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
CL INTE FACE7.6-12.50 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
THUMB FX W/MAN 0 0 METACAR DIS W/M WO/A 0 0 IP JOINT FX W/O MAN0 0 AMPU FINGER/THB W/C/ 0 0 TX COCCYGEAL FX 0 0 HIP DISLOC W/O FIXTN0 0 HIP DISLOC W/O ANES0 0 POST HIP DISLC W/O A0 0 CL TX DIS FEM FXWO/M 0 0 PATELLAR FX W/O M0 0 TIB PLATEAU FX W/O 0M 0 KNEE FX W OR W/O MAN 0 0 KNEE DISLOC W/O ANES 0 0 TIB SHAFT FX W/O MAN 0 0 M MALLEOLUS FX W/O 0 M 0 PROX FIB/SHFT W/O M0 0 DIST FIB FX W/O M 0 0 BIMALLEOLAR FX W/O 0 M 0 BIMALLEOLAR FX W/MAN 0 0 TRIMALLEOLAR FX WO 0 M 0 ANKLE DISLOC W/O ANE 0 0 ANKLE DISLOC W/ANES 0 0 ARTHROTOMY MTP JOINT 0 0 REMOVAL FB FOOT DEEP 0 0 REMOVAL FB FOOT COMP 0 0 CALCANEAL FX W/O M0 0 TALUS FX W/O M 0 0 METATARSAL FX W/O 0M 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 STRAPPING-SHOULDER 0 0 STRAPPIN ELBOW/WRIST 0 0 CAST LONG LEG 0 0 RMVL CAST/BIVALVE0 0 RMVL FUL ARM/LEG CST 0 0 ET INTUBATION 0 0 CHANGE TRACH TUBE0 0 LARYNG IND RECT DIAG 0 0 LARYNGPY INDRCT W/FB 0 0 LARYN DIR FOR ASPIRA 0 0 LARYN D/R DX NO NEWB 0 0 LARYN DIR OP W/FB RE 0 0 TRACH ER TRSTRACH0 0 TRACH ED CRICOTHYD0 0 THORACENT ASP INT 0OR SUBS 0
- 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 688 and 689: TX COCCYGEAL FX 0 0 HIP DISLOCW/O A
- 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
CL INTE FACE7.6-12.50 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