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

AMNIO SUPPLIES 0 0
INTRATHECAL ADMIN0 0
CHEMO UNSPECIFIED0 0
FLU VACCINE ADMIN0 0
ONCOLOGY E&M LEVEL 0 3 0
DELIVERY ROOM TWINS 0 0
ONC IV THER 1ST HR 0 0
ONC IV THER ADD'L HR 0 0
IV TX ADD'L SQ < 1 HR0 0
IV TX CONCURR INF 0 0
IV TX HYDRA ADD'L HR0 0
ONC INJECTED SC,IM0 0
IV PUSH INITIAL 0 0
IVP EA ADD'L SEQ 0 0
IVP SEQ SAME DRUG 0>30 MIN 0
CHEMO INFUSD 1ST HR 0 0
CHEMO INFUSD AD'L 0HR
0
CHEM INF SEQ 1ST HR0 0
CHEMO CNS REQ SPINAL 0 0
CHEMO IVP INITIAL 0 0
CHEMO IVP EA ADD'L0 0
INTRATHECAL ADMIN0 0
CHEMO SC/IM NON-HORM 0 0
CHEMO SC/IM HORMONAL 0 0
CHEMO UNSPECIFIED0 0
BLOOD ADMIN-ONCOLOGY 0 0
PORT FLUSH 0 0
FLU VACCINE ADMIN0 0
PNEUMON VACCINE 0ADMIN
0
CARMUSTINE 100 MG 0 VIAL 0
DACARBAZINE 100 MG 0 VIAL 0
CLADRIBINE 1 MG/ML 0 VIAL 0
DOCETAXEL 80 MG VIAL 0 0
ALDESLEUKIN 22MMU 0 VIAL 0
INTRON A (10MM UNITS/ML) 0 0
ROFERON-A 9MM U/0.5ML 0 KIT 0
THIOTEPA 15 MG VIAL0 0
LEUCOVORIN 100 MG 0VIAL
0
CARBOPLATIN 150 MG 0 VIAL 0
CYTARABINE 100 MG 0VIAL
0
GEMCITABINE 1 GM VIAL 0 0
PENTOSTATIN 10 MG 0VIAL
0
ZOLADEX 10.8 MG SYRINGE 0 K 0
INTRON A 5MM UNITS 0 INJ PE 0
INTRON A 10 MMU VIAL 0 0
INTRON A 3MM UNITS 0 INJ PE 0
OXALIPLATIN 100 MG 0VIAL
0