chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov

PRO FEE STRESS MD SUPERVS 0 0
PRO FEE STRESS TEST 181REPOR
181
EKG P.A.T. 26 26
EKG P.A.T. PLAINFIELD1 1
MED STAFF COR SAL REC 0 0
ALBUTEROL S04 U.O.0 0
ALBUTEROL INH HFA0 0
DOBUTAMINE 28 28
ATROPINE BRISTO-JECT 13 13
LOPRESSOR 5MG 25 25
AMINOPHYLLIN 40 40
CARDIZEM 25MG 2 2
PERSANTINE PER 10MG 78 78
SKULL AP & LAT 0 0
SKULL 0 0
SINUSES 2 2
MASTOIDS 0 0
NASAL BONES 3 3
MANDIBLE 1 1
TMJ BILATERAL 0 0
ORBITS/FOREIGN BODY 6 6
ORBITS 2 2
FACIAL BONES 0 0
SOFT TISSUE NECK 4 4
CHEST AP OR LATERAL 10 ONLY 10
CHEST PA & LAT 563 563
CHEST W OBLIQUES 0 0
CHEST ER PORTABLE 126 126
RIBS ONE SIDE-LEFT23 23
RIBS ONE SIDE-RIGHT14 14
RIBS BILATERAL, R&L3 3
STERNUM 3 3
STERNOCLAVICULAR 0JTS
0
CHEST/DECUBITIS R&L1 1
CHEST DECUB ONLY 0 0
CHEST HOUSE PORTABLE 49 49
CHEST, P.A.T. 0 0
CERV SPINE TWO VIEW1 1
CERV SPINE OBL ONLY0 0
CERV SPINE - W/OBL28 28
CERV SPINE W FLEX EX0 0
CERV SPINE - TRAUMA 36 36
DORSAL SPINE 23 23
DORSAL SPINE 2 VIEWS 0 0
LS SPINE ROUTINE 75 75
LUMBAR SP W FLEX EXT 0 6 VW 0
SACROCOCCYGEAL SPINE 4 4