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
SITE ASSESSMENT 0 0 SITE ASSESSMENT WW/O 0 FLSH 0 PERIPHERAL DRESSING 0 CHANG 0 CENTRAL LN DRESSNG 0 CHANGE 0 SQ PORT ACCESSING 0 0 SQ PORT DE ACCESSING 0 0 PPD PLANTING/READING 0 0 BLOOD DRAW W/IV STARTS 0 0 MIDLINE EVAL/INSERTION 0 0 PICC EVALUATION 0 0 MIDLINE EVALUATION0 0 PICC LINE REMOVAL 0 0 IV START 0 0 PERIPHERAL DRESSING 0 CHANG 0 FACILITY FEE-RECHECK0 0 ED-LWBS 0 0 NES PHY FEE-BRIEF 0 0 NES PHY FEE-RECHECK0 0 NES URGENT-MINIMAL 0 0 NES URGENT-BRIEF 0 0 NES URGENT-LIMITED0 0 PHY INTERMED 0 0 PHY INTERMED 0 0 PHY COMPREHENSIVE0 0 PHY EXTENDED 0 0 PHY FEE-MINIMAL 0 0 PHY FEE-BRIEF 0 0 PHY FEE-LIMITED 0 0 PHY FEE-INTERMEDIATE 0 0 PHY FEE-EXTENDED 0 0 PHY FEE-RECHECK 0 0 PHY FEE-NO CHG 0 0 PHY FEE-COMPREHENSIVE 0 0 PHY FEE-RECHECK 0 0 I&D CMPL POST-OP ABS 0 0 DEBR SKN UPTO 10%TBS 0 0 DEBR SKIN FULL THICK0 0 BX SKIN SUBC SINGLE0 0 BX SKIN SUBC MULTI0 0 EXC BEN SCALP..0.5CM0 0 REM SKIN TAGS;UPTO15 0 0 EXC BENIGN O.6-1.0CM0 0 DEBR NAILS 1-5 0 0 SMPL FACE20.1-30.0CM 0 0 SMPL FACE >30.0 CM0 0 LYR BODY SC >30.0 CM0 0 LY NECK EXTS 12.6-2 0 0
LY NECK EXTS 20.1-3 0 0 LYR NECK EXTS >30 CM0 0 LYR FACE 12.6-20.0 0 0 LYR FACE 20.1-30.0 0 0 LYR FACE >30.0 CM 0 0 CMPLX TRNK 1.1-2.5CM 0 0 CMPLX TRNK 2.6-7.5 0 0 CMPLX SC EXTS1.1-2.50 0 CMPLX FACE EXTS
- 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
- 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 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
- Page 692 and 693: THORACENTESIS W/TUBE 0 0 TUBE THOR
- Page 694 and 695: POST-OP SHOE 0 0 T-LOOP ELECTRODE 0
- Page 696 and 697: SYN L PL DCP BR 07 H0 0 SYN L PL DC
- Page 698 and 699: FULVESTRANT 125 MG 0 SYRING 0 CYTAR
- Page 700 and 701: KENNEDY DISEASE DNA 0 0 APOLIPO.E G
- Page 702 and 703: MEN2/FMTC MUTATIONS 0 0 COMPLETE CM
- Page 704 and 705: PCR BY IMUGEN 0 0 A PHAGOCYTOPHILUM
- Page 706 and 707: PLANAR CARDIAC RE&EX 0 0 PLANAR CAR
- Page 708 and 709: PROCAINAMIDE SR 500 MG TA 0 TEGASER
- Page 710 and 711: DLSN MOIST HEAT/CRYO(PROC 0 0 FUNCT
- Page 712 and 713: PLFD WHFOADDSPREXT 0 L3835 0 PLFD W
- Page 714 and 715: VIDEO FLUORO EVAL I0 0 OT REEVAL CP
- Page 716 and 717: DLSN OT WHFOADMPFLXIL3860 0 0 DLSN
- Page 718 and 719: PRO FEE FAMILY THERAPY 0 0 PROF FEE
- Page 720 and 721: MISC MEDICARE MCO 0 PMT 0 NATIONAL
- Page 722 and 723: ART OATS 07MM 0 0 ART OATS 08MM 0 0
LY NECK EXTS 20.1-3 0 0<br />
LYR NECK EXTS >30 CM0 0<br />
LYR FACE 12.6-20.0 0 0<br />
LYR FACE 20.1-30.0 0 0<br />
LYR FACE >30.0 CM 0 0<br />
CMPLX TRNK 1.1-2.5CM 0 0<br />
CMPLX TRNK 2.6-7.5 0 0<br />
CMPLX SC EXTS1.1-2.50 0<br />
CMPLX FACE EXTS
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