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

LOWER LEG-LEFT 7 7
LOWER LEG-RIGHT 8 8
ANKLE-BILAT 0 0
KNEE NO TRAUMA-LEFT 12 12
KNEE NO TRAUMA-RIGHT 21 21
KNEE NO TRAUMA-BILAT 7 7
KNEE W/OBLIQ-LEFT33 33
KNEE W/OBLIQ-RIGHT 31 31
KNEE W/OBLIQUE-BILAT 2 2
FEMUR-LEFT 3 3
FEMUR-RIGHT 3 3
HIP (PELV INCL)BILAT6 6
HIP (PELVIS INCL)-LT18 18
HIP (PELVIS INCL)-RT37 37
HIP RECHECK-LEFT 3 3
HIP RECHECK-RIGHT 5 5
ELBOW W/OBLIQ LEFT 13 13
ELBOW W/OBLIQ RIGHT 15 15
HAND/WRIST BONE AGE 0 0
HIPS PEDIATRIC BILAT0 0
SHLDR TRAUMA-LEFT17 17
SHLDR TRAUMA-RIGHT 33 33
SHOULDER TRAUMA-BILAT 0 0
KNEE W/PATELLA-LEFT 1 1
KNEE W/PATELLA-RIGHT 1 1
KNEE W/PATELLA-BILAT 0 0
FEMUR-BILAT 0 0
LOWER LEG-BILAT 1 1
LONG BONE SURVEY 0 0
BONE LENGTH 0 0
ABDOMEN (KUB/FLAT) 52 52
ABDOMEN FLAT&UPRIGHT 43 43
BARIUM SWALLOW15 15
GI SERIES 7 7
BE 3 3
ABDOMEN W/ DECUBITIS 6 6
SMALL BOWEL SERIES1 1
GI WITH SMALL BOWEL 2 2
T TUBE CHOLANGIOGRAM 0 0
OR CHOLANGIOGRAM0 0
OR SCOUT FILM 0 0
RETRO PYELOGRAM 0 0
RETRO PYELOGRAM 0 0
CYSTOGRAPHY 0 0
VOID CYSTO URETHROG 0 0
IVP WITH TOMOGRAPHY 0 0
BE DOUBLE CONTRAST 2 2