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ITEMNUM105906ITEMDESCOBSERVATION - TELE 1ST HOURITEMPRICE515.00105953OBSERVATION - TELE EA ADDL HR112.25109630IV HYDRATION INITIAL22.25163049ZIKA VIRUS IGM (163049)75.00164125GLUTEN SENSITIVITY ANTIBODIES (164125)220.00400653HEP B SURF AB QUANT (006530)23.00401417INSULIN-LIKE GROWTH FAC IGF-2(141770)71.46506102RIBS BILATERAL NO CXR545.50674174CTA HEAD (COW)5,117.00800593WRIST SPLINT MEDIUM LEFT79.25823239PORPHYRINS PLASMA (823239)171.25823248PORPHYRINS FECAL (823248)181.001005905OBSERVATION - MED-SURG 1ST HOUR330.751005906OBSERVATION - TELE 1ST HOUR515.001005907OBSERVATION - TELE EA ADDL HR112.251005953OBSERVATION - MED-SURG EA ADDL HR75.251010061DRAINAGE OF SKIN ABSCESS464.001010080INCIS DRAIN PILONIDAL CYST SIMPLE282.001010120REM FB SUBQ SIMPLE332.751010160PUNCTURE DRAINAGE OF LESION465.001011042DEBRIDE 20 SQ CM780.001011740EVACUATION OF SUBUNGUAL HEMATOMA197.001011760REPAIR OF NAIL BED500.001012002REPAIR SUPERFICIAL WOUND560.751012004REPAIR SUPERFICIAL WOUND - PROF929.001012005LAC REPAIR CALF - PROF1,121.001012011LAC REPAIR SIMPLE359.501012013SUPERF WOUNDS FACE, EARS 2.6CM TO 5.0CM405.001012014SUPERF WOUND FACE, EARS 5.1CM TO 7.5CM428.0010120157.6 CM TO 12.5 CM600.001012032LAYER CLOSURE OF WOUNDS475.751012034PROF REPAIR INT WOUNDS SCALP TRUNK978.001012035INTERMED WOUNDS SCALP 12.6-20.0522.001012041INTERME OF NECK HANDS FEET 2.5CM OR LESS508.0010120422.6 CM TO 7.5 CM367.001012051INTERM FACE EARS TO 2.5 CM508.0010120522.6CM TO 5.0CM478.0010120535.1 CM TO 7.5 CM610.0010120547.6 CM TO 12.5 CM794.001013120COMPLEX SCALP ARMS LEGS 1.1CM TO 2.5CM705.001013121COMPLEX REPAIR PROF FEE1,600.001013122EACH ADDL 5CM OR LESS375.001013131COMPLEX FOREHEAD CHEEKS MOUTH 1.1-2.5CM793.001013132COMPLEX FOREHEAD CHEEKS MOUTH 2.6-7.5CM1,243.001013133EACH ADD 5CM OR LESS567.001013151COMPLEX EYELIDS NOSE EARS 1.1-2.5CM828.001013152COMPLEX EYELIDS NOSE EARS 2.6 - 7.5CM1,418.001016000INITIAL TREATMENT OF BURN(S)410.001016020TREATMENT OF BURN410.001018470DERMABOND241.501020000INCISION OF ABSCESS459.501020520REMOVAL OF FOREIGN BODY1,200.001020600SM JOINT INJ330.001020605INT JOINT INJ271.001020610ASPIRATION OF JOINT491.251021480RESET DISLOCATED JAW391.501023650TREAT SHOULDER DISLOCATION504.751024505HUMERAL SHAFT FRACT W MANIPULATION1,212.001024600TREAT ELBOW DISLOCATION526.751024640ELBOW NURSE MAID241.501024655RADIAL HEAD NECK FRACT W MANIPULATION1,296.001024670TREAT ULNAR FRACTURE526.751024675ULNAR FRACT PROX W MANIPULATION1,296.001025505RADIAL SHAFT FRACT W MANIPULATION1,163.001025535ULNAR SHAFT FRACT W MANIPULATION733.001025565RADIAL&ULNAR SHAFT FRACT W MANIPULATION1,394.001025605TREAT WRIST FRACTURE1,296.001025622TREAT WRIST BONE FRACTURE526.751026010DRAINAGE OF FINGER ABSCESS SIM263.251026605METACARPAL FRACT SING W MANIPULATION586.001026725PHALANGEAL SHAFT FRACT W MANIP838.001026755DISTAL PHALANGEAL FRACT W MANIP702.001026770TREAT FINGER DISLOCATION322.001027550TREAT KNEE/TIBIA FRACTURE546.501027560TREAT KNEECAP DISLOCATION425.501027788DISTAL FIBULAR FRAC W MANIP1,029.001027818TRIMALLEOLAR ANKLE FRACT W MANIPULATION1,548.001027840TREAT ANKLE DISLOCATION504.751028515NON GREAT TOE FRACT W MANIPULATION386.001029075CAST SHORT ARM593.001029105APPLY LONG ARM SPLINT422.251029125APPLY SHORT ARM SPLINT422.251029130APPLICATION OF FINGER SPLINT404.251029240STRAPPING OF SHOULDER5.001029260STRAPPING ELBOW OR WRIST5.001029280STRAPPING HAND OR FINGER5.001029505SPLINT LONG LEG APPLICATION253.501029515SPLINT LOWER LEG APPLICATION253.501029530STRAPPING KNEE LEG THIGH5.001029540STRAPPING ANKLE AND OR FOOT5.001029550STRAPPING OF TOES5.001029580UNNA BOOT STRAPPING420.001030901CONTROL OF NOSEBLEED511.501030903NASAL HEMMOR ANTER COMPLEX ANY METHOD297.001030905NASAL HEMORRHAGE POSTERIOR465.001031500INSERT EMERGENCY AIRWAY1,115.501031605TRACH EMERG PROCED CRICOTHYROID MEMBRANE1,834.001032002PNEUMOTHORAX841.001032551TUBE THORACOSTOMY INCL CONNEC TO DRAIN3,044.001036420CENTRAL LINE INSERT/JUGULAR1,250.001036430BLOOD TRANSFUSION O/P1,166.001036680PLACEMENT OF NEEDLE TRAOUSSEOUS INFUSION424.001037195THROMBOLYSIS CEREBRAL INTRAVENOUS INFUS1,177.001043760CHANGE GASTROSTOMY TUBE549.001046050INCIS DRAIN PERIANAL ABCESS SUPERFICIAL464.001046600ANOSCOPY123.501049080PUNCTURE PERITONEAL CAVITY1,042.251049083PARACENTESIS PERITONEAL CAVITY W/US GUID1,042.251051701BLADDER IRRIGATION358.501051702INSERT FOLEY CATH233.751051703COMPLICATED INDWELLING BLADDER CATHETER309.001056420DRAINAGE OF GLAND ABCESS552.001059409VAGINAL DELIVERY NORMAL3,930.001062270LUMBAR PUNCTURE1,069.251064405INJ - OCCIPITAL NERVE296.751064450INJECTION FOR NERVE BLOCK649.001065205FOREIGN BODY EXTERNAL EYE CONJUNC SUPERF145.001065220REM FOREIGN BODY EYE500.501065222FOREIGN BODY CORNEAL W SLIT LAMP201.001065435CORNEAL EPITHELIUM CHEMOCAUTERIZATION900.001069200EAR LAVAGE241.501069201FOREIGN BDY EXTERN AUDITORY CANAL WO GEN434.001069210IMPACTED EAR WAX REMOVAL W/ INSTRUMENTS241.501088001ER MANAGEMENT LEVEL 1176.251088002ER MANAGEMENT LEVEL 2606.251088003ER MANAGEMENT LEVEL 3992.001088004ER MANAGEMENT LEVEL 41,322.501088005ER MANAGEMENT LEVEL 51,983.751088200LACERATION REPAIR SIMPLE359.501088201LACERATION REPAIR INTERMEDIATE410.001088202LACERATION REPAIR COMPLEX1,600.001088888IV THERAPY324.001090471ADMIN IMMUN > 8YR154.001090472ADMIN IMMUN + ADDITIONAL > 8 YRS23.001092950CPR HEART/LUNG RESUSCITATION1,520.751092960CARDIOVERSION ELECTRIC EXT1,045.001092961CARDIOVERS ELECT CONV OF ARRHYTHMIA700.001096360IV HYDRATION INITIAL165.251096361IV HYDRATION SUB48.501096366DRIP ADDITIONAL HR96.001096367DRIP ADDITIONAL SEQ158.001096368DRIP CONCURRENT97.001096372INJ ADMIN OF THERAPEUTIC61.751096374IV PUSH INITIAL165.251096375IV PUSH SUB70.501096376IVP-PUSH ADDL SEQ171.251096523PICC LINE IRRIGATION35.0010991445 YR > 1ST 30 MIN INTRA SERVICE356.001099195PHLEBATOMY-THERAPEUTIC132.251099291CRITICAL CARE2,942.751099435NEWBORN CARE1,284.001500002DEPO-PROVERA182.001500396ALCOHOL ABUSE SCREEN 15-30 MIN125.001500434TOXCUP DRUG SCREEN CUP-5 PANEL20.831501055MEDROXYPROG (DEPO-PROVERA) 150MG VL182.001501100DEXAMETHASONE(DECADRON) 4MG/ML VL28.001503420CYANOCOBALAMIN(B-12) 1MG/1ML VL39.501503940MARCAINE29.001504315FOLEY TRAY W/CATH79.251507120RHOGAM-1507611ALBUTEROL(VENTOLIN) 0.5% NEB SOL16.001507644IPRATROPIUM(ATROVENT) NEB UDV16.001510061DRAIN SKIN ABSCESS (CLINIC)148.091511100BIOPSY SKIN LESION97.741511101SHAVE BIOPSY 1ST97.741511102SHAVE BIOPSY EA ADD63.551511200REMOVAL SKIN TAGS90.361511765TOE NAIL REMOVAL398.001514565ARM SLING MEDIUM61.751517110CRYOTHERAPY101.351520550INJECTION TENDON SHEATH/LIGAMENT275.001520551INJECTION TENDON ORIGIN/INSERTION275.001520552TRIGGER POINT INJECTION 1-2 SITES490.251520600SM JOINT INJ70.761520605INT JOINT INJ71.971520610LG JOINT INJ76.951525375LIDOCAINE 2%22.501529065CAST LONG ARM94.821529075CAST SHORT ARM90.181529105SPLINT LONG ARM90.701529125SPLINT SHORT ARM79.191529425CAST SHORT LEG86.231569200EAR WAX LAVAGE ONLY73.001569210EAR WAX REMOVAL W/ INTRUMENTATION73.001586580TUBERCULIN PPD(TUBERSOL) 5U/0.1ML28.001590465ADMIN IMMUN 1-18YRS19.501590466ADMIN IMMUN THRU 18 YRS EA ADD'T13.001590471ADMIN IMMUN > 8YR19.501590472ADMIN IMMUN + ADDITIONAL > 8 YRS13.001590657INFLUENZA IMMUN.CHILD17.001590707MMR VIRUS IMMUN.71.501590716VARICELLA201.001590791INITIAL PSYCHIATRIC EVALUATION275.001590792INITIAL PSYCHIATRIC W MED SERV275.001590805PSYCHIACTRIC 20-30 MIN W/ MED E/M210.001590832PSYCHOTHERAPY 30 MINS125.001590834PSYCHOTHERAPY134.001590837PSYCHOTHERAPY 60 MIN160.501597810ACUPUNTURE NO ELECT STEM INITIAL 15 MIN135.001597811ACUPUNCTURE NO ELECT STEM EACH ADD 15 MI70.001598941CHIROPRACTIC 3-4 REGIONS155.001599202NEW PT LEVEL 2170.001599203NEW PT LEVEL 3210.001599204NEW PT LEVEL 4245.001599211NURSE VISIT44.001599212ESTB PT LEVEL 2135.001599213ESTB PT LEVEL 3175.001599214ESTB PT LEVEL 4210.001599215ESTB PT LEVEL 5 (40 MIN ONE ON ONE)225.001599243CONSULT - MODERATE160.501599244CONSULT - HIGH187.501599381WELL CHILD NEW INFANT-12 MON120.501599382WELL CHILD NEW 1-4 YRS130.001599383WELL CHILD NEW-WCE 5-11 YRS139.501599384WELL CHILD NEW 12-17 YRS142.001599385NEW PT WELL EXAM142.001599386NEW PT WELL EXAM 40-64 YO121.291599391WELL CHILD EST INFANT-12 MON96.501599392WELL CHILD EST 1-4107.001599393WELL CHILD EST 5-11 YRS116.501599394WELL CHILD EST 12-17125.001599395EST PT WELL EXAM119.001599396EST PT WELL EXAM 40-64YO108.571599397EST PT WELL EXAM 65+ YR113.211599408ALCOHOL/SUBSTANCE ABUSE SCREEN 15-30 MIN125.001599409ALCOHOL/SUBSTANCE ABUSE SCREEN 15-30 MIN150.001599410ALCOHOL ABUSE SCREEN 30+ MINUTES150.001599998EST PT WELL EXAM119.001599999NEW PT WELL EXAM142.002000120ORAL EVAL PERIODIC48.002000148COMPLETE PRAL EVAL80.502000210INTRAORAL - COMPLETE SERIES128.502000220INTRAORAL - PERIAPICAL 1ST32.002000230INTRORAL - PERIAPICAL EACH ADDTL9.502000240INTRAORAL - OCCLUSAL32.002000270BITEWING- SINGLE17.002000272BITEWING - 2 FILMS34.002000274BITEWING - 4 FILMS61.002002330RESIN - 1 SURFACE ANT176.502002331RESIN - 2 SURFACES ANT192.502002332RESIN - 3 SURFACES ANT208.502002335RESIN - 4+ VIN INCISION273.002002391RESIN COMP 1 SURFACE POST125.002002392RESIN COMP - 2 SURF POST154.002002393RESIN COMP - 3 SURF POST183.002002394RESIN COMP 4+ SURF POST192.502002920RECEMENT CROWN96.502002931CROWN STAINLESS PERM304.002002940PROTECTIVE RESTORATION135.002002954PREFABRICATED POST & CORE ADDTL TO CROWN225.002002999UNSPECIFIED RESTORATIVE PROC BY REPORT150.002003220THERAPEUTIC PULPOTOMY239.502003221PULPAL DEBRIDEMENT PRIMARY PERM TEETH135.002003310ENDODONIC THERAPY ANTERIOR TOOTH EXC FIN648.002003320ENDODONIC THERAPY BICUSPID TOOTH783.002004341PERI SCALING/ROOT PLANING 4+ PER QUAD150.002004342PERI SCALING/ROOT PLANING 1-3 PER QUAD150.002005411ADJUST COMPLETE DENTURE MANDIBULAR75.002007111EXTRACTION CORONAL REMNANTS DECID TOOTH123.002007140EXTRACTION ERUPTED TOOTH138.002007210SURG REMOVAL ERUPTED TOOTH273.002007250SURGICAL REMOVAL OF RESIDUAL TOOTH ROOTS300.002007971EXCISION PERICORONAL GINGIVA50.002007999ORAL SURGERY UNSPECIFIED BY REPORT205.502009110PALLIATIVE TX EMER OF DENTAL PAIN (MINOR135.002009430OFFICE VISIT FOR OBS NO OTHER SERVICES60.002011034ANTEPARTUM MEDICAL VISITS176.502011038POSTPARTUM MEDICAL VISIT176.502016200INITIAL NUTRITION ASSESSMENT176.502016201NUTRITION ASSESSMENT176.502016202INITIAL NUT ASSESS SUB 15 MIN176.502016204FOLLOW UP NUTRITION INDIVIDUAL176.502016208POSTPARTUM NUTRITION ASSESMENT176.502016300INITIAL PSYCHOSOCIAL ASSESS176.502016302PSYCHOSOCIAL ASSESSMENT176.502016304FOLLOW-UP PSYCHOSOCAIL IND176.502016308POSTPARTUM PSYCHOSOCIAL ASSE176.502016400INDIVIDUAL CLIENT ORIENTATION176.502016402HEALTH ED ASSESSMENT176.502016404INITIAL HEALTH ED EA 15MIN176.502016406FOLLOW UP HEALTH ED IND176.502016410PERINATAL ED176.502016414POSTPARTUM HEALTH ED ASSES176.502026402INITIAL HEALTH ED ASSE CARE PL176.502057452COLPOSCOPY121.002057500CERIX BX262.002058100ENDIMETRAL BIOPSY99.502059025FETAL NST52.502076815LIMITCOL ULTRA SOUND/AFI147.502081003URINALYSIS W/O SCOPE37.502081025URINE PREG TEST30.002082948GLUCOSE BLOOD REAGENT15.002085013HEMOGLOBIN30.002087430RAPID STREP60.002088136ANKLE STIRRUP189.502500003ORTHO SURGERY MAJOR 1ST HR5,800.002500004ORTHO SURGERY MINOR 1ST HR2,300.002501000ALCON IOC IMPLANT(NOT RESTORE)265.752504789RECOVER RM PROCDURE + 1/4HR38.752504790RECOVERY ROOM 1 HR84.002512113ORTHO SURGERY MAJOR EA ADDT 15 MIN550.002512114ORTHO SURGERY MINOR EA ADDT 15 MIN350.002512875RECOVERY ROOM PROCEDURE551.002520552TRIGGER POINT 1-2 MUSCLES225.002520553TRIGGER POINT 3 OR MORE MUSCLES225.002525236JURGANS BALLS39.752525260REP TENDON/FOREARM MUSCLE PROF1,236.502525333SKIN STAPLE RICHARD ALLEN69.502525387SURGICAL PROCEDURE MINOR1,875.752525511ETH 3-0 VICRYL TIES99.502525514ETH 6-0 VICRYL S2975.252525516ETH VICRYL SINGLE (ALL OTHER)16.502525527ETHIBOND SINGLE (ALL OTHER)16.502525529ETH 4-0 MERSILENE P329.7525255363-0 MONOCRYL PS233.002525537ETH MONOCRYL/BIOSYN SINGLE AL16.502525538ETHILON 3-0 FSI40.752525539ETH ETHILON/MOMOSOFT SINGLE12.252525597K WIRE SMITH/NEPHEW37.502546040I & D PERIRECTAL ABSCESS1,150.502562311PROF- INJECT SPINE L/S463.002564470PROF- INJ PARAVERTBAL C/T473.752564483PROF - EPIDURAL LUMBAR/SACRAL473.752564490PROF - INJ THERAPEUTIC534.502588888IV THERAPY303.252596372THERAPUTIC INJECTION IM/SC61.752599195THEURAPEUTIC PHLEBOTOMY132.253000140ANES - CATARACT142.253000190ANES - FACIAL BONES/SKULL142.253000450ANES CLAVICLE142.253000520ANES - CLOSED CHEST PROCEDURE142.253000524PNEUMOCENTESIS142.253000532ANES CENTRAL VENOUS142.253000635ANES - EPIDURAL142.253000640ANES-SPINE LESI142.253001200ANES - CLOSED HIP142.253001320ANES ALL PROC NERVES MUSCLES142.253001462ANES-CLOSED ANKLE/LEG/FOOT142.253001480ANES - OPEN PROC LOWER EXT142.253001610ANES-NERVES/MUSCLES142.253001620ANES-CLOSED HEAD/NECK/SHOULDER142.253001630ANES OPEN HUMERAL NECK ETC142.253001730ANES-CLOSED ELBOW/HUMERUS142.253001740ANES OPEN HUMERUS/ELBOW142.253001810ANES -NERVES MUSCLES TENDONS142.253001820ANES - WRIST142.253001830ANES - OPEN RADIU/ULNA142.253001991ANES-LESI142.253001995REGIONAL IV FOR PAIN MGMT142.253001999ANES UNLISTED PROCEDURE142.253020550INJECTION SINGLE TENDON SHEATH LIGAMENT490.253020552TRIGGER POINT ONE/TWO MUSCLES490.253020553TRIGGER POINT THREE OR MORE735.003053166ANESTHESIA BIER BLOCK ADD 1592.753053171ANESTHESIA REGIONAL 1ST HR478.503053172MONITORED ANESTHESIA CARE239.003053306ANESTHESIA GENERAL + 1/4H99185.503053322ANESTHESIA GENERAL 1 3/4 99572.253053637ANESTHESIA LOCAL 1/2HR 9944.253062270ANES SPINAL TAP142.253062273ANES BLOOD PATCH142.253062289EDIDURAL PAIN CONTROL TRAY248.253064447FEMORAL BLOCK650.003064450SCIATIC/POPLITEAL BLOCK650.003079996ANESTHESIA GENERAL 1 HR 99896.003079997ANESTHESIA EA ADDTL 15 MIN60.753099156ANES 5YRS+ MOD SEDATION239.003099157ANES 5YRS+ EACH ADD 15 MIN239.003511034TUBING IV BLOOD Y TYPE10.753512082ENEMA OIL MINERAL OIL22.253512095THUMB SPICA MEDIUM RIGHT146.753512124SHOULDER IMMOBILIZER PREMIUM89.003512331KLING BANDAGE 610.753512467TRAY CHEST TUBE1,080.003513290SOD CHLOR 0.9% 100ML85.003514563ARM SLING X SMALL61.753514565ARM SLING MEDIUM61.753514568ARM SLING LARGE61.753514570KNEE IMMOBILIZER 24205.003514571KNEE IMMOBILIZER 16181.753514617ACE BANDAGE 612.253514633ACE BANDAGE 312.253514647ACE BANDAGE 212.253514666FOLEY CATH KIT23.253516968FOLEY TRAY27.753517959KLING BANDAGE 210.753518071ABD PADS 8X1010.753518271SCAPELS DISPOSABLE # 117.753518301IV NON PUMP10.253518449IV TUBING 15GTT NON-PUMP10.003518537KNEE IMMOBILIZER 20205.003518667IV PUMP TUBING10.253519392PLEUR-E-VAC575.253519805WRIST SPLINT LARGE LEFT79.253519806WRIST SPLINT MEDIUM RIGHT79.253519807WRIST SPLINT SMALL LEFT79.253519811WRIST SPLINT SMALL RIGHT79.253519812WRIST SPLINT LARGE RIGHT79.253519818THUMB SPICA MEDIUM LEFT146.753519819THUMB SPICA LARGE LEFT146.753519822THUMB SPICA LARGE RIGHT146.753519830SPLINT FINGER STRIP 1/2X 1818.503519831SPLINT FINGER STRIP 3/4 X 1818.503519832SPLINT FINGER STRIP 1X 1818.503519970STERI-STRIP 1/812.253519971STERI-STRIP 1/410.753519972STERI-STRIP 1/212.253520168SURGICEL138.003520420STOCKINETTE BIAS 212.253520421STOCKINETTE 3 BIAS12.253520422STOCKINETTE BIAS 417.503524569ARM SLING X LARGE61.753534001ORTHO GLASS 29.753534002ORTHO GLASS 39.753534003ORTHO GLASS 49.753534005ORTHO GLASS 69.753534568ARM SLING SMALL61.753540133EKG PADS ADULT DFIB10.753540633SUTURES MONO PDSII O 6-0 TP-1165.253553072STAPLES SKIN ALL241.503558117FIBERGLASS CAST ROLL 247.503558118FIBERGLASS CASTING ROLL 349.503558119FIBERGLASS CASTING ROLL 449.503560259D5W (DEXTROSE 5%) 500ML85.003560564D5W + LACT RINGERS 1000ML85.003560689D5W+ NS 0.45% 1000ML LVP85.003560713D5W + 0.9% NS 1000ML84.003560754D5W (DEXTROSE 5%) 250ML85.003560903RINGERS LACTATE 1000ML85.003560945SOD CHLOR (SALINE) 0.9% 250ML85.003561109SOD CHLOR (SALINE) 0.9% 500ML85.003561117SOD CHLOR 0.9% 1000ML85.003561257SOD CHLOR 0.45% 1000ML85.003561695D5W (DEXTROSE 5%) 50ML85.003561729SOD CHLOR (SALINE) 0.9%50ML85.003561745D5W (DEXTROSE 5%) 100ML85.003564053KLING BANDAGE 310.753564056KLING BANDAGE 4 IN10.753579855FLUSH NS 0.9%17.503588135ACE BANDAGE 412.253588136AIR CAST ANKLE STIRRUP UNIVERSAL195.254000455THYROID PANEL (000455)11.944000540THYROGLOBULIN COMP PANEL (500540)57.004000633ANTI-EXTRACT NUCLEAR ANTIGEN (006338)38.254000904URINALYSIS-4000905OCCULT BLOOD FECAL IMMUNOASSAY(182949)66.304001768IMMUNOGLOBULINS A/G/M QN (001768)29.724001870ANTI-SCLERODERMA 70 ABS (018705)18.004002103URINE PROTEIN (24 HR) (003277)6.004003129PROT+CREAT (RANDOM) (003129)12.714003277PROTEIN TOTAL, QN 24HR URINE (003277)6.004004176CATECHOLAMINES FRAC UR FREE 24HR (00417627.004005223HEMOGLOBIN HB (005223)22.004006668ANTI-SMOOTH MUSCLE M2 AB (006668)37.934007441SOLUBLE LIVER ANTIGEN (007441)140.504008352GQ1B AB IGG (808602)17.084011173ANTI-CCP IGG/IGA (164914)20.204013914CMV QUANT PCR (139149)323.504014033NEOPTERIN (140335)84.924016195CARDIOLIPIN AB PANEL (161950)39.284016204IBD EXPANDED PANEL (162045)243.004016369TETANUS ANTITOXOID AB (163691)22.644016486ANA W/RFLX IF POSITIVE (164868)21.754016488ANA W/ REFLEX CASCADE (164880)457.254018083H. PYLORI BREATH TEST (180836)225.004019560BB BLOOD FFP60.754020061IHC 1ST AB STAIN X1 GLBL (W20061)84.254020532IHC EA ADDL AB STAIN X3 GLBL (W20532)252.754021140NEONATAL BILIRUBIN PANEL38.754030000HEP B VIRUS QUANT PCR (551610)204.004030180PLATELET COUNT21.004030551ANTI-MULLERIAN HORMONE AMH (500183)78.544033214EOSINOPHIL COUNT13.504036415VENIPUNCTURE35.004036417LAB CORP VENIPUNCTURE35.004039490EBV PCR QUANT(138230)306.004039998IGA HEAVY LIGHT CHAINS (HLC) (123540)270.004039999IGM HEAVY LIGHT CHAINS (123560)270.004040250OCCULT BLOOD #249.504040260OCCULT BLOOD #349.504040560URIC ACID URINE (012898)6.894042045THYROGLOBULIN TUMOR MARKER (042045)10.004048920JAK2 MUTATION ANALYSIS, QUAL (489200)204.004050123HEP C FIBROSURE (550123)163.204050200BB CROSSMATCH #2123.504050210BB CROSSMATCH #3123.504050220BB CROSSMATCH #4123.504050411VITAMIN D 25-HYDROXY LCMS D2+D3 (504115)173.404053173LITHIUM27.214055007HEP C RT-PCR QUANT (550080)132.604055009HEP C RNA PCR QN RFX GENO (550090)172.994055042HIV 1 RNA BY PCR (550420)153.004055084HEP C RNA QUAL RFX TO QUANT (550840)114.754055088HIV 1 QUANT, RNA REAL TIME (550880)439.504055130HEP C REALTIME ABBOTT (551300)647.754060183ALLERGEN PROFILE VEGETABLE I (601831)96.314060185ALLERGEN PR MILK (601856)91.254060247M003-IGE ASPERGILLUS FUMIGATUS (602471)14.254060264ALLERGENS IGE AREA 13 (602643)687.504060290MOLD/DUST ALLERGY PANEL, IGE (602904)121.254060298ALLERGEN CHILDHOOD IGE (602988)93.184062255STREP A SCREEN60.754062263DRUG (DOA)SCR, URINE I/H134.504070112CA 125 (002303)13.254070113CA 19-9 (002261)15.064070227RETICULOCYTE COUNT80.254070235SED RATE (ESR)49.504070326AMYLASE93.754070359CALCIUM20.004070417POTASSIUM20.004070441SODIUM20.004070573BUN20.004070599CHOLESTEROL80.254070620CREATININE20.004070672DIGOXIN136.504070755ALBUMIN20.004070789QUANTIFERON TB GOLD (182873)61.204070847LD (LDH) (001115)3.754070870ALKALINE PHOSPHATASE20.004071001URIC ACID59.754071035TRIGLYCERIDES79.254071076PT INR (PT)101.504071258CULTURE BLOOD #1168.504071621BB ANTIBODY SCREEN62.754071738GRAM STAIN39.754071746OCCULT BLOOD #149.504071749CULTURE EYE157.504071750CULTURE EAR157.504071751CULTURE BODY FLUID157.504071753CULTURE STOOL157.504071755CULTURE CSF157.504071845GLUCOSE TOL 2HR.189.504072579PROTEIN TOTAL SERUM20.004073783MAGNESIUM80.254073874THYROID STIM HORM (TSH)221.504073980BB BLOOD PROCESSING FEE28.754073981BB RH(D) TYPING60.754073988BB ABO TYPE60.754074492DILANTIN171.004074980CO220.004075044ALCOHOL(ETHANOL) SERUM141.004075234HDL79.254075250HEP C AB W/RFLX (144065)14.004076372BILIRUBIN TOTAL20.004076706LIPID PANEL CHL TRG HDL LDL217.254076927APTT101.504076928STOOL CULTURE YESINIA ONLY (182410)56.254076929STOOL CULTURE VIBRIO ONLY (182311)56.254076935HCG QUAL107.004077012CELL CT, NON CSF77.254077015CELL CT, CSF93.754077057CULTURE URINE SCREEN135.504077061CULTURE BETA STREP B60.754077081HEMOGRAM & PLATLET COUNT AUTO103.504077085HEMOGRAM77.254077099KETONES, SERUM15.504077115MONO SCREEN62.754077172PHENOBARBITAL SERUM35.004077271WET MOUNT60.754077321ACETAMINOPHEN168.504077347GLUCOSE TOL 1HR.126.754077350GLUCOSE20.004077404CEREBRO SPINAL FLUID PROTEIN60.754077481CULTURE GENITAL157.504077484CULTURE WOUND157.504077567T4 FREE86.004077628KOH SLIDE PREP32.004077636PHOSPHORUS20.004077644SALICYLATE84.004077696GAMMA GT (GGT) (001958)12.254077701REPEAT BASIC METABOLIC PANEL151.004077711REPEAT CBC96.754077712REPEAT POTASSIUM20.004077718REPEAT HEPATIC PANEL135.504077719REPEAT COMP METABOLIC PANEL260.004077720RPR (006072)2.504077721VITAMIN B12 (001503)9.754077725COMPLEMENT C4 (001834)29.254077726VITAMIN B12 & FOLATE (000810)30.814077727CULT ID AERO 1135.504077729PROTEIN ELECTRO. RANDOM URINE (354928)18.054077750OVA & PARASITE EXAM. ROUTINE(008623)10.924079262TITANIUM WB (792620)37.254079335URINE SODIUM 24 HOUR (003178)4.594079670CULTURE ANAEROBIC I/H172.004079674DRUG PROFILE BLOOD (SEVEN DRUGS) (766477319.254079676GLUCOSE TOL 3HR.208.004079681ELECTROLYTES77.254079682AMMONIA138.004079683TROPONIN I174.004079684CBC WITH AUTOMATED DIFFERENTIAL96.754079685MYOGLOBIN174.004079686COMPREHENSIVE METABOLIC PANEL260.004079687BASIC METABOLIC PANEL151.004079689RENAL FUNCTION PANEL193.254079690LIVER FUNCTION PANEL135.504079691BILIRUBIN DIRECT20.004079696IgA SERUM (001784)6.254079697IgM SERUM (001792)6.254079880APOLIPOPROTEIN B (167015)24.754079882ANTI-NUCLEAR ANTIBODIES (ANA) (164947)33.504079884ALLERGEN PR MINI (649749)294.004079885CELIAC DISEASE PANEL (165142)288.504079888CELIAC DISEASE COMP PANEL (165126)336.754079894CMV (PCR) QUAL (138693)321.254079895TESTOSTERONE FREE & TOT 36170 (140103)37.504079897LEVETIRACETAM (KEPPRA) (716936)84.154079903ALLERGEN PINE TREE (062489)143.824079904CRYPTOCOCCAL AG (006551)35.004079908HEP C RNA PCR QUANT (550080)132.604079909GLUTAMIC ACID (GAD) AUTOANTIBODY (14300852.504079910MICROALBUMIN/CREAT RATIO RANDOM (140285)13.694079916ANCA SCN WITH REFLEX (162388)45.754079919A1-ANTITRYPSIN PHENOTYPING (095653)28.004079920CHROMIUM, PLASMA (071522)71.404079924ALLERGEN PR ZONE 19 (650820)359.554079925ALLERGEN MOLD GRP (062448)347.754079927LUPUS ANTICOAGULANT (117054)291.984079929GLUCOSE, BODY FLUID (019497)5.014079930PROTEIN, TOTAL, BODY FLUID (019588)6.004079934ALLERGEN W/TOTAL IGE AREA 12 (603719)639.004079938VITAMIN D 1 25 DI-HYDROXY (081091)49.504079944GLUTEN (069781)26.754079946EBV QUAL PCR (138289)328.954079948IMMUNO-FECAL OCCULT BLOOD (182949)66.304079950METHYLMALONIC ACID SERUM (706961)48.754079952TISSUE TRANSGLUTAM ANTI IGG (164988)108.754079953STOOL FOR WBC53.504079954EST GLOM FILTRATION RATE12.254079958PTH INTACT (015610)61.254079959ANTI-EXTRACTABLE NUCLEAR AG (006338)34.004079960LIVER KIDNEY MICROSOMAL AB (163980)31.004079961D DIMER174.004079967KAPPA-LAMBDA LIGHT CHAIN (121137)61.204079968LIPASE80.254079972REPEAT LIPASE80.254079973REPEAT D-DIMER174.004079985PHOSPHORUS 24 HR URINE (003251)11.254079986BHCG QUANT.220.504079987RUBEOLA IGM (160218)15.004079989TISSUE TRANSGLUTAM ANTI IGA (164640)35.004079990H. PYLORI ANTIBODIES(IGM IGG & IGA) (1636.834079992LEAD BLOOD (PEDIATRIC) (717009)26.254079993ANTI-JO-1 (161455)40.004079995PORPHOBILINOGEN QUARAND URINE(003053)32.504079996ANDROSTENEDIONE SERUM(004705)223.004079997C-TELOPEPTIDE SERUM(500089)126.004079998PAP W REFLEX TO HPV (192630)81.254079999MTHFR (511238)127.504080002VITAMIN K1 SERUM (121200)178.504080003PAP ONLY (192005)61.714080004FECAL REDUCING SUBSTANCES (016766)21.004080005URINE CYTOLOGY (009068)86.964080006BABESIA MICROTI ANTIBODIES IGG AND IGM (275.004080008CORTISOL FREE & TOTAL(500440)80.584080009T & B LYMPHOCYTE DIFF. PANEL (096917)506.254080011NATURAL KILLER CELL SURFACE ANTIGEN (CD3214.254080014BETA 2 GLYC AB IGA IGG IGM (163915)41.314080015BK VIRUS DNA BY PCR(138962)370.264080017TRYPTASE (826008)37.504080020CREATININE URINE (013672)16.004080022HTLV I & II ANTIBODY (164277)49.984080026LYME DISEASE AB W/REFLEX TO WESTERN (25897.254080028ANA COMPREHENSIVE PANEL (165092)364.424080031TESTOSTERONE FREE & WEAKLY BOUND (143255337.254080034MRSA SCREEN60.754080035ALLERGEN BASIC FOOD (660423)267.254080036HOUSE DUST QUANT. IGE (069450)26.754080037COPPER PLASMA (001586)61.204080038ANCA PROFILE (163873)72.504080040PROTEIN, TOTAL, URINE (013664)13.004080042INFLAMMATORY BOWEL DISEASE (IBD) PROFILE461.00408004417-HYDROXPROGESTERONE(070085)29.604080045PROINSULIN (140533)153.004080047URINE SODIUM RANDOM(013326)5.824080048URINE POTASSIUM RANDOM(013334)10.754080049CHROMOGRANIN A (140848)123.424080058LD (LDH) BODY FLUID (100156)6.004080062IMMUNOFIXATION(IFE) AND PROTEIN ELECTROP116.004080063IMMUNOFIXATION(IFE) SERUM AND PROTEIN EL109.254080064IgG SUBCLASSES (209601)195.254080065ETHANOL URINE (007237)15.914080067ACTIN (SMOOTH MUSCLE) ANTIBODY (006643)5.294080068CANDIDA ANTIBODIES IGG IGA IGM (163135)171.004080074HEPATITIS PANEL ACUTE (322744)82.134080156CARBAMAZEPINE83.004080158CYCLOSPORIN (706556)54.504080159CLOZAPINE (CLOZARIL) SERUM (706440)71.404080162REPEAT DIGOXIN136.504080164VALPROIC ACID (007260)11.504080197TACROLIMUS (PROGRAF) (700248)101.254080201TOPIRAMATE (TOPAMAX) (716285)27.754080202VANCOMYCIN18.004080203ZONISAMIDE (ZONEGRAN) (007915)91.804080211ADALIMUMAB CONCENTRATION W/ SB (504575)400.004080377DRUG SCREEN 9 ALC (733002)82.504081001URINALYSIS AUTO W MICRO11.764081015URINALYSIS MICRO ONLY37.504081105HPA 1A PLATELET ANTIGEN (500314)282.254081206BCR-ABLI CML/ALL PCR QUANT (480481)433.504081217BRCA2 TARGETED ANALYSIS (252250)417.004081404TRANSTHYRETIN (252810)529.004081405GENESEQ CARDIO FAMILIAL AORTOPA (48003)2,750.004082024ACTH PLASMA (004440)5.754082026PLASMA IODINE (070034)61.504082043MICROALBUMIN 24 HR URINE (140050)10.654082085ALDOLASE (002030)28.254082103ALPHA 1 ANTITRYPSIN SCREEN (001982)27.754082104ALPHA1 ANTITRYPSIN STOOL QUANT (123010)189.504082105ALPHA-FETO PROTEIN SERUM TUMOR MARKER (04.074082131HOMOCYSTEINE SERUM OR PLASMA (706994)102.004082150REPEAT AMYLASE93.754082164ANGIOTENSIN-1-CONVERTING ENZYME (010116)40.254082172LIPOPROTEIN A (120188)18.054082232BETA 2 MICROGLOBULIN SERUM (010181)115.254082273GASTROCCULT50.504082306VITAMIN D 25-HYDROXY122.004082330CALCIUM IONIZED (004804)35.004082340URINE CALCIUM (24 HR) (003269)7.144082360CALCULI URINARY W/PHOTO (120691)20.814082375CARBOXYHEMOGLOBIN (007187)36.004082378CEA (002139)13.504082383CATECHOLAMINES PLASMA (084152)70.004082384CATECHOLAMINES FRAC. RANDOM URINE (316237.944082390CERULOPLASMIN (001560)25.754082399PTHRP(503380)33.664082435CHLORIDE20.004082436URINE CHLORIDE RANDOM (013656)13.004082530CORTISOL 24HR URINE FREE (004432)22.564082533CORTISOL (004051)11.444082535CORTISOL, AM (104018)11.444082536CORTISOL W/ REFLX DEXAMETHASONE (503990)93.504082542BILE ACIDS FRACT (503640)281.254082550CK TOTAL77.254082552CK ISOENZYMES SERUM (002154)19.744082553CKMB174.004082570URINECREATININE (24 HR) (003012)6.904082575CREATININE CLEARANCE (003004)9.254082595CRYOGLOBULIN (001594)12.254082626DHEA (00401)41.254082627DHEA SULFATE (004020)25.754082652THYROID ABS (006684)69.004082668ERYTHROPOIETIN (EPO) SERUM (140277)23.944082670ESTRADIOL (004515)25.754082672ESTROGEN TOTAL (004549)23.254082677ESTRIOL SERUM (004614)116.004082679ESTRONE SERUM (004564)179.754082705FECAL FAT QL (001677)33.004082710FECAL FAT QN (001354)54.504082728FERRITIN SERUM (004598)9.254082746FOLATE SERUM (002014)8.754082747FOLATE RBC (266015)54.504082755ALLERGEN W/ TOTAL IGE AREA 19 (602987)614.754082784IgG SERUM (001776)6.254082785IgE TOTAL (002170)14.314082786IMMUNOGLOBULIN AEGM (002295)45.254082945GLUCOSE, CSF20.004082995G-6PD QN 500 (001917)17.524083001FOLLICLE-STIMULATING HORMONE (FSH)(0043012.254083002LUTEINIZING HORMONE (LH) (004283)12.254083003GROWTH HORMONE SERUM (004275)21.044083005FSH AND LH (028480)35.394083010HAPTOGLOBIN (001628)31.004083015HEAVY METALS PROFILE 1 BLOOD (042580)151.394083018CHROMIUM AND COBALT WB (MOM)(738770)105.754083021HEMOGLOBINOPATHY PROFILE (121679)41.164083036HEMOGLOBIN A1C68.504083088HISTAMINE DETERMINATION WHOLE B (081315)226.4440834975-HIAA 24-HR URINE (004069)32.504083499ANEMIA PROFILE A (030577)22.254083502HANTAVIRUS ANTIBODIES (835027)143.254083516PHOSPHOLIPIDS SERUM (001727)23.754083517TRANSGLUTAMINASE IGA AB (164640)32.004083518PHOSPHOLIPASE A2 RECEPTOR AUTO (141330)200.004083519INSULIN-LIKE PROTEIN3 (IGFBP-3) (140152)33.004083520GLIADEN IGG & IGA ANTIBODY PANEL (16340276.254083521INTERLEUKIN-6 (140816)125.504083522INSULIN LIKE GROWTH FCTR BINDIN (140822)63.244083525INSULIN (004333)29.254083526INSULIN ANTIBODIES (141598)26.014083540IRON SERUM TOTAL (001339)4.594083550IRON & TIBC W/%SAT.(001321)8.754083631LACTOFERRIN FECAL QUANT (123016)132.754083655LEAD BLOOD (ADULT) (007625)10.754083727GONADOTROPIN-RELEASING HORMONE (502421)241.004083789IODINE LEVEL (070034)61.504083790ESTRONE SULFATE (501049)175.004083833IGG HEAVY LIGHT CHAINS (123550)270.004083835METANEPH 24HR URINE (004234)31.484083883FREE KAPPA LAMBDA LIGHT CHAINS (121137)61.204083896FACTOR V LEIDEN MUTATION ANALYSIS (51115122.004083901CYSTIC FIBRO DNA (480533)114.7540839155' NUCLROTIDASE (001701)37.004083930OSMOLALITY SERUM (002071)23.254083935OSMOLALITY URINE (003442)23.254083987STOOL, PH (010991)6.254084075ALK PHOS BONE (513002)62.994084080ALK PHOS ISO (001612)36.504084134PREALBUMIN (016931)12.004084144PROGESTERONE (004317)14.004084146PROLACTIN SERUM (004465)15.004084153PSA TOTAL37.504084154PSA FREE & TOTAL (480947)146.254084156UPEP 24 HOUR (003368)18.054084157PROTEIN, CSF58.254084165PROTEIN ELECTROPHORESES W/ INT (225920)11.004084207VITAMIN B6 PLASMA (004655)25.504084235THYROTROPIN RECEP. AB SERUM (010314)149.254084244RENIN ACTIVITY (002006)27.154084246RENIN ACTIVITY & ALDOSTERONE (000703)72.004084252VITAMIN B2, WHOLE BLOOD (123220)67.504084255SELENIUM SERUM (716910)71.404084260SEROTONIN (120204)61.204084270SEX HORM BIND GLOB (082016)123.504084305INSULIN LIKE GROWTH FACTOR1 PED (503660)71.404084402TESTOSTERONE FREE (144980)182.754084403TESTOSTERONE (004226)12.504084425VITAMIN B1 THIAMINE (121186)75.004084432THYROGLOBULIN QUANT. (042100)28.754084436T4 TOTAL28.264084445THYROID STIM IMMUNOGLOB (140749)257.004084446VITAMIN E SERUM (081000)38.004084450AST20.004084460ALT (SGPT)20.004084466TRANSFERRIN (004937)32.004084479T3 UPTAKE (T3U) (001156)4.004084480T3 TOTAL (002188)12.004084481T3 FREE SERUM (010389)23.004084482T3 REVERSE (002212)196.504084503TESTOSTERONE TOTAL WOMEN & CHIL (070001)22.754084560URINE URIC ACID (003418)3.754084586VASOACTIVE INTESTINAL POLY(010397)55.454084588ANTI-DIURETIC HORMONE (046557)182.224084590VITAMIN A (017509)22.254084591VITAMIN B3 (070115)310.004084630ZINC (001800)29.754084681C-PEPTIDE (010108)18.254084987PROTEIN ELECTROPHORESES (001487)16.304085007MANUAL DIFFERENTIAL52.004085014HEMATOCRIT21.004085018HEMOGLOBIN21.004085220FACTOR V ACTIVITY (086249)160.754085240FACTOR VIII ACTIVITY (086264)135.924085246VON WILLEBRAND FACTOR ANTIGEN (086280)92.754085260FACTOR X ACTIVITY (086306)131.074085300ANTI-THROMBIN ACTIVITY (015040)30.594085302PROTEIN C ANTIGEN (080465)123.174085303PROTEIN C ACTIVITY (CHROMOGENIC) (50046388.004085305PROTEIN S ANTIGEN (164517)68.804085306PROTEIN S FUNCTIONAL (164525)65.504085384FIBRINOGEN ACTIVITY (001610)25.754085385FIBRINOGEN AG (117052)174.504085597ANTI-PHOSPHOLIPID SYNDROME (117079)820.254085705LUPUS ANTICOAGULANT REFLEX (117892)51.504085730PTT-LUPUS ANTICOAGULANT (117002)99.004085933ACHR MODULATING ABS (085933)201.964086003SJOGREN'S ANTI-SS-B (012690)11.754086007ACETYLCHOLINE RECPT AB,ALL (086007)580.004086014SMOOTH MUSCLE MITOCHOND (006668)11.274086031ALLERGEN PROFILE NUTS (671926)96.394086038ANA (164855)16.004086039ANA, IFA (164947)9.364086113ALLERGEN PROFILE FOOD W/ REFLEX (603857)19.564086133LATEX (602669)3.264086141CRP-CARDIAC (120766)13.774086157COLD AGGLUTININS (006353)28.254086160COMPLEMENT C3 (006452)29.254086171COCCIDIODAL SEROLOGY (807048)80.004086223ALLERGEN PROFILE FOOD (602989)39.124086225ANTI-DNA DBL. STRANDED (096339)16.004086235ANTI-SMITH (016360)61.204086253CULTURE BLOOD #3168.504086255ANTI-CHROMATIN ANTIBODIES (012580)130.254086295ANA W/REFLEX TO MULTIPLE (164863)9.364086300CA 15.3 (143404)23.634086316CA 27.29 (140293)15.004086317SJOGREN'S ANTI-SS-A (012682)61.204086333ALLERGEN MILK (602753)3.264086334IMMUNOFIXATION (IFE) SERUM (001685)37.754086341IA2 AUTOANTIBODIES (141531)79.564086356HNK1 (CD57) PANEL (505026)85.174086376THYROID PEROXIDASE AB (006676)8.754086431RHEUMATOID FACTOR (006502)7.994086443ALLERGEN WHEAT (602459)3.264086553ALLERGEN SOYBEAN (602457)3.264086592RPR W/ RELX TO QUANT (012005)4.004086603ALLERGENS 5 (602904)121.254086606ASPERGILLUS AB IGG (164285)83.504086615B. PERTUSSIS AB IGG (161745)19.284086617LYME DISEASE IGM (160333)24.094086644CMV AB IGG (006494)42.254086645CMV AB IGM (096727)22.954086648DIPTHERIA ANTITOX AB (163709)22.654086658PORPHYRINS QUANT. RANDOM URINE (120980)24.484086664EBV ACUTE ANTIBODIES (216655)52.024086665EPSTEIN BARR CAPSID IGM (096735)17.504086667LYME WESTERN BLOT (163601)103.024086677H. PYLORI IGG AB (I/H)118.004086694HERPES SIMPLEX VIRUS 1/2 IGM (164806)32.004086696HERPES SIMPLEX VIRUS (HSV) TYPES 1-/2-SP73.754086702HIV SCR 4TH GEN RFX (083935)20.504086704HEP B CORE AB,TOTAL (006718)34.004086705HEP B CORE AB IGM (016881)11.004086706HEP B SURF AB QUAL (006395)22.284086707HEP BE ANTIBODY (006635)16.004086708HEP A AB TOTAL (006726)28.254086709HEP A AB IGM (006734)12.254086710INFLUNZA A&B AB QUANT (096487)14.104086711STRATIFY JC VIRUS AB W/TITER (819372)22.004086712STRATIFY JCV AB ELISA W/ RFLX (90257)0.014086738MYCOPLASMA IGG IGM (163758)80.754086747PARVOVIRUS B19 (HUMAN) IGG IGM (163303)206.004086756RSV TEST31.004086762RUBELLA IGG AB (006197)5.504086765RUBEOLA IGG (096560)13.754086773ALLERGEN RICE (716530)3.264086777TOXOPLASMOSIS IGG (006478)32.504086787VARICELLA IGG (096206)12.254086800THYROGLOBULIN Ab (006685)10.754086801COMPREHENSIVE THYROGLOBULIN (500540)186.504086803HEP C AB (140659)20.014086812HLA B27 DISEASE ASSOC (006924)59.844086813RAPID PLASMA REAGIN QUANTITAT (06460)10.754086850ANTIBODY SCREEN (006015)7.004086880BB DIRECT ANTIGLOBULIN TEST62.754086883ALLERGEN CHEESE CHEDDAR (602732)3.264086901LS RH20.004086920BB CROSSMATCH #1123.504086927BB BLOOD FFP THW UNIT43.004086993ALLERGEN TOMATO (602468)3.264087072CULTURE UPPER RESPIRATORY157.504087073CULTURE LOWER RESPIRATORY157.504087100CULT SENSI 1163.254087101CULTURE FUNGUS I/H103.504087103METANEPHRINES PLASMA (121806)178.504087104MITOCHONDRIAL ANTIBODY (006650)38.004087108N-TELOPEPTIDE URINE (141093)59.934087114IMMUNOFIXATION (IFE) URINE (123034)65.004087116AFB CULTURE WITH SMEAR (183764)38.754087118ANTI-CENTROMERE B ANTIBODIES (164814)113.754087119SCLERODERMA DIAGNOSTIC PROFILE (052373)73.754087120BB BLOOD PRBC LEUCO RED303.254087123LAMICTAL(LAMOTRIGINE SERUM (716944)42.754087125URINALYSIS AUTO W/O MICRO8.314087127CT/GC AMP NAA (183194)63.244087129DRUG ABUSE PROFILE, URINE (SEVEN DRUGS +76.754087130DRUG PROFILE, URINE (NINE DRUGS), IMMUNO94.754087134BNP (B TYPE NATRIURETIC PEPTIDE176.254087144ACETYLCHOLINE RECEPTOR BLOCKING (085926)179.524087145INSULIN-LIKE GROWTH FAC IGF-1 (010363)29.004087146SJOGRENS ABS SSA/SSB (012708)122.404087147CULTURE BLOOD #2168.504087148OXCARBAZEPINE (TRILEPTAL) SERUM (716928)47.504087150ABSOLUTE CD4 AND CD8 COUNT INC RATION262.754087151CULT ID AERO >1135.504087152CULT UA ID PRESUMPTIVE163.254087153CULT SENSI >1163.254087154HEAVY METAL PROFILE UR (007492)91.804087159CRP QT.77.254087162HEP C RNA QUAL (550713)108.344087164ENDOMYSIAL AB IGA (164996)111.254087165RBC MAGNESIUM (080283)9.974087176WEST NILE AB SERUM (138842)117.304087177HERPES SIMPLEX TYPE II IGG (163147)25.754087182HERPES (HSV) CULTURE & TYPING (008250)30.504087185BETA LACTAMASE36.004087189ALLERGEN PR PERENNIAL (062497)215.734087192HEMATOPATHOLOGY CONSULTATION, PERIPHERAL27.254087193LYME DISEASE ANTIBODIES, TOTAL IMMUNOGLO49.004087194ANTI-CARDIOLIPIN AB (ACA), QUANT48.004087195MUMPS AB IGG (096552)12.004087198SIROLIMUS (716712)42.754087203ALLERGEN PEDS 3-6 (671934)160.254087205H. PYLORI IGM AB (163204)22.004087207PARASITE EXAM. BLOOD (008185)22.754087253POLIOVIRUS 1 3 AB (186542)322.504087324C. DIFFICILE TOXIN A & B (086207)15.004087328GIARDIA LAMBLIA DIRECT EIA (182204)35.194087329GIARDIA CRYPTOSPORIDIUM EIA STL (183558)135.154087338H. PYLORI STOOL ANTIGEN (180764)129.294087340HEP B SURFACE ANTIGEN (006510)8.004087350HEP BE AG (006619)10.254087400INFLUENZA A+B SWAB46.254087521HEP C NAA QUAL RFLX GENO (550825)102.004087522HEP C RNA QNT REF GENO (550100)153.004087535HIV RNA QUAL (139350)143.004087536HIV 1 QUANT RT PCR (550430) NONGRAPHICAL112.204087624PAP W HPV (195050)132.254087768PARASITE IDENTFY ARTHROPOD (188664)47.754087799EBV QUANT DNA PCR (139490)454.254087811STREPTOCOCCUS PNEUMONIAE AG (018788)19.504087902HEP C GENO NONRFLX (550475)245.004088108LACTIC ACID135.504088140SPINAL MUS ATROPHY SMA CARRIER (450010)858.334088164PANCREATIC ELASTASE FECAL (123234)245.004088165PANCREATIC ISLET CELLS (160721)26.934088188SPUTUM CYTOLOGY (009076)86.364088304SURG PATH L III (88304)74.464088305SURG PATH L IV 1ST SITE (88305)58.754088307SURG PATH L V (88307)110.254088312SPECIAL STAINS (883121)58.254088313GROUP II STAIN (88313)79.824088321ALLERGEN PR FOOD-SHELLFISH (062695)160.254088341IHC EA ADD AB STAIN X1 (W20530)84.254089060CRYSTALS FLUID (005355)27.254093446SYSTEMIC LUPUS (SLE) PROFILE A (056499)276.504096230EBV-VCA ANTIBODIES, IGG (096230)16.994096776VARICELLA IGM (096776)20.114099999CALPROTECTIN FECAL (123255)220.504119819THUMB SPICA146.754551032RHYTHM STRIP29.754581008EKG INITIAL354.754581012EKG SUBSEQUENT354.755001170MAMMOGRAM 2D SCREENING519.005014724MAMMOGRAM 2D BILAT DIAGN587.505014731MAMMOGRAM 2D UNIL LT396.505014732MAMMOGRAM 2D UNIL RT396.505014733MAMMOGRAM 3D SCREENING650.005014734MAMMOGRAM DIAGNOSTIC 3D UNI LT285.005014735MAMMOGRAM DIAGNOSTIC 3D UNI RT94.005014736MAMMOGRAM DIAGNOSTIC 3D BILAT363.0050147373D DIAG CHARGE UNI/BILAT76.445060000SINUS COMPLETE359.505060012ABDOMEN 2V477.505060020ABDOMEN SERIES ACUTE672.005060046CHEST SINGLE VIEW228.255060053CHEST TWO VIEWS368.255060054CHEST 2v INS/EXP368.255060061CHEST FOUR VIEWS459.505060062CHEST I v Port228.255060094RIBS UNI W/1VW CXR LT393.505060095RIBS UNI W/1VW CXR RT393.505060096RIBS RT UNI - NO CXR336.255060097RIBS UNI - NO CXR LT393.505060102RIBS BILATERAL NO CXR545.505060103RIBS BILATERALW/1VW CXR545.505060111STERNUM331.755060152ACROMIOCLAVICUL. JTS BIL388.755060179CLAVICLE COMPLETE LT336.255060180CLAVICLE COMPLETE RT336.255060187ELBOW 1-2 VWS LT257.005060188ELBOW 1-2 VWS RT257.005060195ELBOW COMPLETE 3+V LT329.505060196ELBOW COMPLETE 3+V RT329.505060202FINGERS LT231.255060204FINGERS RT231.255060211FOREARM LT316.255060212FOREARM RT316.255060228HAND 1-2 VWS LT228.255060229BOTH HANDS AP (ARTHRITIS)228.255060230HAND 1-2 VWS RT228.255060237HAND 3+VWS LT357.005060238HAND 3+VWS RT357.005060252HUMERUS LT324.005060253HUMERUS RT324.005060270SCAPULA LT331.755060271SCAPULA RT331.755060278SHOULDER COMPLETE LT368.255060279SHOULDER COMPLETE RT368.255060286SHOULDER LIMITED LT249.255060287SHOULDER LIMITED RT249.255060288SHOULDER POST REDUCTION LEFT368.255060289SHOULDER POST REDUCTION RIGHT368.255060294WRIST 3+VWS LT368.255060295WRIST 3+VWS RT368.255060302WRIST 1-2VWS LT281.255060303WRIST 1-2VWS RT281.255060320ANKLE 3+VIEWS LT368.255060321ANKLE 3+VIEWS RT368.255060328ANKLE PLAIN 1-2 VWS LT264.755060329ANKLE PLAIN 1-2 VWS RT264.755060344FEMUR LT373.505060345FEMUR RT373.505060369FOOT 3+VWS LT336.255060370FOOT 3+VWS RT336.255060377FOOT 1-2 VWS LT249.255060378FOOT 1-2 VWS RT249.255060385HIP COMPLETE 2V LT402.255060386HIP COMPLETE 2V RT402.255060393HIP UNILATERAL LIMITED LT280.255060394HIP UNILATERAL LIMITED RT280.255060402HIP PELVIS INFANT/CHILD RT338.255060435KNEE COMP 3-4 VWS LT413.505060436KNEE COMP 3-4 VWS RT413.505060443KNEE 1-2 VWS LT291.005060444KNEE 1-2 VWS RT291.005060460TIBIA FIBULA LT +1 JT308.505060461TIBIA FIBULA RT +1 JT308.505060468OS CALCIS CALCANEUS HEEL LT280.255060469OS CALCIS CALCANEUS HEEL RT280.255060476TOES LT249.255060477TOES RT249.255060558BARIUM ENEMA780.255060582ESOPHAGUS477.505060632UGI WITH SM BOWEL W/AIR1,088.755060715FACIAL BONES 3+VWS569.505060749MANDIBLE 4+VWS373.505060780NASAL BONES359.505060806ORBITS BIL545.505060814NECK SOFT TISSUE280.255060897SKULL COMPLETE 4+VWS664.255060905SKULL LIMITED 2-3 VIEWS329.505060954TEMPOROMANDIBULR JTS BIL545.505061028CERVICAL SPINE LIMITED 2-3V402.255061036C-SPINE COMP MIN 4V597.505061069COCCYX SACRUM 2+VWS376.005061085LUMBAR SPINE 1V228.255061093LUMBAR SPINE 2-3VWS373.505061101LUMBAR SPINE COMPLETE 5V753.005061119L SPINE BEND/F E ONLY 2V423.255061127L SPINE COMP W F E/BD824.505061135PELVIS ROUTINE EXAM AP VIEW291.005061168SACRO ILIAC JOINTS 3+V424.255061192THORACIC SPINE 2V LIMITED376.005061200THORACO LUMBAR REGION376.005061283IVP WITH TOMOGRAMS1,027.005061531FLUORO UNDER 1HR242.505061616MAMMO 2D SPECIAL SCREENING83.005061619SINUSES < 3 VIEWS240.505061633KNEE BILATERAL STANDING 1 VW435.755061634BVCH EMP CXR188.505062190C SPINE 1V LAT228.255062802INFANT BONE SURVEY619.505062810FACIAL BONES 1-2 VWS266.755062836CERVICAL COMP W/FLEX EXT 7V839.005062851SCOLIOSIS STUDY385.755062869HIP BILATERAL COMPLETE525.755063354CHEST 3V388.755063818UGI W/AIR CONTRAST970.755064139PELVIS EXTENDED EXAM 3V413.505064162ABDOMEN ONE VIEW243.5050676763V LSS EMP. PHYS SPECIAL206.0050770633D SCREEN CHARGE650.005077067MAMMOGRAM 2D SCREENING519.005077072BONE AGE STUDY120.005077777BONE SURVEY COMPLETE1,422.005079814THORACIC SPINE 3V423.255079823KNEE EXTENDED 4+ LT423.255079824KNEE EXTENDED 4+ RT423.255561619US OB U/S <14WKS672.005561621US BREAST UNI SPECIAL LT COMPL88.005561622US BREAST UNI SPECIAL RT COMPL88.005561717US SINGLE QUAD/ORGAN LOW BACK664.255561721US NON VASCULAR EXT RIGHT672.005561747US LIVER ONLY672.005561754US GALLBLADDER ONLY583.005561762US SPLEEN ONLY672.005561788US AORTA672.005561796US KIDNEYS BILAT672.005561804US BLADDER672.005561853US ABDOMEN COMPLETE1,096.505561911US NON OB PELV-COMP672.005561929US ABSCESS LOCAL SCAN672.005561978US CHEST672.005561986US THYROID/NECK U SCAN494.005562174US IUD LOCALIZATION672.005562919US CAROTID DUP BILAT747.255562943US GUIDED NEEDLE INJ/BIOPSY583.005564154US PAROTID494.005564220US BREAST BILATERAL375.005564428US OB COMP >14 WEEKS672.005564642US EXT. VEN DOP BILAT672.005564643US EXT VEN DOP UNI/LMT LT583.005564644US EXT VEN DOP UNI/LMT RT583.005564659US ART BIL LOWER EXT SCAN672.005564660US ART LOWER EXT LEFT533.505564690US BREAST UNI LT COMPL346.005564691US SCROTUM U SCAN672.005564692US BREAST UNI RT COMPL346.005564693US TRANSVAGINAL375.005564694US KIDNEY UNILAT LEFT672.005564695US BREAST UNI LT LIMITED242.505564696US BREAST UNI RT LIMITED242.505567176US LIMITED ABDOMEN583.005576775US KIDNEY UNILAT RIGHT672.005576881US NON VASCULAR EXT LEFT672.005576883US NON VASCULAR EXT RIGHT SPECIFIC572.005593926US ART LOWER EXT RIGHT533.505593930US ART BIL UPPER EXT SCAN672.005593931US ART UPPER EXT RIGHT533.505593932US ART UPPER EXT LEFT533.506061629CT ABD/PEL W-WO/CONTRAST (ORAL)4,000.506061630CT ABD/PEL W-WO/CONTRAST4,000.506061631CT ABD/PEL WO/CONTRAST3,273.256061632CT ABD/PEL W/CONTRAST3,531.006061633CT ABD/PEL W/CONTRAST (ORAL)3,531.006061634CT ABD/PEL WO/CONTRAST (ORAL)3,273.256061636CT MAX/FACIAL W/WO CONTRAST2,183.756061637CT MAX/FACIAL W/O CONTRAST1,786.506062968CT ABDOMEN W/CONTRAST3,016.256062969CT ABDOMEN W/CONTRAST (ORAL)3,016.256062976CT CHEST W/O CONTRAST2,488.506063008CT HEAD W/CONTRAST1,930.756063111CT L-SPINE W CONTRAST2,744.506063537CT C-SPINE W/CONTRAST2,744.506063552CT C-SPINE W/O CONTRAST2,561.006063560CT SOFT TISSUE NECK W+W/O1,910.256063578CT ABDOMEN W/O CONT2,818.006063594CT ABDOMEN W & W/O CONT3,154.506063595CT ABDOMEN W & W/O CONT (+ ORAL)3,154.506063602CT CHEST W & W/O CONT2,796.006063610CT CHEST W/CONTRAST2,667.256063611CT BONE MINERAL DENSITY STUDY402.256063636CT UPPER EXT W/CONTRAST LEFT1,395.506063644CT T-SPINE W/O CONTRAST2,250.006063651CT ORBIT/IAC W CONTRAST1,786.506063669CT ORBIT/IAC W/O CONTRAST1,638.756063685CT L-SPINE W/O CONTRAST2,561.006063701CT HEAD W/O CONTRAST1,678.506063792CT LOWER EXT W/O CONT1,113.006063834CT PELVIS W/WO CONT1,560.006063835CT PELVIS W/WO CONT (ORAL)1,560.006063859CT PELVIS W/CONTRAST1,392.006063958CT HEAD W & W/O CONT2,061.006065789CT PELVIS W/O CONT1,343.756065797CT UPPER EXT W/O CONT LEFT1,113.006065920CT SOFT TISSUE NECK W/1,786.506065938CT SOFT TISSUE NECK W/O1,638.756066102CT MAXILLOFACIAL/SINUS W1,983.756070486CT SINUS W/O CONTRAST1,786.506070487CT SINUS W/CONTRAST1,983.756070498CTA CAROTID/NECK2,882.006071275CTA CHEST3,410.006073200CT UPPER EXT W/O CONT RIGHT1,113.006073201CT UPPER EXT W/CONTRAST RIGHT1,295.256073700CT LOWER EXT W/O CONT LEFT1,113.006073701CT LOWER EXT LEFT W/CONTRAST1,295.256073702CT LOWER EXT RIGHT W/CONTRAST1,295.256073704CT LOWER EXT LEFT W/WO CONTRAST1,400.756073705CT LOWER EXT W/O CONT RIGHT1,113.006073706CT HIP L W/O CONT1,113.006073707CT HIP R W/O CONT1,113.006074170CT LIVER 3 PHASE1,883.006074175CT ANGIO/AAA2,728.006074178CT UROGRAM2,824.006075635CTA PELVIS RUNOFF2,586.006500003TETANUS-DIPHTHERIA (DECAVAC) VL63.756500022RISPERIDONE(RISPERDAL) 0.5MG TAB20.006500032MUPIROCIN(BACTROBAN) 2% OINT35.006500061DOPAMINE(INTROPIN) 800MG/250ML IVPB203.006500070FLUORESCEIN (FUL-GLO) EYE STRIP14.506500078HYDROCORTISONE 2.5% CREAM42.756500089ACETAMINOPHEN(TYLENOL) 325MG SUPP9.756500094TROPICAMIDE(MYDRIACYL) 1% EYE DROP52.006500097ACETAMINOPHEN(TYLENOL) 650MG SUPP9.756500102TUBERCULIN PPD(TUBERSOL) 5U/0.1ML28.756500124MIDAZOLAM(VERSED) 2MG/2ML SDV29.756500126LISINOPRIL (ZESTRIL) 10MG TAB7.756500128FLUOXETINE(PROZAC) 20MG CAP12.256500145CEPHALEXIN(KEFLEX) 500MG CAP7.756500360OXYMETAZOLINE(AFRIN)NASAL SOL 0.05%27.756500444SPIRONOLACTONE(ALDACTONE) 25MG TAB7.756500899AMOXICILLIN(AMOXIL) 250MG CAP7.756500948AMOXICILLIN(AMOXIL) 250MG/5ML SUSP27.756501061AMPICILLIN(PENBRITIN) 500MG VL56.256501204ENALAPRILAT(VASOTEC)2.5 MG/2ML VL54.006501267CLONIDINE(CATAPRESS) TD 0.1MG/24H63.756501285SUCCINYLCHOLINE(QUELICIN)200MG/10ML35.006501343PHYSOSTIGMINE(ANTILIRIUM) 1MG/ML VL40.756501368MECLIZINE (ANTIVERT) 25MG TAB17.506501481D50W (DEXTROSE 50%) 50ML PFS84.006501483HYDRALAZINE (APRESOLINE) 25MG TAB7.756501509HYDRALAZINE(APRESOLINE) 20MG/ML VL17.506501525PHYTONADIONE(VIT-K3) 10MG/ML SDV110.256501855ASPIRIN(ECOTRIN) 325MG TAB7.756501970ATROPINE 1MG/10ML ADULT PFS46.256502002ATROPINE 1MG/ML VL32.006502267SULFASALAZINE(AZULFIDINE) 500MG TAB9.756502273HEPARIN 25 000 UNITS/250 ML IVPB23.256502580DIPHENHYDRAMINE(BENADRYL)50MG/ML28.756502606DIPHENHYDRAMINE(BENADRYL) 25MG CAP7.756502622DIPHENHYDRAMINE(BENADRYL)12.5/5 SYR13.506502646GLYCERIN ADULT SUPP13.506502648DICYCLOMINE(BENTYL) 20MG/2ML VL128.926502663DICYCLOMINE(BENTYL) 10MG CAP7.756502676SULFA-TRIMETH DS (BACTRIM DS) TAB7.756502897MAGNESIUM CL(SLOW MAG) 70 MG TB7.756502903PEN BENZATHINE(BICILLIN LA)IM 1.2MU206.006503455CALCIUM GLUCONATE INJ 10% 10ML VL38.756503495POT CHLOR(KLOR-CON) ER 10MEQ TAB7.756503505CALCIUM CHLORIDE INJ 10% 10ML PFS35.006503877CLONIDINE (CATAPRESS) 0.1MG TAB7.756503950CEFAZOLIN (ANCEF) 1GM/50ML IVPB52.006504495MAGNESIUM CITRATE SOLN 296ML18.506504545CLINDAMYCIN(CLEOCIN) 150MG CAP7.756504733IBUPROFEN(MOTRIN) 800MG TAB7.756504832IBUPROFEN(MOTRIN) 200 MG TAB7.756504834COLCHICINE (COLCRYS)0.6MG TAB31.006504933PROCHLORPERAZINE(COMPAZINE)10MG/2ML28.756504964HEPATITIS B VACCINE (ENGERIX)298.756505128ALBUTEROL(VENTOLIN) 2.5MG/3ML UDV16.506505193ACETAMINO(TYLENOL#3)+COD SYRUP 5ML14.506505575NEO-POLY-HC(CORTISPORIN) OTIC SUSP83.006505623LOVASTATIN (MEVACOR) 20MG TAB7.756505631CEFTRIAXONE (ROCEPHIN) 250MG VL35.006505668ADENOSINE(ADENOCARD) 6MG/2ML147.756505676NITRO (TRIDIL) 50MG/250ML IVPB114.756505722AMPI & SULB(UNASYN) 1-0.5GM VL48.506505730AMPI & SULB(UNASYN) 2-1GM VL68.506505760WARFARIN(COUMADIN) 1MG TAB14.506505765WARFARIN(COUMADIN) 2 MG TAB14.506505773WARFARIN(COUMADIN) 2.5 MG TAB14.506505781WARFARIN(COUMADIN) 5 MG TAB14.506505896CIPROFLOXACIN(CIPRO) 500MG TAB9.756505898CYCLOPENTOLATE(CYCLOGYL) 1% EYE DRP41.756505997EYE WASH (DACRIOSE) 30ML60.756506268CARBAMIDE PERO(DEBROX) OTIC DR 15ML24.256506334DEXAMETHASONE(DECADRON) 0.5MG/5 SYR26.256506755METHYLPRED (DEPO-MEDROL)40MG/ML VL78.256506789MEDROXYPROG (DEPO-PROVERA) 150MG VL187.506507144PROPOFOL (DIPRIVAN) 200MG/20ML SDV84.006507167ACETAZOLAMIDE (DIAMOX) 250MG TAB13.506507456PHENYTOIN(DILANTIN) 100MG CAPS7.756507514PHENYTOIN (DILANTIN) 250MG/5ML SDV84.006507837BELLADO-PHENO(DONNATAL) ELIX 10ML85.006507936DOCUSATE(COLACE) 100MG CAP7.756507971METFORMIN(GLUCOPHAGE) 500MG TAB7.756508082BISACODYL(DULCOLAX) 10MG SUPP13.506508090BISACODYL(DULCOLAX) DR 5MG TAB7.756508140TRIAM/HCTZ (DYAZIDE) 37.5/25 CP7.756508314AMITRIPTYLINE(ELAVIL) 25MG TAB7.756508611EPHEDRINE 50MG/1ML VL45.256508627ACETAMINOPHEN(TYLENOL) 160/5 SYR7.756509262FERROUS SULF (FEOSOL) 325MG TAB7.756509338METRONIDAZOLE (FLAGYL) 250MG TAB7.756509452FOLIC ACID 1MG TAB7.756509486FOLIC ACID 50MG/10ML MDV60.756509833GENTAMICIN(GARAMYCIN) 80MG/2ML VL127.756509866GENTAMICIN(GARAMYCIN) 0.3% EYE DRP49.506509874GENTAMICIN(GARAMYCIN) 0.3% EYE OINT77.256509878TRAMADOL 50MG TAB ER-4-PK27.756509902VALSARTAN(DIOVAN) 80MG TAB10.756510112GLUCAGON (GLUCAGEN) 1MG VL356.256510252HALOPERIDOL (HALDOL) 0.5MG TAB7.756510286HALOPERIDOL (HALDOL) 5MG/ML VL28.756510427HEPARIN 10 000 UNITS/1ML VL7.756510831HYDROMORPHONE(DILAUDID) 2MG/ML17.506511185PROPRANOLOL (INDERAL) 10 MG TAB7.756511201INDOMETHACIN (INDOCIN) 25MG CAP7.756511235INFLUENZA VACC ADULT 0.5ML33.006511888SOD POLYSTYRENE (KAYEXALATE)28.756512019CEPHALEXIN (KEFLEX) 250MG CAP7.756512100TRIAMCINOLONE(KENALOG) 40MG/ML VL40.756512340DIGOXIN (LANOXIN) 0.5MG/2ML VL78.256512357DIGOXIN (LANOXIN) 0.125MG TAB7.756512365DIGOXIN (LANOXIN) 0.25MG TAB7.756512407FUROSEMIDE (LASIX) 20MG/2ML VL28.756512415FUROSEMIDE (LASIX) 20MG TAB7.756512423FUROSEMIDE (LASIX) 100MG/10ML VL36.006512431FUROSEMIDE (LASIX) 40MG TAB7.756512506NOREPINEPHRINE(LEVOPHED)4MG/4ML VL50.506512530CHLORDIAZEPOXIDE(LIBRIUM) 25MG CAP14.506512647LIDOCAINE IV 100MG/5ML ADULT PFS81.256512852DIPHENOX+ATROPINE(LOMOTIL) TAB10.756513025MAGNESIUM SULFATE INJ 1GM/2ML SDV32.006513132MANNITOL 20% 500ML IVPB57.256514031MAGNESIUM HYDROX (MOM) 30ML SUSP13.506514155ACETYLCHOLINE(MIOCHOL) 0.001% EYE138.006514296IBUPROFEN(MOTRIN) 400 MG TAB7.756514692SIMETHICONE (GAS-X) 80MG CHEW TAB7.756514858NALOXONE(NARCAN) 0.4 MG/ML SDV63.936515327NEO-POLY-BACI (NEOSPORIN) TOP 0.9G9.756515368NEO-POLY-GRAMI(NEOSPORIN) EYE DRP97.756515434PHENYLEPHRINE(NEO-SYNEPH)10MG/ML VL46.256516208ISOFLURANE(FORANE) PER MIN2.006516216ENFLURANE(ETHRANE) 250ML PER MIN2.006517166PROMETHAZINE(PHENERGAN) 25MG/ML VL84.006517190PROMETH+COD(PHENERGAN) SYRUP 10ML8.256517240PROMETHAZINE(PHENERGAN) 25MG SUPP14.506517273PROMETHAZINE(PHENERGAN) 25MG TAB7.756517513OXYTOCIN(PITOCIN) 10 UNIT/ML VL44.256517547VASOPRESSIN(VASOSTRICT) 20U/1ML165.256517927PREDNISONE (METICORTEN) 5MG TAB7.756517935PREDNISONE (METICORTEN) 20MG TAB7.756518818PHENAZOPYRIDINE(PYRIDIUM) 100MG TAB9.756519337METHOCARBAMOL(ROBAXIN) 500MG TAB7.756519428GUAIFENESIN(ROBITUSSIN)200MG/10 SYRUP10.756519451GUAIFEN-DM(ROBITUSSIN DM) SYR 10ML13.506519576RIFAMPIN(RIMACTANE) 300MG CAP9.756520046SOD BICARBONATE 8.4% 50MEQ AD PFS73.756520509PSEUDOEPHEDRINE(SUDAFED) 30MG TAB10.756520525SULFACETAMIDE(BLEH-10)EYE DROPS 10%42.756520616METHYLPRED (SOLU-MEDROL) 40MG VL84.006520624HYDROCORTISONE(SOLU-CORTEF)250MG VL56.256520632METHYLPRED (SOLU-MEDROL) 125MG VL84.006520673METHYLPRED (SOLU-MEDROL) 1000MG VL93.756520715FENTANYL(SUBLIMAZE)100MCG/2ML AMP42.756520723CARISOPRODOL(SOMA) 350MG TAB13.506520731FENTANYL(SUBLIMAZE)250MCG/5ML AMP42.756521036LEVOTHYROXINE(LEVOXYL) 50MCG TAB7.756521044LEVOTHYROXINE(LEVOXYL) 100 MCG TAB7.756522222PENICILLIN VK 250MG/5ML PED SUSP14.506522240CARBAMAZEPINE(TEGRETOL) 200MG TAB7.756522489BENZONATATE(TESSALON) 100MG CAP7.756522524BUPIVACAINE(MARCAINE)INJ 0.5% 50ML41.756522554TETANUS IMM GLOB (HYTERTET) PFS1,093.256522557BUPIV 0.5% + EPI(MARCAINE) PF35.006522626TETRACAINE 0.5% EYE DROPS31.006522760MULTIVITS + MIN (THERA M) TABS7.756522786THIAMINE(VIT-B1) 200MG/2ML SDV70.506522794THIAMINE(VITA-B1) 100MG TAB9.756522885CHLORPROMAZINE(LARGACTIL)50MG/2MLVL57.256523859ACETAMINOPHEN(TYLENOL) 80/0.8 DROP22.256523867ACETAMINOPHEN(TYLENOL) 325MG TAB7.756523870ACETAMINOPHEN(TYLENOL) 500MG TAB7.756523883ACETAMINOPHEN(TYLENOL#3)+COD TAB9.756524255KETAMINE(KETALAR) 500MG/10ML MDV24.256524329DIAZEPAM (VALIUM) 5MG TAB9.756524345DIAZEPAM (VALIUM) INJ 10MG/2ML CJ84.006524428VANCOMYCIN(VANCOCIN) INJ 500 MG VL84.006524550PENICILLIN VK 500MG TAB7.756524667DOXYCYCLINE(VIBRAMYCIN) 100MG TAB7.756524931HYDROXYZINE(ATARAX) 50MG/ML VL14.506525078PHYTONADIONE(VITA-K3) 1MG/0.5ML VL63.756525110CYANOCOBALAMIN(B-12) 1MG/1ML VL40.756525300LIDOCAINE(UROJECT) GEL 2% 10ML PFS60.756525359LIDOCAINE TOPICAL 4% SOLN 40ML27.756525367LIDOCAINE(XYLOCAINE) 1% LOCAL MDV25.006525375LIDOCAINE(XYLOCAINE) 2% MDV23.256525383LIDOCAINE 2%+EPI(XYLOCAINE+EPI)20ML49.506525433ZINC OXIDE(DESITIN) 20% OINTMENT10.756525490ALLOPURINOL(ZYLOPRIM) 100MG TAB8.256525722RACEPINEPRINE 2.25% NEB UDV17.506526530DEXAMETHASONE(DECADRON) 4MG/ML VL28.756526597DEXAMETHASONE(DECADRON) 4MG TAB7.756527769NAPROXEN (NAPROSYN) 250MG TAB7.756528791LIDOCAINE 2% + EPI (XYLOCAINE+EPI)55.006528841METOLAZONE (ZAROXYLIN) 5MG TAB7.756529013TERBUTALINE(BRETHINE) 1MG/ML SDV24.256529401ACETAMINOPHEN(TYLENOL) 120MG SUPP7.756529427OXYBUTYNIN(DITROPAN) 5MG TAB7.756529658NITRO (NITRO-BID) 2% OINT46.256529732LACTULOSE(KRISTALOSE) 10GM/15ML CUP10.756529781GLYCOPYRROLATE(ROBINUL)0.4MG/2ML VL77.256529880PREDNISOLONE(PRED-FORTE) 1% EYE DRP85.256529930ERYTHROMYCIN(ILOTYCIN)EYE OINT 3.5G88.006530045CIMETIDINE(TAGAMET) 300MG TAB7.756530144LOPERAMIDE (IMODIUM) 2MG CAP9.756530193HYDROCORTISONE 1% CREAM8.756530474LORAZEPAM (ATIVAN) 1MG TAB10.756530516OXYCODONE-APAP (PERCOCET) 5-325 TAB9.756530540CYCLOBENZAPRINE(FLEXERIL) 10MG TAB7.756530599PHENYTOIN(DILANTIN) 100MG/4ML ORAL SUSP52.006531308PROCAINAMIDE(PRONESTYL) 1GM/10ML SDV60.756531894HYDROMORPHONE(DILAUDID) 2MG TAB9.756531969POT CHLOR(MICRO-K) 20MEQ PWD PKT9.756531977METOPROLOL (LOPRESSOR) 50MG TAB7.756532124FUROSEMIDE (LASIX) 40MG/4ML VL28.756532520IBUPROFEN(MOTRIN) 600MG TAB7.756532553GUAIFEN-COD (ROBITUSSIN AC)5ML9.756532686PNEUMOCOCCAL(PNEUMOVAX-23) 0.5ML200.256533080LORAZEPAM (ATIVAN) 0.5MG TAB10.756533296METOCLOPRAMIDE(REGLAN) 10MG/2ML SDV33.006533445LIDOCAINE VISCOUS 2% SOLN 15 ML14.506533452CEFOXITIN(MEFOXIN) 1GM IVPB84.006533585LORAZEPAM (ATIVAN) 2MG/ML SDV27.756534385CEFOTAXIME(CLAFORAN) 1GM VL37.506534476CARBI-LEVODOPA(SINEMET) 25-100 TAB7.756534559ACETYLCYSTEINE(MUCOMYST) 20% 30ML93.756534641METOCLOPRAMIDE (REGLAN) 10MG TAB7.756534674TEMAZEPAM(RESTORIL) 15MG CAP9.756535093VITAMINS A & D OINT9.756535432ATENOLOL (TENORMIN) 50MG TAB7.756535481METRONIDAZOLE (FLAGYL) 500 MG IVPB84.006535499CAPTOPRIL(CAPOTEN) 25MG TAB7.756535804SUCRALFATE (CARAFATE) 1000MG TAB7.756535853ALPRAZOLAM(XANAX) 0.25MG TAB9.756535960VERAPAMIL (CALAN) 80MG TAB7.756535978VERAPAMIL (ISOPTIN) SR 120MG TAB7.756536000TRAZODONE(DESERYL) 50MG TAB7.756536208ALUM-MGOH-SI(MYLANTA)SUSP 30ML13.506536448AMPICILLIN(PENBRITIN) 1000MG VL54.006536737DILTIAZEM(CARDIZEM) 30MG TAB7.756537271PEG3350-KCL-BICARB(GOLYTELY) 4L63.756537339RANITIDINE (ZANTAC) 150MG TAB7.756537651METHADONE(METHADOSE) 10MG TAB14.506537792MORPHINE SULFATE INJ 4 MG/ML42.756538162GLIPIZIDE(GLUCOTROL) 5MG TAB7.756538204GLYBURIDE(MICRONASE)5MG TAB7.756538535METOPROLOL (LOPRESSOR) 5MG/5ML SDV84.006538618AMOX/CLAV(AUGMENTIN) 500MG TAB14.856538659LABETALOL(TRANDATE) 100MG/20ML MDV58.256539004CEFAZOLIN (ANCEF) 1GM VL37.506539194MORPHINE(MS CONTIN) 12HR 30MG TAB14.506539418CEFTRIAXONE (ROCEPHIN) 1GM VL84.006539939AMIODARONE(CORDARONE) 200MG TAB12.256540121NIFEDIPINE(ADALAT) ER 30 MG TAB14.506540133NITRO (NITRO-STAT) SL 0.4MG TAB8.756561406D5W + NS 0.45% + 20K 1000ML84.006561430NS 0.9% + 40K 1000ML84.006574262MORPHINE SULFATE INJ 10 MG/ML CJ60.756578659AMOX/CLAV(AUGMENTIN) 250/5ML SUSP178.756578967CLONAZEPAM(KLONOPIN) 0.5MG TAB9.756578969FENTANYL(DURAGESIC) TD 50MCG/HR PAT87.006578970CELECOXIB(CELEBREX) 100MG CAP18.006578971SENNOSIDES (SENOKOT) 8.6MG TAB7.756578973GABAPENTIN (NEURONTIN) 100MG CAP7.756578974MONTELUKAST (SINGULAIR) 10MG TAB16.506578975ETOMIDATE(AMIDATE) IV 20MG/10ML MDV84.006578992LANSOPRAZOLE(PREVACID)DR 30MG CAP22.256578994ALBUMIN HUMAN 25% 50ML VL457.256578996ATORVASTATIN(LIPITOR)10MG TAB17.506578999TAMSULOSIN(FLOMAX) 0.4MG CAP9.756579000GABAPENTIN (NEURONTIN) 300MG CAP8.506579004OCTREOTIDE(SANDOSTATIN) 50MCG/ML55.006579005PREDNISOLONE(ORAPRED) 30MG/10ML SYRUP17.506579008ENOXAPARIN(LOVENOX)80MG/0.8ML SYR276.506579010PROPARACAINE 0.5% EYE DROPS29.756579100ZOLPIDEM (AMBIEM) 5MG TAB9.756579103AZITHROMYCIN(ZITHROMAX) 250MG TAB27.756579588KETOROLAC(TORADOL) 60MG/2ML SDV84.006579592FLUMAZENIL(RAMAZICON) 0.5MG/5ML VL61.756579593KETOROLAC(TORADOL) 30MG/ML SDV84.006579595NITROFURANTOIN (MACRODANTIN) 50 MG CP9.506579598KETOROLAC(TORADOL) 15MG/ML SDV29.756579600CEFTRIAXONE (ROCEPHIN) 500MG VL40.756579606TOBRA-DEXA (TOBRADEX) EYE OINT 3.5G459.506579609NICOTINE(NICODERM) 21 MG/24HR PATCH17.006579622SUMATRIPTAN(IMITREX) 6MG/0.5ML SDV364.506579654DIVALPROEX(DEPAKOTE) DR 250MG TAB7.756579662ASPIRIN(ECOTRIN) 81MG CHEW TAB7.756579665RANITIDINE (ZANTAC) 50MG/2ML SDV42.756579667RHOD IMM GLOBULIN(RHOGAM)300MCG PFS329.506579669IBUPROFEN(MOTRIN) 100MG/5ML SUSP13.506579672HYDROCHLOROTHIAZIDE (HCTZ) 25MG TAB7.756579676CEPHALEXIN(KEFLEX) 250MG/5ML SUSP97.756579680IPRATROPIUM (ATROVENT) 0.02% NEB16.506579686CLARITHROMYCIN(BIAXIN) 250MG TAB16.506579689DILTIAZEM(CARDIZEM) 25MG/5ML SDV115.256579691VENLAFAXINE (EFFEXOR) XR 75 MG CAP18.506579692FAMOTIDINE (PEPCID) 20MG TAB7.756579698DILTIAZEM(CARDIZEM)24HR 120 MG CAP8.956579706POT CHLOR(MICRO-K) CR 20MEQ TAB9.756579708SERTRALINE (ZOLOFT) 50MG TAB9.756579709BENAZEPRIL(LOTENSIN) 10MG TAB7.756579710BACLOFEN(LIORESAL)10MG TAB7.756579714ENOXAPARIN(LOVENOX)30MG/0.3ML SYR110.256579715FENTANYL(DURAGESIC) TD 25MCG/HR PAT47.506579717DILTIAZEM(CARDIZEM)24HR 180 MG CAP7.756579720AMLODIPINE(NORVASC) 5MG TAB7.756579722ISOSORBIDE MONO (IMDUR)ER 60 MG TAB9.756579727BUMETANIDE(BUMEX) 1MG TAB7.756579728DOXAZOSIN(CARDURA) 2MG TAB7.756579732CLINDAMYCIN(CLEOCIN) 600MG/4ML VL87.006579736MIDAZOLAM(VERSED) 5MG/5ML SDV40.756579746PAROXETINE (PAXIL) 20 MG TAB9.756579752FAMOTIDINE (PEPCID) 20MG/2ML SDV29.756579756AZITHROMYCIN(ZITHROMAX) 500MG VL100.506579758NICOTINE(NICODERM) 14MG/24HR PATCH16.006579762CARVEDILOL (COREG) 3.125MG TAB7.756579763CHARCOAL ACT-SORB(ACTIDOSE) SUSP60.756579772LOSARTAN (COZAAR) 50MG TAB7.756579773ALBUTEROL(VENTOLIN) 0.5% NEB SOL68.506579775ROCURONIUM (ZEMURON) 50MG/5ML MDV113.256579776ESMOLOL(BREVIBLOC) 100MG/10ML VL96.756579780POT CHLOR(KRIDER)20 MEQ/100 ML IVPB52.006579781LEVOFLOXACIN(LEVAQUIN) 500MG IVPB211.756579785CLOPIDOGREL(PLAVIX) 75MG TAB21.006579792HEPATITIS A VACCINE(HAVRIX)277.506579803LEVOFLOXACIN(LEVAQUIN) 250MG IVPB211.756579820LEVOFLOXACIN(LEVAQUIN) 500MG TAB50.506579837AMIODARONE(CORDARONE)150MG/3ML35.006579838TENECTEPLASE (TNKASE) IV 50MG -340B12,985.006579839TRAMADOL (ULTRAM) 50MG TAB7.756579841NALOXONE(NARCAN) 2MG/2ML PFS102.506579848LABETALOL(TRANDATE) 20MG/4ML PFS44.256579851BUPIVACAINE(MARCAINE)INJ 0.25% 50ML35.006579856ONDANSETRON (ZOFRAN) 4MG/2ML SDV23.756579857OXYCODONE(OXYCONTIN) SR 10MG TAB9.756579863PHENYLEPHRINE(AK-DILATE)2.5% EYE DR54.506579864CIPROFLOXACIN(CIPRO) 0.3% EYE DROPS166.256579869SEVOFLURANE(ULTANE) PER MIN2.006579871ONDANSETRON (ZOFRAN) 4MG TAB14.006579872MIRTAZAPINE (REMERON) 15MG TAB9.756579873ATENOLOL (TENORMIN) 25MG TAB7.756579875ENOXAPARIN(LOVENOX)60MG/0.6ML SYR190.506579884LEVALBUTEROL(XOPENEX)1.25MG/3ML UDV27.756579888MORPHINE SULF CONC 20 MG/ML PO LIQ67.256579892METOPROLOL (LOPRESSOR) 25MG TAB7.756579893ENOXAPARIN(LOVENOX)100MG/1ML SYR300.756579894PREGABALIN(LYRICA) 50MG CAP20.006579895ENOXAPARIN(LOVENOX)40MG/0.4ML SYR136.506579896DILTIAZEM(CARDIZEM) 125MG/25ML SDV192.006579899ZIPRASIDONE(GEODON) 20MG CAP87.006579900CARVEDILOL (COREG) 12.5MG TAB7.756579901PILOCARPINE(ISOPTO-CARPINE) 2% DRP144.256579902HYDROXYZINE(ATARAX) 25MG TAB9.756579904CLINDAMYCIN 150MG CAP ER 4PK24.256579905CLINDAMYCIN(CLEOCIN) 900MG/50 IVPB104.506579908D5W + NS 0.9% + 20K 1000ML84.006579909CITALOPRAM(CELEXA) 20MG TAB9.756579910NS 0.9% + 20K 1000ML84.006579911MAGNESIUM SULFATE 2GM/50ML IVPB72.506579913NS 0.45% + 20K 1000ML84.006579917QUETIAPINE(SEROQUEL) 25MG TAB9.756579918INSULIN-REG (HUMULIN-R) 100U/ML MDV9.756579919INSULIN GLARNINE (LANTUS) 100U/ML14.506579920INSULIN-NPH (NOVOLIN-N) 100U/ML MDV9.756579922INSULIN LISPRO (HUMALOG) 100U/ML23.256579926VANCOMYCIN(VANCOCIN) INJ 1000 MG VL84.006579927ENALAPRIL(VASOTEC) 10MG TAB7.756579929FENTANYL(DURAGESIC) TD 100MCG/HR PAT234.756579932DONEPEZIL(ARICEPT) 10MG TAB31.006579934GUAIFENESIN(MUCINEX) 12HR 600MG TAB13.506579935HYDROCODONE-APAP(NORCO) 10-325 TAB10.756579936DIAZEPAM (VALIUM) INJ 50MG/10ML MDV144.256579937PANTOPRAZOLE(PROTONIX) 40MG SDV81.256579939ALBUTEROL(VENTOLIN) 90MCG/PUFF MDI128.756579947VALPROATE(DEPAKOTE) 500 MG/5ML VL54.006579949OSELTAMIVIR(TAMIFLU) 75MG CAP42.006579950SIMVASTATIN (ZOCOR) 20MG TAB9.756579951VANCOMYCIN(VANCOCIN) 125MG CAP69.506579961DULOXETINE(CYMBALTA) 30MG CAP17.506579962CEFEPIME (MAXIPIME) 1GM VL52.006579963ONDANSETRON (ZOFRAN) 4MG ODT TAB14.506579964LEVALBUTEROL(XOPENEX)0.63MG/3ML UDV27.756579965PANTOPRAZOLE(PROTONIX) EC 40MG TAB14.506579966HYDROMORPHONE(DILAUDID) 1MG/ML AMP18.506579968PIPERA-TAZO(ZOSYN) 3.375GM VL96.756579975ZIPRASIDONE(GEODON) 20MG/ML VL546.506579976VECURONIUM (NORCURON) 20MG SDV66.006579979METHYLPRED (DEPO-MEDROL)80MG/ML VL78.256579980MIDAZOLAM(VERSED) 10MG/10ML SDV73.756579981BUPIV(MARCAINE)INJ 0.25% PF 30ML36.506579983ACYCLOVIR(ZOVIRAX) 400MG TAB7.756579984ACYCLOVIR 400MG TAB ER 4 PK23.256579986LIDOCAINE(XYLOCAINE) 1% PF26.256579987TOPIRAMATE(TOPAMAX) 25MG TAB9.756579988HEPARIN LOCK FLUSH 500 UNITS/5 ML MDV14.006579989MORPHINE SULFATE INJ 2 MG/ML CJ42.756579991FLUTIC-SALMET(ADVAIR) 250-50 DISKUS375.006580002AMOXICILLIN 250MG CAP ER 4PK7.756580013SULFA-TRIMETH 200-40 MG/5ML PO SUSP50.506580014SULFAMETHOX-TRIMETH DS TAB ER 4PK26.256580016DIPHENHYDRAMINE 25MG CAP 4PK16.506580021CLONIDINE 0.1MG TAB ER 4PK24.256580026CIPROFLOXACIN 500MG TAB ER 4PK24.256580027PROCHLORPERAZINE 5MG TAB ER 4PK26.256580032DEXAMETHASONE 4MG TAB ER 4PK24.256580044METRONIDAZOLE 250MG TAB ER 4PK26.256580045CYCLOBENZAPRINE 10MG TAB ER 4PK24.256580050GLYCERIN PED SUPP13.506580056CEPHALEXIN 250MG CAP ER 4PK23.256580057CEPHALEXIN 500MG CAP ER 4PK24.256580066IBUPROFEN 600 MG TAB ER 4PK24.256580067IBUPROFEN 800MG TAB ER 4PK24.256580073PHENYLEPHRINEN(NEO-SYNEPH) NASAL SP14.506580074PHENYLEPHRINE(AK-DILATE) 10% EYE DR35.006580075NITRO SL 0.4MG TAB ER 25PK26.256580079PENICILLIN VK 500MG TAB ER 4PK26.256580081PROMETHAZINE 25MG SUPP ER 4 PK26.256580086PREDNISONE 20MG TAB ER 4PK28.006580094SILVER SULFA (SILVADENE)1% CRM 50G83.006580106ACETAMINOPHEN #3 +COD TAB ER 4PK26.256580114DOXYCYCLINE 100MG CAP ER 4PK7.756581015EPINEPHRINE 30MG/30ML MDV258.956588038EPINEPHRINE 1 MG/1ML AMP35.506588039EPINEPHRINE 1MG/10ML PFS93.756588042NYSTATIN(MYCOSTATIN) 500KU/5ML SUSP9.756588044GENTAMICIN(GARAMYCIN) 100MG IVPB84.006588047MIDAZOLAM(VERSED)10MG/5ML ORAL SYR31.006588048OXY-APAP (PERCOCET) 5-325 TAB ER-4-PK26.256588051ACETYLCYSTEINE (MUCOMYST) 10% 4ML35.006588052RABIES VIRUS VACCINE(RABAVERT) PFS989.756588055HYDROCODONE-APAP(NORCO) 5-325 TAB10.756588057HEPARIN 1000 UNITS/1ML VL14.506588060ONDANSETRON 4MG TAB ER 4PK40.756588062FENTANYL(DURAGESIC) TD 75MCG/HR PAT144.256588065MULTIVITAMIN(INFUVITE) INJ 10ML58.256588070AZITHROMYCIN(ZITHROMAX)200MG/5 SUSP49.506588071LEVOFLOXACIN(LEVAQUIN) 750MG IVPB211.756588072AMOX/CLAV 875MG TAB ER 4PK57.256588073IPRATROPIUM-ALBUTEROL(DUOneb) UDV7.756588075LIDO-PRILO (EMLA) CREAM 2.5-2.5%52.006588077FLUCONAZOLE(DIFLUCAN) 150MG TAB31.006588078LEVETIRACETAM(KEPPRA) 500MG/5ML VL71.506588082LOSARTAN/HCTZ (HYZAAR) 100/25 TAB7.756588083AMLODIPINE(NORVASC) 10MG TAB7.756588085AMOX/CLAV(AUGMENTIN) 875MG TAB17.506588099BUPIVACAINE(MARCAINE)INJ 0.25% 10ML35.006588100CALCIUM CARB(TUMS) 500MG CHEW TAB7.756588101CALCIUM CARB(TUMS) 750MG CHEW TAB7.756588107GLUCOSE(GLUTOSE) GEL 40% 37.5GM22.256588117LORATADINE (CLARITIN) 10MG TAB7.506588119PROPOFOL (DIPRIVAN) 1000MG/100ML SDV128.756588125WATER FOR IRRIGATION 1000ML11.006588128INFLUENZA VACCINE HD 0.5ML70.006588129NEO-POLY-BACI (NEOSPORIN) TOP 30G14.506588132SOD CHLOR 0.9% NEB SOLN 3ML UDV16.506588900POLYVINYL ALC (TEARS NATURALE) 1.4% DRPS16.506588910SODIUM CHLORIDE (SALT) 1000MG TAB9.756588918SOD BICARBONATE SDV 2.5MEQ/5ML14.506588921RABIES (HYPERRAB) IMM GLOB 300 UNITS1,628.006588929LEVOTHYROXINE(LEVOXYL) 75 MCG TAB7.756588932SALINE 0.9% WARMED 1000ML85.006588940CHLORDIAZEPOX(LIBRIUM)25MG 4 PAK24.256588950OMEPRAZOLE(PRILOSEC) 20MG CAP16.506589000TIOTROPIUM (SPIRIVA) 18MCG INH485.006589069METOPROLOL XL(TOPROL) 50MG TABS7.756589080DEXTROSE 10% (D10W) 1000ML85.006589120CIPROFLOXACIN(CILOXAN) EYE OINT 0.3%315.106589139BUPROPION (WELLBUTRIN) SR 150MG7.756589261ASPIRIN 300MG SUPP20.006589268HYDROCO/APAP(NORCO) 5/325 ER-4-PK27.756589354CEFTRIAXONE/D5W IVPB : 1GM/50ML133.506589357NF-GLIPIZIDE 10MG ORAL TABLET2.006589416NF-ADVAIR DISKUS 500/50 0.5MG/ACTUATION-15.006589469LIDO/EPI/TETRACAINE TOP SOLN25.956589655SALINE (OCEAN) NASAL SPRAY 0.65%9.006589700WOUND GEL (SOLOSITE)22.256589710RIVAROXABAN(XARELTO) 10MG TAB43.756589752FOSPHENYTOIN(CEREBYX) 500MG/10ML275.506589792ALTEPLASE (ACTIVASE) 100MG11,294.256589794NICARDIPINE(CARDENE) 25MG/10ML98.256589845CIPROFLOXACIN(CIPRO) 400MG/200ML IVPB67.006589846PIPER-TAZO (ZOSYN) 4.5GM VL99.006590059MORPHINE SULFATE ER 15 MG52.236590075MELOXICAM(MOBIC)15MG TAB13.406590151CHLORPROMAZINE HCL 50 MG/ 2 ML57.256590191ERYTHROMYCIN OPHTHALMIC 0.5 % 5MG/G 1 G45.006590203HALOPERIDOL 1 MG TAB7.506590224MIDAZOLAM 5 MG/ML 50 MG47.506590248LAMOTRIGINE 100 MG TABLET7.506590289IRON DEXTRAN 100 MG/2 ML180.176590298ATORVASTATIN (LIPITOR) 40MG TAB22.396590300HEPATITIS A VACCINE 25 UNITS/0.5 ML VIAL290.886590301NF-BUSPIRONE (BUSPAR) 10MG TABS3.636590308MAGNESIUM SULFATE 1 G IN D5W 100 ML39.416590333LORAZEPAM(ATIVAN) 1MG 4PAK ER25.856590344PROPOFOL (DIPRIVAN) 500MG/50ML SDV98.006590347BUDESONIDE(PULMICORT) 0.5MG/2ML UDV46.256590357ACETAMINOPHEN(OFIRMEV) 1000MG/100ML155.106590362HYDROCODONE-APAP(NORCO) 10-325 ER-4-PK36.006590378LEVETIRACETAM(KEPPRA) 500MG TABS12.006590379PNEUMOCOCCAL(PREVNAR 13) VACC 0.5ML289.006590382AMOXICILLIN(AMOXIL) 500MG CAP7.956590391ALPRAZOLAM(XANAX) 0.5MG TAB8.856590399FLUORESCEIN/BENOX EYE DROPS5.006590403QUETIAPINE(SEROQUEL) 100MG TAB10.856590439NF-Depakote Delayed-Release Tablet 125MG5.006590441NF-Lyrica Oral Capsule 25MG24.006590448ONDANSETRON (ZOFRAN) 4MG TABS8.956590455BENZOCAINE(HURRICAINE)SPRAY 20%42.206590471ADMIN VACCINE 65+27.756590688ADMIN VACCINE UNDER 6527.756599926DEXAMETHASONE(DECADRON) 10MG/ML VL35.006599997MUMP-MEASLES-RUB (MMR II) VACCINE168.506599999TDAP (BOOSTRIX) VACCINE 0.5ML159.757001002VENTILATOR440.757001212CARBOXYHEMOGLOBIN CHECK94.757031500AIRWAY INTUBATION903.257036600ARTERIAL BLOOD GAS COLLECTION70.007062511ABG INITAL392.507062512ABG SUBSEQUENT392.507062628SPIROMETRY185.507062875SPIROMETRY BRONCHODILATOR B&A394.507062876TAKE HOME OXYGEN162.257065191AEROSOL INITIAL FFN255.507065192AEROSOL SUB FFN94.757065266CHEST PT 1ST TX111.257065399VOL VENT S/U-FIRST DAY361.507065456IS DAILY INPT134.507065912MASK CPAP INIATION FIRST DAY887.257069337CHEST PT SUBSEQ90.257069349MASK CPAP SUBSEQUENT582.007069352CONT BRONCHODILATION SETUP583.007089350SPUTUM COLLECTION47.507094640INHALATION AIRWAY TREATMENT MEDICATED305.007094664AEROSOL ADMIN156.007094760SINGLE PULSE OX CHECK27.757094762CONTINUOUS OVERNIGHT SPO2322.007094770END TIDAL CO2235.007505541PT GAIT TRAINING (NON CRUTCH) 97116135.507505581PT ELECTRICL STIM 97014105.507505584PT PARAFFIN BATH 9701889.007505609PT EVAL 97163 HIGH COMPLEXITY243.507505612PT RE EVAL 97164197.257505616PT ADL SELF CARE/HOME MGNT 9753599.507505617PT PROPULSION WC TRAIN 9754283.007505656PT TRACTION (MECHANICAL) 97012101.507505707PT MCR ELEC STIM G0283105.507505771PT SKILLED GAIT TRAINING 97116135.507505804PT TENS INSTRUCT 64550130.257505813PT THERAPEUTIC EXERISE 9711083.007505839PT FUNCTIONAL ACTIVITIES 9753070.507505854PT ULTRASOUND 9703561.757505860PT MANUAL THERAPY 9714070.507505862PT NEUROMUSCULAR RE-ED BALANCE 9711283.007577145GCPT MOBILITY GOAL G8979CH-7577148GCPT BODY POS GOAL G8982CH-7577151GCPT CARRY GOAL G8985CH-7577152GCPT CARRY DC G8986CH-7577163GCPT MOBILITY CURRENT G8978CI-7577164GCPT MOBILITY CURRENT G8978CJ-7577165GCPT MOBILITY CURRENT G8978CK-7577166GCPT MOBILITY CURRENT G8978CL-7577167GCPT MOBILITY CURRENT G8978CM-7577168GCPT MOBILITY CURRENT G8978CN-7577169GCPT MOBILITY GOAL G8979CI-7577170GCPT MOBILITY GOAL G8979CJ-7577171GCPT MOBILITY GOAL G8979CK-7577172GCPT MOBILITY GOAL G8979CL-7577173GCPT MOBILITY GOAL G8979CM-7577175GCPT MOBILITY DC G8980CI-7577176GCPT MOBILITY DC G8980CJ-7577177GCPT MOBILITY DC G8980CK-7577178GCPT MOBILITY DC G8980CL-7577179GCPT MOBILITY DC G8980CM-7577181GCPT BODY POS CURRENT G8981CI-7577182GCPT BODY POS CURRENT G8981CJ-7577183GCPT BODY POS CURRENT G8981CK-7577185GCPT BODY POS CURRENT G8981CM-7577187GCPT BODY POS GOAL G8982CI-7577188GCPT BODY POS GOAL G8982CJ-7577190GCPT BODY POS GOAL G8982CL-7577193GCPT BODY POS DC G8983CI-7577194GCPT BODY POS DC G8983CJ-7577199GCPT CARRY CURRENT G8984CI-7577200GCPT CARRY CURRENT G8984CJ-7577201GCPT CARRY CURRENT G8984CK-7577202GCPT CARRY CURRENT G8984CL-7577203GCPT CARRY CURRENT G8984CM-7577205GCPT CARRY GOAL G8985CI-7577206GCPT CARRY GOAL G8985CJ-7577207GCPT CARRY GOAL G8985CK-7577208GCPT CARRY GOAL G8985CL-7577211GCPT CARRY DC G8986CI-7577212GCPT CARRY DC G8986CJ-7577213GCPT CARRY DC G8986CK-7577214GCPT CARRY DC G8986CL-7597003PT IONTOPHORESIS 97033114.757597161PT EVAL LOW COMPLEXITY168.507597162PT EVAL MODERATE COMPLEXITY243.507597163PT EVAL HIGH COMPLEXITY318.508000421SODIUM IRRIGATION 0.9% 1000ML13.008000596EPIDURAL TRAY62.958000599HUBER NEEDLE1.008000622BITRAC LARGE NIV FULL FACE BIPAP329.008000627FEM CATH 8FR9.758000629SUTURE MONOSOF BLACK 5/0 P-13165.258000632CERVICAL COLLAR MEDIUM SOFT10.758000633STAPLE REMOVER HAND PLIER10.758000643LUMBAR PUNCTURE TRAY ADULT62.758000645DIAL A FLOW16.758000684TRAY PARACENTESIS275.508000697GASTRIC SUMP TUBE 14FR8.758000698GASTRIC SUMP TUBE 12 FR8.758000707WALKER BOOT SHORT LEG LARGE118.238000708WALKER BOOT SHORT LEG MEDIUM118.238000709WALKER BOOT SHORT LEG SMALL118.238000711THUMB SPICA SMALL RIGHT146.758000712THUMB SPICA SMALL LEFT146.758000713CAST SHOE LARGE20.198000714CAST SHOE SMALL20.198000715CAST SHOE MEDIUM20.198000721ADAPTIC 3X8 OIL DRESSING33.008000725STERILE WATER IRRIGATION 500ML10.758000726SALINE IRRIGATION 500ML11.758000901TRAY WRIST ORTHO SURGERY5,000.008000902TRAY LARGE FRAG ORTHO SURGERY3,000.008000903TRAY SMALL FRAG ORTHO SURGERY2,000.008000904TRAY EYE700.0015800000CHIROPRACTIC 1-2 REGIONS130.0020000250EXTRAORAL-FIRST RADIOGRAPHIC IMAGE66.0020000260EXTRAORAL-EACH ADDTL RADIOGRAPHIC IMAGE15.0020001110PROPHYLAXIS-ADULT128.5020001120PROPHYLAXIS-CHILC96.5020001203TOPICAL FLUORIDE - CHILD54.0020001204TOPICAL FLUORIDE - ADULT54.0020001206TOPICAL APP OF FLUORIDE VARNISH54.0020001351SEALANT - PER TOOTH70.5020001515SPACE MAINTAINER FIXED BILATERAL600.0020002140AMALGAM - 1 SURFACE125.0020002150AMALGAM - 2 SURFACES154.0020002160AMALGAM - 3 SURFACES183.0020002161AMALGAM - 4+ SURFACES192.5040003376GLUCOSE QUANT URINE (003376)6.9040086007ACETYLCHOLINE RECEPTOR AB (086007)563.1740140640VGCC ANTIBODY (140640)178.5040160184STRIATIONAL ABS (160184)80.0040808968PARANEOPLASTIC PROFILE 1 (808968)774.0075772230COOL AEROSOL160.7580000031KERLEX2.0080000080TRAY SUTURE REMOVAL w FCP LITT SCIS10.7580000103STERILE 4X41.0080000537GASTRIC TUBE SUMP 16FR 48IN DUAL LUMEN8.7580000539TRAY LACERATION CLOTH TOWELS/DRAPE27.7580000543ADAPTIC 3X3 STRL2.0080000576CRUTCHES ADULT TALL40.7580000579CVP TRAY ADULT226.0080000595CERVICAL COLLAR LARGE SOFT10.75 ................
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