- Page 1 and 2:
CHRG# CDSC CDEPT CSRV CUPR CREV# 30
- Page 3 and 4:
411124 ITEL IV TX HYDRA ADD'L HOUR
- Page 5 and 6:
590034 ACU VISIT 999 0 0 3720 59004
- Page 7 and 8:
800730 EX MAL LES FACE EAR EYE NOSE
- Page 9 and 10:
1000629 IV TX HYDRA ADD'L HR 260 0
- Page 11 and 12:
1302629 RADIAL SHFT FX W/MAN 450 0
- Page 13 and 14:
1304088 RML FB EXT EYE/CONJL 450 0
- Page 15 and 16:
1400050 PC FACILITY FEE-MIN 456 0 1
- Page 17 and 18:
1403344 EPISTX ANT CMPLX PKG 456 0
- Page 19 and 20:
2201713 MIDLINE CATHETER 278 0 130
- Page 21 and 22:
2510360 ASNIS 6.5 THD G/WIRE 270 0
- Page 23 and 24:
2530244 GYN VAG PACKING* 270 0 0 38
- Page 25 and 26:
2550226 ORT CRV-TC CART MED 270 0 7
- Page 27 and 28:
2552461 TIER 1 INSERTS 278 0 6250 3
- Page 29 and 30:
2555191 BALLOON SINUPLASTY 270 0 23
- Page 31 and 32:
2571529 SYN SM PL LCDCP 05 H 278 0
- Page 33 and 34:
2581445 URO STONE BSKT SEG 4 270 0
- Page 35 and 36:
2902096 BONE MARROW BIOPSY 761 0 63
- Page 37 and 38:
3091105 ARANESP 200MG 1.4ML 636 0 0
- Page 39 and 40:
3300712 GLUCOSE STRIP SUBSEQ 300 0
- Page 41 and 42:
4100046 DIGOXIN 300 0 50.41 4010 41
- Page 43 and 44:
4101077 OSMOLALITY SERUM 300 0 29.2
- Page 45 and 46:
4102026 TIME & VOLUME URINE 300 0 1
- Page 47 and 48:
4300216 TISSUE HOMOGENOUS 300 0 35.
- Page 49 and 50:
4400123 ANTI TITER-ALBUMIN 300 0 24
- Page 51 and 52:
4600094 TESTOSTERONE T & F 300 0 28
- Page 53 and 54:
4601035 FLUPHENAZINE 300 0 145.02 4
- Page 55 and 56:
4601985 RETROVIRAL SEROLOGY 300 0 4
- Page 57 and 58:
4602967 HTLV I/II AB 300 0 100.75 4
- Page 59 and 60:
4604096 ORG ID AEROBIC UMASS 300 0
- Page 61 and 62:
4605101 ASPERGILLUS FUMIGAT. 300 0
- Page 63 and 64:
4606471 PARIETAL CELL AB 300 0 90.8
- Page 65 and 66:
4607453 IGG,SERUM (CSFI) 300 0 70.9
- Page 67 and 68:
4608477 IGG B2 GLYCOPROTEIN 300 0 1
- Page 69 and 70:
4609616 SACCHAROMYCES IGG AB 300 0
- Page 71 and 72:
4610648 PLASMINOGEN ACT INH1 300 0
- Page 73 and 74:
4611703 HYPERCOAG. NON-PREG 300 0 0
- Page 75 and 76:
4613063 TISSUE PREP 300 0 82.42 401
- Page 77 and 78:
4614095 LIDOCAINE AUTO ABS 300 0 26
- Page 79 and 80:
4615340 INCUBATION SERUM & DRUGS, E
- Page 81 and 82:
4619177 ALDOLASE 300 0 76.25 4010 4
- Page 83 and 84:
4620241 HEP BE AG 300 0 90.45 4010
- Page 85 and 86:
4621207 FETOMATERNAL HEMORRHAGE SCR
- Page 87 and 88:
4622148 THYROID STIM IMMUNOGLOBULIN
- Page 89 and 90:
4623146 RUBEOLA ANTIBODIES, IGG 300
- Page 91 and 92:
4624086 MUCOR RACEMOSUS, IGE 300 0
- Page 93 and 94:
4800041 SPE COLL TRAVEL/MILE 300 0
- Page 95 and 96:
5600689 MRI KEN HIP W/CONT RT 610 0
- Page 97 and 98:
5800313 MULTIPLE SLEEP LATENCY TEST
- Page 99 and 100:
6103758 BONE DENSITY FX EVAL 320 0
- Page 101 and 102:
6108906 CYSTO SCOUT FILM 320 0 108.
- Page 103 and 104:
6113864 SHLDR-ARTH PRO/INS-RT 761 0
- Page 105 and 106:
6201206 MYO-IMAGING-INFARCT 340 0 9
- Page 107 and 108:
6306005 COLOR FLOW DOPPLER 480 0 25
- Page 109 and 110:
6390132 US-MIDLINE CATHETER 278 0 1
- Page 111 and 112:
6502124 MRI-UP EX NO JT W-LT 610 0
- Page 113 and 114:
6702245 CT UP EXT W/ CON-RT 352 0 1
- Page 115 and 116:
6801187 CHEST INS & EXP LAT 320 0 1
- Page 117 and 118:
6802128 MAMMO DIAG DIGITAL RIGHT 40
- Page 119 and 120:
6901607 FINGER 2 OR MORE RT 320 0 1
- Page 121 and 122:
7000094 MRI-CHEST W/WO CONTR PLF 61
- Page 123 and 124:
7001084 MRI-LOEX NO JT W/WO RT-PLF
- Page 125 and 126:
7500820 ASPIRIN 325 MG TAB 250 0 0
- Page 127 and 128:
7501794 CHOLESTYRAMINE/SUCRO PACKET
- Page 129 and 130:
7502768 DULOXETINE 30MG. CAP EC 250
- Page 131 and 132:
7503741 HALOPERIDOL LACTATE VIAL 63
- Page 133 and 134:
7504723 LIDOCAINE HCL/D7.5W INJ 250
- Page 135 and 136:
7505704 MULTIVITAMINS THERAP 250 0
- Page 137 and 138:
7506645 PHENAZOPYRIDINE HCL TAB 250
- Page 139 and 140:
7507601 SODIUM BICARBONATE SYRINGE
- Page 141 and 142:
7508583 ISOPROPYL ALCOHOL SOLN 250
- Page 143 and 144:
7509532 ISOSORBIDE MONONITRA T SR 2
- Page 145 and 146:
7510506 SUMATRIPTAN SUCCINAT TAB 25
- Page 147 and 148:
7511488 BUPROPION HCL 100 MG TAB 25
- Page 149 and 150:
7512486 LANTUS INSULIN VIAL 636 0 0
- Page 151 and 152:
7513500 POVIDONE-IODINE 10% SOLN 25
- Page 153 and 154:
7514649 PYRAZINAMIDE 500MG TAB 250
- Page 155 and 156:
7515620 BUSPIRONE 2.5 MG TAB 250 0
- Page 157 and 158:
7517618 TETANUS AND DIPTHERIA TOX .
- Page 159 and 160:
7600398 CONTAINER EMPTY 500 270 0 0
- Page 161 and 162:
7690001 RED CAP LUER LOCK MED SUPPL
- Page 163 and 164:
8201709 PROSTETIC TRAIN PER 15 MIN
- Page 165 and 166:
8403214 WHFOWOJT L3808 274 0 509.69
- Page 167 and 168:
8701500 IONTOPHORESIS PER 15 MIN DL
- Page 169 and 170:
9003112 INITIAL PSYCH EVAL MD 900 0
- Page 171 and 172:
9300518 SWALLOW GOAL STATUS 440 0 0
- Page 173 and 174:
9301441 LANG EXPRESS GOAL STATUS 44
- Page 175 and 176:
9302381 MOBILITY GOAL STATUS 420 0
- Page 177 and 178:
9303330 OTHER PT/OT D/C STATUS 420
- Page 179 and 180:
9304296 SUB PT/OT GOAL STATUS 430 0
- Page 181 and 182:
9702796 MIC MEDICAID INTGRTY ALLOWA
- Page 183 and 184:
9704602 UNITED HLTHCR/UNITED HLTHCR
- Page 185 and 186:
9707886 TR PAUL ALLOWANCE 0 0 5210
- Page 187 and 188:
9805813 H/L SAGA B/D I/P ALLOWANCE
- Page 189 and 190:
9822297 STATE INCOME TAXES WITHHELD
- Page 191 and 192:
9826116 RENTAL INCOME LLC - VAN LEA
- Page 193 and 194:
9827627 HC HOSPICE MED SUPLS MED/SU
- Page 195 and 196:
9829565 MATERIAL MGMT-NON-MED SUP S
- Page 197 and 198:
9915646 SUPP TRICARE PAYMENT 0 0 10
- Page 199 and 200:
9940453 CT CARPENTERS HEALTH FUND P
- Page 201 and 202:
9945072 PSYCH DKH CIGNA BEHAV PAYME
- Page 203 and 204:
501205 LARYNGOSCOPY 361 0 0 3720 50
- Page 205 and 206:
1301993 LY NECK EXTS 20.1-30 450 0
- Page 207 and 208:
1304385 EXCIS OF X THORB HEM 450 0
- Page 209 and 210:
1402759 THUMB FX W/MAN 456 0 0 3780
- Page 211 and 212:
1800150 JAMSHIDI NEEDLE 270 0 0 375
- Page 213 and 214:
2525640 EYE RETROBULBAR NDL 270 0 0
- Page 215 and 216:
2600153 AMNIO SUPPLIES 270 0 0 3800
- Page 217 and 218:
4100384 BENZODIAZEPINES 300 0 0 401
- Page 219 and 220:
4605929 MUTATION ID ALLELE S 300 0
- Page 221 and 222:
4612685 CX 26 DNA SEQUENCING 300 0
- Page 223 and 224:
5600812 MRI KEN UPEX NO JT WO RT 61
- Page 225 and 226:
6500052 MRI-SPECIAL 352 0 0 4270 65
- Page 227 and 228: 7600570 POTASSIUM ACETATE 2 258 0 0
- Page 229 and 230: 8203465 DLSN HFOWOJT L3913 274 0 0
- Page 231 and 232: 8403263 EWHORTHO L3763 274 0 0 4370
- Page 233 and 234: 8603557 JOINT JACK 274 0 0 4390 860
- Page 235 and 236: 8803306 PLFD OT WHFOADDTHUM L3810 2
- Page 237 and 238: 9742503 TCORS AUTO ALOOWANCE 0 0 52
- Page 239 and 240: 9944786 NATIONAL HEALTH INS NASE PA
- Page 241 and 242: 9709817 CHARITY MEDICARE B/D-COINS
- Page 243 and 244: 90460 0 23000086 A A 35109990 35109
- Page 245 and 246: 99213 0 49000030 A A 37209990 37209
- Page 247 and 248: 10060 0 A A 37309990 37309990 10061
- Page 249 and 250: 0 A A 37309990 37309990 69287 0 A A
- Page 251 and 252: 12002 0 26600071 A A 37809990 37809
- Page 253 and 254: 28660 0 26600430 A A 37809990 37809
- Page 255 and 256: 11305 0 A A 37809990 37809990 11732
- Page 257 and 258: 13122 0 26700127 A A 37809990 37809
- Page 259 and 260: 0 A A 37809990 37809990 24200 0 A A
- Page 261 and 262: 0 A A 38009990 38009990 51059 C1713
- Page 263 and 264: 0 A A 38009990 38009990 C1713 0 A A
- Page 265 and 266: 0 27570070 A A 38009990 38009990 0
- Page 267 and 268: C1713 0 27580842 A A 38009990 38009
- Page 269 and 270: C1776 0 A A 38009990 38009990 0 A A
- Page 271 and 272: C1713 0 27500061 A A 38009990 38009
- Page 273 and 274: 0 27560350 A A 38009990 38009990 50
- Page 275 and 276: C1776 0 A A 38009990 38009990 C1776
- Page 277: J9181 0 28100027 A A 42909990 42909
- Page 281 and 282: 88112 229.69 31791011 A A 40109990
- Page 283 and 284: 82247 50.47 31122500 A A 40109990 4
- Page 285 and 286: 83986 40.17 31153532 A A 40109990 4
- Page 287 and 288: 0 31251522 A A 40109990 40109990 0
- Page 289 and 290: 87070 112.27 31370935 A A 40109990
- Page 291 and 292: 81003 18.54 31510043 A A 40109990 4
- Page 293 and 294: 86658 221.45 31600198 A A 40109990
- Page 295 and 296: 82784 95.79 31600539 A A 40109990 4
- Page 297 and 298: 83970 335.78 31600719 A A 40109990
- Page 299 and 300: 82205 192.61 31610103 A A 40109990
- Page 301 and 302: 86003 62.83 31610294 A A 40109990 4
- Page 303 and 304: 83840 135.96 31610549 A A 40109990
- Page 305 and 306: 85732 19.57 31610663 A A 40109990 4
- Page 307 and 308: 86060 90.64 31610780 A A 40109990 4
- Page 309 and 310: 86765 179.22 31610938 A A 40109990
- Page 311 and 312: 86658 118.45 31611081 A A 40109990
- Page 313 and 314: 87591 211.15 31611185 A A 40109990
- Page 315 and 316: 82040 25.75 31611304 A A 40109990 4
- Page 317 and 318: 84378 184 A A 40109990 40109990 802
- Page 319 and 320: 86316 0 A A 40109990 40109990 87497
- Page 321 and 322: 83520 0 A A 40109990 40109990 83519
- Page 323 and 324: 8325 0 A A 40109990 40109990 83615
- Page 325 and 326: 86735 0 A A 40109990 40109990 86738
- Page 327 and 328: 86161 0 A A 40109990 40109990 86200
- Page 329 and 330:
87109 0 A A 40109990 40109990 87116
- Page 331 and 332:
86003 0 A A 40109990 40109990 86003
- Page 333 and 334:
86790 115.36 31800010 A A 40109990
- Page 335 and 336:
73721 LT 0 A A 42759990 42759990 73
- Page 337 and 338:
73223 RT 0 A A 42759990 42759990 A9
- Page 339 and 340:
93016 0 A A 41209990 41209990 93018
- Page 341 and 342:
73590 LT 3.502 34021330 A A 4211999
- Page 343 and 344:
49450 0 A A 42119990 42119990 49440
- Page 345 and 346:
19030 RT 1.566 34061993 A A 4211999
- Page 347 and 348:
A9538 2.554 35303930 A A 42409990 4
- Page 349 and 350:
40.17 36069628 A A 42519990 4251999
- Page 351 and 352:
72148 17.757 45101136 A A 42709990
- Page 353 and 354:
71250 6.798 46000905 A A 42609990 4
- Page 355 and 356:
75989 0 A A 42609990 42609990 49421
- Page 357 and 358:
73620 LT 2.348 A A 42129990 4212999
- Page 359 and 360:
72040 2.884 A A 42139990 42139990 7
- Page 361 and 362:
72114 7.004 A A 42139990 42139990 7
- Page 363 and 364:
73221 LT 0 A A 42739990 42739990 73
- Page 365 and 366:
J3490 0 37000039 A A 43009990 43009
- Page 367 and 368:
J3490 0 37000193 A A 43009990 43009
- Page 369 and 370:
J1100 0 37000371 A A 43009990 43009
- Page 371 and 372:
J3490 0 37000527 A A 43009990 43009
- Page 373 and 374:
J1815 0 37000670 A A 43009990 43009
- Page 375 and 376:
J3490 0 37000848 A A 43009990 43009
- Page 377 and 378:
J3490 0 37001005 A A 43009990 43009
- Page 379 and 380:
J0780 0 37001148 A A 43009990 43009
- Page 381 and 382:
J3260 0 37001333 A A 43009990 43009
- Page 383 and 384:
J3490 0 37001596 A A 43009990 43009
- Page 385 and 386:
J3490 0 37002285 A A 43009990 43009
- Page 387 and 388:
J3490 0 37002628 A A 43009990 43009
- Page 389 and 390:
J3490 0 37003982 A A 43009990 43009
- Page 391 and 392:
J3490 0 37004115 A A 43009990 43009
- Page 393 and 394:
J1335 0 A A 43009990 43009990 J3490
- Page 395 and 396:
C9399 0 A A 43009990 43009990 90632
- Page 397 and 398:
J3490 0 A A 43009990 43009990 J3490
- Page 399 and 400:
J3490 0 37404139 A A 43009990 43009
- Page 401 and 402:
J1450 0 A A 43109990 43109990 J2543
- Page 403 and 404:
0 42400221 A A 43729990 43729990 0
- Page 405 and 406:
97762 30 A A 43739990 43739990 9754
- Page 407 and 408:
97113 15 48000144 A A 43719990 4371
- Page 409 and 410:
29520 15 48300131 A A 43739990 4373
- Page 411 and 412:
94200 426.42 47000062 A A 43409990
- Page 413 and 414:
G8998 GN 0 A A 43719990 43719990 G8
- Page 415 and 416:
G9171 GN 0 A A 43719990 43719990 G9
- Page 417 and 418:
G8984 GP 0 A A 43719990 43719990 G8
- Page 419 and 420:
G8986 GO 0 A A 43719990 43719990 G8
- Page 421 and 422:
0 A A 51705010 51705220 0 A A 52105
- Page 423 and 424:
0 A A 52105010 52105220 0 A A 52105
- Page 425 and 426:
0 A A 52505010 52505220 0 A A 52505
- Page 427 and 428:
0 A A 12001300 98809400 0 A A 98809
- Page 429 and 430:
0 A A 10151000 10001000 0 A A 10061
- Page 431 and 432:
0 A A 56205620 10001000 0 A A 56305
- Page 433 and 434:
0 A A 70107960 10001000 0 A A 71307
- Page 435 and 436:
0 A A 83107960 10001000 0 A A 83207
- Page 437 and 438:
0 A A 12101300 12101300 0 A A 10001
- Page 439 and 440:
0 A A 10001000 10001000 0 A A 10001
- Page 441 and 442:
0 A A 10001000 10001000 0 A A 10001
- Page 443 and 444:
0 A A 10001000 10001000 0 A A 10001
- Page 445 and 446:
0 D D 43209990 43209990 0 D D 43209
- Page 447 and 448:
27200 0 26600325 D D 37809990 37809
- Page 449 and 450:
12054 0 26700112 D D 37809990 37809
- Page 451 and 452:
32422 0 26700495 D D 37809990 37809
- Page 453 and 454:
0 27300121 D D 37219990 37219990 0
- Page 455 and 456:
0 27500066 D D 38009990 38009990 0
- Page 457 and 458:
J9395 0 28100074 D D 42909990 42909
- Page 459 and 460:
83912 36.05 31610152 D D 40109990 4
- Page 461 and 462:
83912 142.14 31611065 D D 40109990
- Page 463 and 464:
83890 0 D D 40109990 40109990 83890
- Page 465 and 466:
78452 39.181 35091172 D D 42409990
- Page 467 and 468:
J3490 0 37001142 D D 43009990 43009
- Page 469 and 470:
97010 15 41200107 D D 43709990 4370
- Page 471 and 472:
L3835 90 41300011 D D 43709990 4370
- Page 473 and 474:
L0210 90 41000090 D D 43709990 4370
- Page 475 and 476:
L3860 90 48200015 D D 43909990 4390
- Page 477 and 478:
90847 0 D D 44709990 44709990 90849
- Page 479 and 480:
0 D D 10001000 10001000 0 D D 10001
- Page 481 and 482:
0 I I 38009990 38009990 51180 0 I I
- Page 483 and 484:
CBDSC MTDQTY YTDQTY MED/SURG, SEMI-
- Page 485 and 486:
ITEL IV TX HYDRA ADD'L 224 HR 224 I
- Page 487 and 488:
ACU VISIT 5 5 ENDO DUAL VISIT 0 0 S
- Page 489 and 490:
EX MAL LES FACE 4.0 0 CM 0 DEBRIDE
- Page 491 and 492:
IV TX HYDRA ADD'L HR0 0 VACCINE INJ
- Page 493:
RADIAL SHFT FX W/MAN 0 0 FX CARE W/
- Page 496 and 497:
SHAVING SKIN LESION 0
- Page 498 and 499:
CMPLX SC EXTS EA ADD 0 0 CMPLX FACE
- Page 500 and 501:
SUTURE REMOVAL-DKH 0 0 REMOVAL FB U
- Page 502 and 503:
ART FASTFIX KNT PSHR2 2 ART FASTFIX
- Page 504 and 505:
LAP UNIV TROCAR SLVE 14 5MM 14 ART
- Page 506 and 507:
MIS DRAIN BAKER JEJUN 0 0 MIS DRAIN
- Page 508 and 509:
ORT MITEK SUPER 0 0 ORT PLATE HUMER
- Page 510 and 511:
TKA X3 TRIATHLON CS 0 INS 0 TOPAZ W
- Page 512 and 513:
STAPLE PURSESTRING0 0 STAPLE PURSTR
- Page 514 and 515:
URO CATH SILIC 22/3WAY* 0 0 URO CAT
- Page 516 and 517:
THA ACCOLADE C CS 0127NK 0 THA ACCO
- Page 518 and 519:
ETOPOSIDE 20 MG/ML 450 VIAL 450 FLU
- Page 520 and 521:
EPOGEN 1000 UNITS 0WASTAGE 0 EPOGEN
- Page 522 and 523:
CYTO SPUTUM 0 0 CYTO URINE 6 6 CYTO
- Page 524 and 525:
BILIRUBIN TOTAL 25 25 BILIRUBIN DIR
- Page 526 and 527:
GASTRIC PH 0 0 CSF GLUCOSE 7 7 FLUI
- Page 528 and 529:
DIFFERENTIAL/MANUAL 797 797 SMEAR R
- Page 530 and 531:
WOUND CULTURE124 124 BLOOD CULTURE
- Page 532 and 533:
PH URINE 0 0 SPEC.GRAVITY URINE0 0
- Page 534 and 535:
ECHOVIRUS AB 0 0 HLA A,B TYPING DNA
- Page 536 and 537:
IGA 26 26 IGM 26 26 PORPHYRINS, RAN
- Page 538 and 539:
PTH N TERM INTACT 0 0 SEROTONIN-SER
- Page 540 and 541:
BARBITURATES,SERUM0 0 BARBITURATES,
- Page 542 and 543:
IBT RAST ALLERGEN 24 12 24 SGPG 0 0
- Page 544 and 545:
METHADONE,UR 0 0 HEPATITIS E IGM 0
- Page 546 and 547:
SUBSTITUTION PLASMA 0 0 RMSF IGG 0
- Page 548 and 549:
ANTI-STREPTOLYSIN O3 3 S.CEREVISIAE
- Page 550 and 551:
RUBEOLA AB,IGG 28 28 SEX HORMONE BI
- Page 552 and 553:
COXSACKIE B2 AB 0 0 COXSACKIE B3 AB
- Page 554 and 555:
N.GONORRHOEAE RNA 0 0 CORTISONE,SER
- Page 556 and 557:
ALBUMIN 0 0 YERSINIA AB 1 1 JANUS K
- Page 558 and 559:
GLYCOMARK 0 0 STREPTOMYCIN 0 0 THYR
- Page 560 and 561:
CHROMAGRANIN A 3 3 CMV DNA QUANT RT
- Page 562 and 563:
ANTI MULLERIAN HORMONE 0 0 TSH ANTI
- Page 564 and 565:
INSULIN 0 0 LD, BODY FLUID 0 0 LACT
- Page 566 and 567:
MUMPS ANTIBODIES, 0IGG 0 MYCOPLASMA
- Page 568 and 569:
C1 ESTERASE INHIB, FUNC 0 0 CCP ANT
- Page 570 and 571:
UREAPLASMA MYCOPLASMA 0 HOM 0 MYCOB
- Page 572 and 573:
COCONUT, IGE 0 0 ONIONS, IGE 0 0 PI
- Page 574 and 575:
PARAINFLUENZA TYPE 0 I 0 PARAINFLUE
- Page 576 and 577:
MRI KEN KNEE WO CONT 9 LT 9 MRI KEN
- Page 578 and 579:
MRI KEN UPEXT W/WO 0 CON RT 0 MRI K
- Page 580 and 581:
PRO FEE STRESS MD SUPERVS 0 0 PRO F
- Page 582 and 583:
LOWER LEG-LEFT 7 7 LOWER LEG-RIGHT
- Page 584 and 585:
GASTRO TUBE REPLACEMENT 1 1 INSERT
- Page 586 and 587:
MAMMO DUCT PROC-RT 1 1 HIP-2 VIEWS
- Page 588 and 589:
PYROPHOSPHATE 7 7 I 123 - 200 2 2 S
- Page 590 and 591:
US-BIOPSY PROC-PANCR 0 0 US-BIOPSY-
- Page 592 and 593:
MRI-LS SPINE W/O CON 43 43 MRI-LS S
- Page 594 and 595:
CT CHEST HIGH RESOLU 0 W/O 0 CT CHE
- Page 596 and 597:
CT INTRAPERI CATHETER 0 0 CT INTRAP
- Page 598 and 599:
FOOT LT(2 VIEWS) 0 0 FOOT RT(2 VIEW
- Page 600 and 601:
CERV SPINE TWO VIEW0 0 CERV SPINE W
- Page 602 and 603:
LS SPINE&OBL&FLEX&EX 0 6 VW 0 LS SP
- Page 604 and 605:
MRI WRIST WO CON 0LT PLF 0 MRI-WRIS
- Page 606 and 607:
CALCITRIOL 0.25 MCG 5 CAP 5 ALLOPUR
- Page 608 and 609:
CALCIUM CHLORIDE 10% 0 VIAL 0 CANDE
- Page 610 and 611:
DEXAMETHASONE 492 4MG/ML VIAL 492 D
- Page 612 and 613:
FIORINAL CAP GENERIC 2 CAP 2 FLUNIS
- Page 614 and 615:
HUMALOG MIX 75/250 INSULIN 0 ITRACO
- Page 616 and 617:
METHENAMINE 1 GM 0TAB 0 METHOCARBAM
- Page 618 and 619:
NITROGLYCERIN 0.4MG 0 SL SP 0 NITRO
- Page 620 and 621:
PROCHLORPERAZINE 110 MG VI 1 PROCAI
- Page 622 and 623:
TOBRAMYCIN 80 MG/2ML 11 VIAL11 TOBR
- Page 624 and 625:
AMIODARONE 200 MG 16 TAB 16 CAFFEIN
- Page 626 and 627:
VITAMIN E 200 UNIT 0CAP 0 LAMOTRIGI
- Page 628 and 629:
ATORVASTATIN 40205 MG TAB 205 GUAIF
- Page 630 and 631:
FLUVASTATIN 20 MG 0CAP 0 CASTOR OIL
- Page 632 and 633:
PRAMIPEXOLE .25MG 0TAB 0 AMOXICILLI
- Page 634 and 635:
ERTAPENEM 1GM ADDV 0 0 GLYCOPYRROLA
- 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 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 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
Change language