chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov

ZZ OHM UNSPECIFIED 0PYMT
0
ZZ STERLING ONECO 0FIRE PY 0
MISC SCHOOL BEHAVE 0 HLTH 0
UAAPPLIED CASH FY -1 08 PYMT -1
ADMIN REVIEW PAYMENT 0 0
MED/SURG BLOOD ADMIN 0 0
EMERGENCY RM-HOSP 0 EVENTS 0
MED/SURG, PRIVATE0 0
NURSERY, SICK BABY0 0
ENDO VISIT 0 0
IV THERAPY VISIT 0 0
ACU VISIT 0 0
ENDO DUAL VISIT 0 0
PRESCRIPTION DRUGS0 0
CRYOSURG RENAL 1ST 0 1/2 HR 0
LITHOTRIPSY OR 1ST 01/2 HR 0
PROS ABLATION OR 1ST 0 1/2 0
CRYOSURG PROSTA 1ST 0 1/2HR 0
PHY FEE-NO CHG 0 0
BLADDER IRRI-SIMPLE 0 LAVAG 0
NO CHARGE PO 0 0
RECOVERY ROOM 0 0
RECOVERY ROOM 0 0
RECOVERY ROOM 0 0
RECOVERY ROOM 0 0
RECOVERY ROOM 0 0
OR C-SECT 1ST 1/2HR,1PERS 0 0
OR C-SECT 1ST 1/2HR, 0 3PEO 0
OR C-SEC EA ADDL 15MIN,3P 0 0
NERVE CONDUCTION 0SENSORY
0
OCYTOCIN CHALLENGE 0 0
NST/FETAL MONITOR0 0
PNEUMOGRAM 0 0
VACCINE INJECTION 0 0
IVP SEQ SAME DAY >30 0 MIN 0
MCH-SPEC PROC RM 01-1/2 HR 0
SMEAR DIAPHRAM SCRAP 0 0
COBALT, RANDOM URINE 0 0
ACU-E&M LEVEL 5 0 0
ACU-SPEC PROC RM 01/2 HR 0
ACU-SPEC PROC RM 1-1/2 0 HR 0
ACU-SPEC PROC RM 20 HRS 0
MRI KEN UPEX NOJT W/WO 0 RT 0
COLONOSCOPY 0 0
GASTROSCOPY 0 0
BRONCHOSCOPY 0 0
DUODENSCOPY 0 0