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
FLUCONAZOLE 400 MG/200 0 ML 0 ZOSYN 3.375 GM/100 0ML 0 AMPICILLIN 1 GM/100 0 ML 0 CEFUROXIME 1.5 GM/100 0 ML 0 AMPICILLIN 2GM/100ML 0 IVPB 0 PENICI G 2.5MIL UNITS/100 0 0 PENICI G 5MIL UNITS/100ML 0 0 MAGNESIUM 2 GM/50ML 92 IVPB92 PENICILLIN G5 MILL UN/250 0 0 MORPHINE 1000 MG/100 0 ML 0 MORPHINE 500 MG/50 0 ML 0 .45% SODIUM CHL/20 18MEQ KL 18 AZACTAM 1 GM/50 ML 0 D5W 0 LIPOSYN III 20% INJ 500ML0 0 HYDROMORPHONE 25MG/100ML 0 0 HYDROMORPHONE 100MG/100ML0 0 INJ CEFTAZIDIME PER 4500MG 4 NITRO 50MG/250 BTL 0INJ 0 NOREPINEPHRINE 4MG/1000 0 0 DILTIAZEM 125MG/125ML 0 MIX 0 INJ, LORAZEPAM, 2MG0 0 INJ, LORAZEPAM 2 MG0 0 INJ LORAZEPAM 2 MG0 0 INJ MIDAZOLAM HYDRO/1MG 0 0 PHENYTOIN 500MG/100ML 0 KIT 0 NITRO 25MG/D5W 250 3 ML 3 VECURONIUM 100MG/100 0 INJ 0 AMIODARONE INJ, 30 10MG 10 AMIODARONE INJ 300MG 0 PROPOFOL 1% INF(10 0MG/ML) 0 NICARDINE .1 MG D5W 0 200ML 0 CINDAMYCIN 600MG/D5W 0 100 0 CLINDAMYCIN 900MG/D5W 0 1000 INJ FLUCONAZOLE 2000 MG 0 INJ FLUCONAZOLE 2000 MG 0 INJ FLUCONAZOLE 2000 MG 0 INJ FLUCONAZOLE 2000 MG 0 HEPARIN 25000 UN/500ML 0 BG 0 CEFEPIME 1 GM/50 ML 0 D5W 0 CEFEPIME 2 GM/50 ML 0 D5W 0 D5W 250 ML VISIV 0 0 AMIODARONE 360MG/200MLD5W 12 12 CEFAZOLIN 2 GM/50 192ML D5W192 HEPARIN 25,000 UN/500 25 ML 25 LACTATED RINGERS 500 0 ML 0 .45 NACL 500 ML 0 0 ACETAMINOPHEN 436 10 MG/ML 436 IV
RED CAP LUER LOCK MED 0 SUP 0 INTUBATION KIT 0 0 IV EQUIPMENT 1 SET0 0 CONTAINER EMPTY IV 0 100ML 0 CONTAINER EMPTY 13 IV 100ML 13 EMPTY IV BAG 250ML0 0 EMPTY IV BAG 250ML0 0 CONTAINER EMPTY BAG 0 LITER 0 CONTAINER EMPTY 10 BAG 500 M10 CONTAINER EVAC BOT 0 250ML 0 CONTAINER EVAC BOT 0 500ML 0 CONTAINER EVAC BOT 0 1000 M 0 EVAL SPEECH & LANGU(PROC) 11 11 SPEECH & LANG TX (PROC) 33 33 SWALLOW EVAL (PROC) 20 20 SWALLOW TX (PROC) 33 33 AAC EVAL NON-SP GEN(PROC) 0 0 AAC EVAL SP GEN 1ST 0HR 0 AAC 30 ADD'L MIN 0 0 VIDEO FLUORO EVAL 5(PROC) 5 DVLPMT COG SKILLS PER 0 15 0 TREATMENT SP/LANG, 0 GRP 0 AC THER SVC SPEECH 0GEN 0 EVAL VOICE PROSTHETIC 0 DEV 0 SPEECH STROKE SCREEN 0 0 SPEECH OUTPT VISIT76 76 SPEECH INPT VISIT 43 43 SPEECH IP-NO CHARGE 1 1 SP/CANCELLED VISIT 0 0 SP/CANCELLED-DSCHGD 0 0 SP-ABSENT 0 0 DVLPT, COG SKILL PER 64 15 M 64 AAC THER SVC, SPEECH-GEN 0 0 EVAL NON SPEECH EA 0ADD'L 0 SPEECH&LANG EVAL(PRO 0 DLS 0 SPEECH&LANG TX(PROC) 0 0 SWALLOW EVAL (PROC) 0 DLS 0 SWALLOW TX (PROC) 0DLS 0 DVLPMT COG SKILL PER 0 15 M 0 TREATMENT SP/LANG, 0 GROUP 0 AAC THER SVC, SPEECH-GEN 0 0 EVAL VOICE PROS DEVICE 0 0 MOTION FLUORA EVAL 0 (MBS) 0 EVAL NON SPEECH ADD'L 0 30 0 SP-STROKE SCREEN DLS 0 0 SP OUTPT VISIT DLS 0 0 SP-CANCEL-DISCH DLS0 0
- 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 640 and 641: ACETAMINOPH 100MG/ML 0 DROP0 REPAGL
- 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
- Page 690 and 691: CL INTE FACE7.6-12.50 0 LYR FACE 12
FLUCONAZOLE 400 MG/200 0 ML 0<br />
ZOSYN 3.375 GM/100 0ML<br />
0<br />
AMPICILLIN 1 GM/100 0 ML 0<br />
CEFUROXIME 1.5 GM/100 0 ML 0<br />
AMPICILLIN 2GM/100ML 0 IVPB 0<br />
PENICI G 2.5MIL UNITS/100 0 0<br />
PENICI G 5MIL UNITS/100ML 0 0<br />
MAGNESIUM 2 GM/50ML 92 IVPB92<br />
PENICILLIN G5 MILL UN/250 0 0<br />
MORPHINE 1000 MG/100 0 ML 0<br />
MORPHINE 500 MG/50 0 ML 0<br />
.45% SODIUM CHL/20 18MEQ KL 18<br />
AZA<strong>CT</strong>AM 1 GM/50 ML 0 D5W 0<br />
LIPOSYN III 20% INJ 500ML0 0<br />
HYDROMORPHONE 25MG/100ML<br />
0 0<br />
HYDROMORPHONE 100MG/100ML0 0<br />
INJ CEFTAZIDIME PER 4500MG<br />
4<br />
NITRO 50MG/250 BTL 0INJ<br />
0<br />
NOREPINEPHRINE 4MG/1000 0 0<br />
DILTIAZEM 125MG/125ML 0 MIX 0<br />
INJ, LORAZEPAM, 2MG0 0<br />
INJ, LORAZEPAM 2 MG0 0<br />
INJ LORAZEPAM 2 MG0 0<br />
INJ MIDAZOLAM HYDRO/1MG 0 0<br />
PHENYTOIN 500MG/100ML 0 KIT 0<br />
NITRO 25MG/D5W 250 3 ML 3<br />
VECURONIUM 100MG/100 0 INJ 0<br />
AMIODARONE INJ, 30 10MG<br />
10<br />
AMIODARONE INJ 300MG<br />
0<br />
PROPOFOL 1% INF(10 0MG/ML)<br />
0<br />
NICARDINE .1 MG D5W 0 200ML 0<br />
CINDAMYCIN 600MG/D5W 0 100 0<br />
CLINDAMYCIN 900MG/D5W 0 1000<br />
INJ FLUCONAZOLE 2000 MG 0<br />
INJ FLUCONAZOLE 2000 MG 0<br />
INJ FLUCONAZOLE 2000 MG 0<br />
INJ FLUCONAZOLE 2000 MG 0<br />
HEPARIN 25000 UN/500ML 0 BG 0<br />
CEFEPIME 1 GM/50 ML 0 D5W 0<br />
CEFEPIME 2 GM/50 ML 0 D5W 0<br />
D5W 250 ML VISIV 0 0<br />
AMIODARONE 360MG/200MLD5W<br />
12 12<br />
CEFAZOLIN 2 GM/50 192ML D5W192<br />
HEPARIN 25,000 UN/500 25 ML 25<br />
LA<strong>CT</strong>ATED RINGERS 500 0 ML 0<br />
.45 NACL 500 ML 0 0<br />
ACETAMINOPHEN 436 10 MG/ML 436 IV
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