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
TX COCCYGEAL FX 0 0 HIP DISLOCW/O ANES0 0 CL TX POST HIP W/ANE 0 0 PATELLAR FX W/O M0 0 KNEE FX W OR W/O MAN 0 0 TIB SHAFT FX W/O MAN 0 0 BIMALLEOLAR FX W/O 0 M 0 ARTHROTOMY MTP JOINT 0 0 REMOVAL FB FOOT DEEP 0 0 REMOVAL FB FOOT COMP 0 0 REP EXT TENDON FOOT 0 0 CALCANEAL FX W/MANIP 0 0 CL TR FX GR TOE WO M0 0 FX PHALANX W/O M 0 0 CAST SHORT ARM 0 0 CAST-FINGER 0 0 RMVL CAST/BIVALVE0 0 RMVL FUL ARM/LEG CST 0 0 EPISTAXIS POST SUBSQ0 0 CHANGE TRACH TUBE0 0 LARYNGPY INDRCT W/FB 0 0 LARYN DIR OP W/FB RE 0 0 TRACH ER TRSTRACH0 0 TRACH ED CRICOTHYD0 0 THORACENTESIS W/TUBE 0 0 THORA MAJ W/CARDI 0MA 0 REM TRIPLE LUMEN CAT 0 0 LAC VESTIBULE 2.5 CX0 0 UNLISTED PROC TONGUE 0 0 I+D ABSCESS;PARAPHAR 0 0 RML FB PHARYNX EXS0 0 EGD W/REM FOREIGN 0 BO 0 EGD W/BY SGL OR MULT 0 0 EGD W/REMOVAL OF 0FB 0 CHANGE CYSTO TUBE0 0 CATH URETHRA SMPL0 0 CAUT CERV-INIT OR RP0 0 CAUTERIZA OF CERVIX0 0 INJ ANES;INTERCO,SGL 0 0 BLEPHAR-I&D ABSC EYE 0 0 ECG 1-3 LEAD INT&REP 0 0 VENT ASSIST&MNG 1STD 0 0 PULSE OX/EAR SINGLE0 0 PULSE OX/EAR-MULTI0 0 DLS TIBI W/WO AN W/M 0 0 PROCTO W/OR WO/ COLL 0 0 ANOSC W/ REMOVAL 0FB 0
EXCIS OF X THORB HEM 0 0 EXCIS OF ANUS,SIMPLE 0 0 IPECAC FOR EMESIS 0 0 ASP OF BLADDER BY NEEDLE 0 0 PRIAPISM;TX BY FISTU0 0 UNLSTD MALE GENITAL 0 0 COLPOR-SUTURE VAGINA 0 0 REM IMPACT VAG FB 0AN 0 REM OF INTRAUT DEVIC 0 0 DELIVERY OF PLACENTA 0 0 INJ EPIDU;LUMBAR SAC 0 0 ANOG EXAM W/COLP 0MAG 0 STRAPPING-SHOULDER 0 0 STRAPPIN ELBOW/WRIST 0 0 DRAUB LYMPH NODE 0ABSCESS 0 DRAIN ABCESS,PALATE,UVULA 0 0 I&D UPPER ARM AREA; 0 BURSA 0 TX TRSL FX TALUS W/O 0 MNPJ 0 INCISION THROMBOSED 0 HEM 0 SMPL LAC BODY, SCALP>30CM 0 0 UNIV RIB BELT 0 0 PC-FAC FEE-RECHECK0 0 PC-FAC FEE-RECHECK0 0 PC-FAC FEE-RECHECK0 0 PC-NES PHY FEE-MINIMAL 0 0 PC-NES PHY FEE-BRIEF0 0 PC-NES PHY FEE-LIMITED 0 0 PC-NES PHY FEE-INTERMED 0 0 PC-NES PHY FEE-EXTENDED 0 0 PC-NES PHY FEE-COMPREHENS 0 0 PC-NES URGENT-MINIMAL 0 0 PC NES URGENT-BRIEF0 0 PC-NES URGENT-LIMITED 0 0 PC-NES PHY FEE-RECHECK 0 0 DEBR SKIN FULL THICK0 0 BX SKIN SUBC SINGLE0 0 BX SKIN SUBC MULTI0 0 EXC BEN SCALP..0.5CM0 0 EXC BENIGN 0.6-1.0CM0 0 SMPL FACE20.1-30.0CM 0 0 SMPL FACE >30.0 CM0 0 TX SUPERFIC WND SMPL 0 0 LYR BDY SC 20.1-30.00 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
- 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 686 and 687: SITE ASSESSMENT 0 0 SITE ASSESSMENT
- 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
EXCIS OF X THORB HEM 0 0<br />
EXCIS OF ANUS,SIMPLE 0 0<br />
IPECAC FOR EMESIS 0 0<br />
ASP OF BLADDER BY NEEDLE 0 0<br />
PRIAPISM;TX BY FISTU0 0<br />
UNLSTD MALE GENITAL 0 0<br />
COLPOR-SUTURE VAGINA 0 0<br />
REM IMPA<strong>CT</strong> VAG FB 0AN<br />
0<br />
REM OF INTRAUT DEVIC 0 0<br />
DELIVERY OF PLACENTA 0 0<br />
INJ EPIDU;LUMBAR SAC 0 0<br />
ANOG EXAM W/COLP 0MAG<br />
0<br />
STRAPPING-SHOULDER 0 0<br />
STRAPPIN ELBOW/WRIST 0 0<br />
DRAUB LYMPH NODE 0ABSCESS<br />
0<br />
DRAIN ABCESS,PALATE,UVULA 0 0<br />
I&D UPPER ARM AREA; 0 BURSA 0<br />
TX TRSL FX TALUS W/O 0 MNPJ 0<br />
INCISION THROMBOSED 0 HEM 0<br />
SMPL LAC BODY, SCALP>30CM 0 0<br />
UNIV RIB BELT 0 0<br />
PC-FAC FEE-RECHECK0 0<br />
PC-FAC FEE-RECHECK0 0<br />
PC-FAC FEE-RECHECK0 0<br />
PC-NES PHY FEE-MINIMAL 0 0<br />
PC-NES PHY FEE-BRIEF0 0<br />
PC-NES PHY FEE-LIMITED 0 0<br />
PC-NES PHY FEE-INTERMED 0 0<br />
PC-NES PHY FEE-EXTENDED 0 0<br />
PC-NES PHY FEE-COMPREHENS 0 0<br />
PC-NES URGENT-MINIMAL 0 0<br />
PC NES URGENT-BRIEF0 0<br />
PC-NES URGENT-LIMITED 0 0<br />
PC-NES PHY FEE-RECHECK 0 0<br />
DEBR SKIN FULL THICK0 0<br />
BX SKIN SUBC SINGLE0 0<br />
BX SKIN SUBC MULTI0 0<br />
EXC BEN SCALP..0.5CM0 0<br />
EXC BENIGN 0.6-1.0CM0 0<br />
SMPL FACE20.1-30.0CM 0 0<br />
SMPL FACE >30.0 CM0 0<br />
TX SUPERFIC WND SMPL 0 0<br />
LYR BDY SC 20.1-30.00 0<br />
LYR BODY SC >30.0 CM0 0<br />
LY NECK EXTS 12.6-2 0 0<br />
LY NECK EXTS 20.1-3 0 0<br />
LYR NECK EXTS >30 CM0 0
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