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

NACL 0.9% 250 ML PVC 0 0
MAGNESIUM SULF 40GM/LITER0 0
MAGNESIUM SULF 40GM/LITER0 0
MAGNESIUM SULF 40GM/LITER0 0
MAGNESIUM SULF 40GM/LITER0 0
NITRO PLUMB SET 0 0
SECONDARY SET 0 0
CLAVE CONNECTOR 11956 0 0
METRONIDAZOLE 5000 MG IV 0
FLUCONAZOLE 200 MG 0 INJ 0
MAGNESIUM 20 GM/500 0 ML 0
MALE ADAPTOR PLUG 0 - 11391 0
IV ADMINISTRATION 0SET-CLA
0
EXT SET RESEAL 119570 0
DIAL A FLOW W/EXT 019140
0
MACRO SET 11961 0 0
7 HIGH PRESSURE SET 0SS-46
0
BLOOD IV SET TYPE Y 0- 124 0
SURGICAL IV SET 12664 0 0
PUMP FILTERED SET 12030 0 0
NITROGLYCERIN PLUMSET-118 0 0
BLOOD IV SET - 46020 0
SECONDARY SET 32IN 011953
0
FLTR SET HIGH-PRES 12273 0 0
IV SET PRIMARY 119620 0
CLAVE CONNECTOR - 011956
0
EPIDURAL PUMP TUB 0#13514
0
PCA PUMP SET 0 0
REEVAL CMPX SP&LANG 0 CTCAR 0
AAC THER SERV NON 0SP(PROC
0
DVLPMT, COG SKILLS 015 MIN 0
TREATMENT, SP/LANG, 0 GRP 0
EVAL VOICE PROS DEVICE 0 0
REEVAL CMPX SP CTCAR 0 DLS 0
AAC EVAL NON SP(PROC 0 DLS 0
AAC THER NON SP(PROC 0 DLS 0
AAC EVAL SP 1ST HR DLS 0 0
AAC 30 ADD'L MIN DLS 0 0
AAC THER SERV (PROC) 0 DLS 0
PLFD REEVAL CMPX SP 0 CTCAR 0
AAC THER NON SP(PROC 0 PLF 0
ICU MONITORED 1ST 01/2 HR 0
ICU MONITOR EA ADDL 0 15MIN 0
INTERSCALENE BLOCK0 0
H/L MEDICAID B/D ALLOW 0 0
DLSN RE-EVAL CPLX CTC(PRO 0 0
WHIRLPOOL (PROC) DLS 0 0