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
PROCAINAMIDE SR 500 MG TA 0 TEGASEROD 6 MG TAB0 0 THEOPHYLLINE 400MG/D5W 0 50 0 TRIMETHOBENZAMIDE 0 HC 0 TRIMETHOBENZAMIDE 0 HC SUPP0 FERR SULF INF DRP 15MG/.6 0 0 VALSARTAN 80 MG TAB 0 0 OCTREOTIDE 100 MCG/ML 0 AMP 0 PIPERACILL/TAZO 2.25G 0 ADD 0 FELODIPINE 2.5 ER TAB 0 0 ROSIGLITAZONE 4 MG 0 TAB 0 VARIVAX VACCINE 0.5ML/VIA 0 0 METHADONE 10 MG 0TAB 0 ALENDRONATE 10 MG 0 TAB 0 SIMVASTATIN 10 MG 0TAB 0 ROSIGLITAZONE 8 MG 0 TAB 0 FLUVASTATIN 20 MG 0CAP 0 BETAXOLOL 0.25% EYE 0 DROP 0 CEFOTETAN 1 GM ADD 0 VIAL 0 NEPHROCAP CAPSULES 0 0 IPECAC SYRUP 30ML 0BOTTLE 0 NEUTRA PHOS-K PWD 0 PACKET 0 LEUCOVORIN 50 MG 0VIAL 0 ATENOLOL 0.5MG/ML 0 INJ 0 TORISEL KIT-25MG 0 0 BACTRIM SUSP 5 ML 0ORAL 0 DANTROLENE 50 MG 0CAP 0 H1N1 VACCINE 0 0 ROSIGLITAZONE 2 MG 0 TAB 0 E E S 200 MG/5ML 0 0 INJECTION, CEFAZOLIN 0 500 0 CEFEPIME 1 GM/50 ML 0 D5W 0 CEFEPIME 2 GM/50 ML 0 D5W 0 BENDAMUSTINE 25 MG 0 VIAL 0 MIDRIN GENERIC CAP0 0 FLEET BAGENEMA 0 0 PRE ADMIN SERV-IVIG0 0 AA 3.5%/D25W IV SOLN 0 0 ALCOHOL 5%/D5W IV 01000 ML 0 ALCOHOL 5%/D5W IV 01000 ML 0 HETASTARCH 6%/NS 0500ML 0 HETASTARCH 6%/NS 0500ML 0 HETASTARCH 6%/NS 0500ML 0 HETASTARCH 6%/NS 0500ML 0 LACTATED RINGERS 1000 0 ML 0 LACTATED RINGERS 1000 0 ML 0 NACL 0.9% 250 ML PVC 0 0
NACL 0.9% 250 ML PVC 0 0 MAGNESIUM SULF 40GM/LITER0 0 MAGNESIUM SULF 40GM/LITER0 0 MAGNESIUM SULF 40GM/LITER0 0 MAGNESIUM SULF 40GM/LITER0 0 NITRO PLUMB SET 0 0 SECONDARY SET 0 0 CLAVE CONNECTOR 11956 0 0 METRONIDAZOLE 5000 MG IV 0 FLUCONAZOLE 200 MG 0 INJ 0 MAGNESIUM 20 GM/500 0 ML 0 MALE ADAPTOR PLUG 0 - 11391 0 IV ADMINISTRATION 0SET-CLA 0 EXT SET RESEAL 119570 0 DIAL A FLOW W/EXT 019140 0 MACRO SET 11961 0 0 7 HIGH PRESSURE SET 0SS-46 0 BLOOD IV SET TYPE Y 0- 124 0 SURGICAL IV SET 12664 0 0 PUMP FILTERED SET 12030 0 0 NITROGLYCERIN PLUMSET-118 0 0 BLOOD IV SET - 46020 0 SECONDARY SET 32IN 011953 0 FLTR SET HIGH-PRES 12273 0 0 IV SET PRIMARY 119620 0 CLAVE CONNECTOR - 011956 0 EPIDURAL PUMP TUB 0#13514 0 PCA PUMP SET 0 0 REEVAL CMPX SP&LANG 0 CTCAR 0 AAC THER SERV NON 0SP(PROC 0 DVLPMT, COG SKILLS 015 MIN 0 TREATMENT, SP/LANG, 0 GRP 0 EVAL VOICE PROS DEVICE 0 0 REEVAL CMPX SP CTCAR 0 DLS 0 AAC EVAL NON SP(PROC 0 DLS 0 AAC THER NON SP(PROC 0 DLS 0 AAC EVAL SP 1ST HR DLS 0 0 AAC 30 ADD'L MIN DLS 0 0 AAC THER SERV (PROC) 0 DLS 0 PLFD REEVAL CMPX SP 0 CTCAR 0 AAC THER NON SP(PROC 0 PLF 0 ICU MONITORED 1ST 01/2 HR 0 ICU MONITOR EA ADDL 0 15MIN 0 INTERSCALENE BLOCK0 0 H/L MEDICAID B/D ALLOW 0 0 DLSN RE-EVAL CPLX CTC(PRO 0 0 WHIRLPOOL (PROC) DLS 0 0
- 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
- 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 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
PROCAINAMIDE SR 500 MG TA 0<br />
TEGASEROD 6 MG TAB0 0<br />
THEOPHYLLINE 400MG/D5W 0 50 0<br />
TRIMETHOBENZAMIDE 0 HC 0<br />
TRIMETHOBENZAMIDE 0 HC SUPP0<br />
FERR SULF INF DRP 15MG/.6 0 0<br />
VALSARTAN 80 MG TAB 0 0<br />
O<strong>CT</strong>REOTIDE 100 MCG/ML 0 AMP 0<br />
PIPERACILL/TAZO 2.25G 0 ADD 0<br />
FELODIPINE 2.5 ER TAB 0 0<br />
ROSIGLITAZONE 4 MG 0 TAB 0<br />
VARIVAX VACCINE 0.5ML/VIA 0 0<br />
METHADONE 10 MG 0TAB<br />
0<br />
ALENDRONATE 10 MG 0 TAB 0<br />
SIMVASTATIN 10 MG 0TAB<br />
0<br />
ROSIGLITAZONE 8 MG 0 TAB 0<br />
FLUVASTATIN 20 MG 0CAP<br />
0<br />
BETAXOLOL 0.25% EYE 0 DROP 0<br />
CEFOTETAN 1 GM ADD 0 VIAL 0<br />
NEPHROCAP CAPSULES 0 0<br />
IPECAC SYRUP 30ML 0BOTTLE<br />
0<br />
NEUTRA PHOS-K PWD 0 PACKET 0<br />
LEUCOVORIN 50 MG 0VIAL<br />
0<br />
ATENOLOL 0.5MG/ML 0 INJ 0<br />
TORISEL KIT-25MG 0 0<br />
BA<strong>CT</strong>RIM SUSP 5 ML 0ORAL<br />
0<br />
DANTROLENE 50 MG 0CAP<br />
0<br />
H1N1 VACCINE 0 0<br />
ROSIGLITAZONE 2 MG 0 TAB 0<br />
E E S 200 MG/5ML 0 0<br />
INJE<strong>CT</strong>ION, CEFAZOLIN 0 500 0<br />
CEFEPIME 1 GM/50 ML 0 D5W 0<br />
CEFEPIME 2 GM/50 ML 0 D5W 0<br />
BENDAMUSTINE 25 MG 0 VIAL 0<br />
MIDRIN GENERIC CAP0 0<br />
FLEET BAGENEMA 0 0<br />
PRE ADMIN SERV-IVIG0 0<br />
AA 3.5%/D25W IV SOLN 0 0<br />
ALCOHOL 5%/D5W IV 01000 ML 0<br />
ALCOHOL 5%/D5W IV 01000 ML 0<br />
HETASTARCH 6%/NS 0500ML<br />
0<br />
HETASTARCH 6%/NS 0500ML<br />
0<br />
HETASTARCH 6%/NS 0500ML<br />
0<br />
HETASTARCH 6%/NS 0500ML<br />
0<br />
LA<strong>CT</strong>ATED RINGERS 1000 0 ML 0<br />
LA<strong>CT</strong>ATED RINGERS 1000 0 ML 0<br />
NACL 0.9% 250 ML PVC 0 0
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