE 10%W/ 250ML 6 IV 6<br />
DEXTROSE 10%W/ IV 01000ML<br />
0<br />
DEXTROSE 20%W IV 500 0 ML 0<br />
DEXTROSE 5% 1/4NS 1000ML<br />
1<br />
DEXTROSE 5% 1/4NS 0500ML<br />
0<br />
DEXTROSE 5% 1/4NS 0250 ML 0<br />
D5W-1/4NS KCL 40MEQ/1000M 0 0<br />
D5W-1/4NS 20MEQ/1000ML 0 0<br />
D5W-1/2NS 1000ML 57IV SOLN 57<br />
D5W-1/2NS KCL40 MEQ/1000M<br />
16 16<br />
D5-1/2NS KCL 20 MEQ/L 21 IV 21<br />
DEXTROSE 50%-WATER 0 500 ML 0<br />
DEXTROSE 5%-LR 1000 45 ML IV 45<br />
DEXTROSE 5%-NS IV 98 1000ML 98<br />
D5W-NS 20 MEQ KCL/LITER 11 11<br />
D5W 1000 ML IV BAG15 15<br />
D5W 250 ML PVC IV 42BAG<br />
42<br />
D5W 50 ML PVC IV 22 BAG 22<br />
D5W 250 ML ADDV 137 IV BAG 137<br />
D5W 100 ML PVC 106 IV BAG 106<br />
D5W 500 ML IV BAG37 37<br />
NS KCL 20 MEQ/LITER 42IV<br />
42<br />
NS KCL 20 MEQ/LITER 30IV<br />
30<br />
OXYTOCIN-NS 30 UNITS/500M 96 96<br />
D5W 100 ML ADDV 256 IV BAG 256<br />
CONTAINER EVAC BOT 0 1000 M 0<br />
CONTAINER EVAC BOT 0 250ML 0<br />
CONTAINER EVAC BOT 0 500ML 0<br />
CONTAINER EMPTY BAG 0 LITER 0<br />
CONTAINER EMPTY BAG 0 250 0