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

LS SPINE&OBL&FLEX&EX 0 6 VW 0
LS SPINE SHOOT THRU 0 2VIEW 0
LUMBAR SP W FLEX EXT 0 0
MAMMO DIAG DIGITAL 0 0
MAMMO DIAG DIGITAL 0 LT 0
MAMMO DIAG DIGITAL 0 RIGHT 0
PDC MAMMO SCREEN 192 DIGITAL192
MANDIBLE 0 0
MANDIBLE(LIMITED) 0 0
MASTOIDS 0 0
MASTOIDS(LIMITED) 0 0
METASTATIC SERIES 0 0
NASAL BONES 1 1
NAVICULAR VIEWS LT0 0
NAVICULAR VIEWS RT0 0
NOSE TO RECTUM/FB0 0
ORBITS 0 0
ORBITS/FOREIGN BODY 0 0
ORBITS WATER VIEW0 0
PELVIS 1 OR 2 VIEWS2 2
RIBS BILATERAL R&L 0 0
RIBS ONE SIDE LEFT 6 6
RIBS ONE SIDE RIGHT1 1
SACROCCYGEAL SPINE1 1
SACROILIAC JOINTS 0 0
SCAPULA LEFT 1 1
SCAPULA RIGHT 0 0
SHLDR NO TRAUMA LT3 3
SHLDR NO TRAUMA RT 3 3
SHLDR TRAUMA LEFT1 1
SHLDR TRAUMA RIGHT 4 4
SHOULDER 1 VIEW LT0 0
SHOULDER 1 VIEW RT0 0
MAMMO DIAG EXTRA 0 VIEW LT 0
MAMMO DIAG EXTRA 0 VIEWS RT0
MAMMO DIAG EXTRA 0 VIEW BIL 0
MAMMO SCREEN DIG 2 RT PDC 2
MAMMO SCREEN DIG 0 LT PDC 0
PDC MAMMO SCREEN 2 IMPLANTS2
MRI-ABDOMEN W/O 0CONT PLF 0
MRI-ABDOMEN W/CONT 0 PLF 0
MRI-ABDOMEN W/WO 0 CON PLF0
MRI-C SPINE W/O CONT 4 PLF 4
MRI-C SPINE W CONTRA 0 PLF 0
MRI-C SPINE W/WO CON 2 PLF 2
MRI-CHEST W/O CONTR 0 PLF 0
MRI-CHEST W/CONTRAST 0 PLF 0