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Santa Cruz - Excel

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            FACILITY     CHARGE BILLING DESCRIPTION              SEQ 999 DEPARTMENT DESCRIPTION
            NAME         CODE                                    AMOUNT



            Santa Cruz   4200044   BASIC METABOLIC PNL               48.00   LAB SERVICES-CHEMISTRY
            Santa Cruz   4300133   BLD SMR EXAM W MAN DIFF           27.00   LAB SERVICES-HEMATOLOGY
            Santa Cruz   4300117   CBC AUTO                          39.00   LAB SERVICES-HEMATOLOGY
            Santa Cruz   4304481   CBC AUTO                          39.00   LAB SERVICES-HEMATOLOGY
            Santa Cruz   4300166   CBC AUTO W AUTO DIFF WBC          45.00   LAB SERVICES-HEMATOLOGY
            Santa Cruz   2300242   GASTRIC ANALYSIS TEST             23.20   SURGERY MINOR
            Santa Cruz   2040350   GLUCOSE FINGERSTICK               21.60   SURGERY PROCEDURES
            Santa Cruz   2300176   INJ NRV BLK L/S 1 LVL            466.00   SURGERY MINOR
            Santa Cruz   2300218   INJ NRV BLK L/S ADDL LVL         288.00   SURGERY MINOR
            Santa Cruz   2040384   INJECTION ANTIBIOTIC IM           34.00   SURGERY PROCEDURES
            Santa Cruz   2040376   INJECTION IV EA                   63.00   SURGERY PROCEDURES
            Santa Cruz   3001146   MDI/NEB SUBSQ                    101.00   RESPIRATORY-PULMONARY SER
            Santa Cruz   6100069   NST (NON-STRESS TEST)            204.00   OB/GYN SERVICES INPATIENT
            Santa Cruz   3000130   OXYGEN UPTAKE REST                41.00   RESPIRATORY-PULMONARY SER
            Santa Cruz   4110722   PREGNANCY SCRN UR                 37.00   LAB SERVICES-BLOOD
            Santa Cruz   4200523   PREGNANCY TEST SER QL             75.00   LAB SERVICES-CHEMISTRY
            Santa Cruz   1702109   PT ADL TRAIN ADD 15               44.00   REHABILITATION SERVICES
            Santa Cruz   1702018   PT EVAL 15                        87.00   REHABILITATION SERVICES
            Santa Cruz   1700301   PT GAIT TRAIN ADD 15             102.00   REHABILITATION SERVICES
            Santa Cruz   1700202   PT THER EX ADD 15                102.00   REHABILITATION SERVICES
            Santa Cruz   2010189   SEDATION IV/IM/INH               328.00   SURGERY PROCEDURES
            Santa Cruz   6100531   URNALYSIS MAN W/ MICRO            25.00   OB/GYN SERVICES INPATIENT
            Santa Cruz   2040541   VENIPUNCTURE                      19.00   SURGERY PROCEDURES
            Santa Cruz   625228    XR FLUORO 1HR OR LES             690.00   DIAGNOSTIC IMAGING PROCED
            Santa Cruz   629220    XR SPINE LUMB 2-3V               165.00   DIAGNOSTIC IMAGING PROCED




4/24/2010                                                                                                1

				
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