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7.68k
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|---|---|---|---|---|---|
4/5/2013 J7506 PREDNISONE TAB 10MG 3 $1.98
| 4/5/2013 J7506 PREDNISONE TAB 10MG 3 $1.98 | (2.25, 2.25) | ncp-1-3 | 2 | 3,118 |
4/5/2013 J7506 PREDNISONE TAB 10MG 3 $1.98
| 4/5/2013 J7506 PREDNISONE TAB 10MG 3 $1.98 | (3.25, 3.25) | ncp-1-3 | 2 | 3,154 |
SUBTOTAL: 14821.00
| SUBTOTAL: 14821.00 | (3.25, 3.25) | ncp-6-1 | 2 | 4,782 |
SUBTOTAL: 14821.00
| SUBTOTAL: 14821.00 | (2.25, 2.25) | ncp-6-1 | 2 | 4,734 |
SUBTOTAL: 14821.00
| SUBTOTAL: 14821.00 | (1, 1) | ncp-6-1 | 2 | 4,686 |
4/5/2013 SALINE LOCK IRRIG PFS 0.9% 10ML 1 $7.09
| 4/5/2013 SALINE LOCK IRRIG PFS 0.9% 10ML 1 $7.09 | (2.25, 2.25) | ncp-1-3 | 2 | 3,263 |
SUBTOTAL: 14821.00
| SUBTOTAL: 14821.00 | (0.5, 0.5) | ncp-6-1 | 2 | 4,638 |
4/3/2013 97001 PT EVALUATION 30" 1 $385.75
| 4/3/2013 97001 PT EVALUATION 30" 1 $385.75 | (1, 1) | ncp-1-3 | 2 | 3,372 |
040317 03B881 0718 695103 C1753 1 CATH ULTSND PLTN EGL 3497.00
| 040317 03B881 0718 695103 C1753 1 CATH ULTSND PLTN EGL 3497.00 | (1, 1) | ncp-6-1 | 2 | 4,493 |
4/5/2013 BENAZEPRIL TAB 10MG 1 $11.71
| 4/5/2013 BENAZEPRIL TAB 10MG 1 $11.71 | (2.25, 2.25) | ncp-1-3 | 2 | 2,973 |
4/5/2013 SIMVASTATIN TAB 20MG 1 $57.05
| 4/5/2013 SIMVASTATIN TAB 20MG 1 $57.05 | (2.25, 2.25) | ncp-1-3 | 2 | 3,553 |
4/5/2013 SIMVASTATIN TAB 20MG 1 $57.05
| 4/5/2013 SIMVASTATIN TAB 20MG 1 $57.05 | (3.25, 3.25) | ncp-1-3 | 2 | 3,589 |
4/6/2013 J3010 FENTANYL INJ 100MCG/2ML VL 1 $14.06
| 4/6/2013 J3010 FENTANYL INJ 100MCG/2ML VL 1 $14.06 | (1, 1) | ncp-1-3 | 2 | 3,807 |
4/6/2013 J3010 FENTANYL INJ 100MCG/2ML VL 1 $14.06
| 4/6/2013 J3010 FENTANYL INJ 100MCG/2ML VL 1 $14.06 | (3.25, 3.25) | ncp-1-3 | 2 | 3,879 |
4/6/2013 J7620 DUONEB UD 2.5MG/0.5MG 3ML 1 $25.62
| 4/6/2013 J7620 DUONEB UD 2.5MG/0.5MG 3ML 1 $25.62 | (1, 1) | ncp-1-3 | 2 | 3,952 |
4/6/2013 J7620 DUONEB UD 2.5MG/0.5MG 3ML 1 $25.62
| 4/6/2013 J7620 DUONEB UD 2.5MG/0.5MG 3ML 1 $25.62 | (2.25, 2.25) | ncp-1-3 | 2 | 3,988 |
040317 03B881 0718 695099 C1769 1 PRESSUREWIRE AERIS 300 921.00
| 040317 03B881 0718 695099 C1769 1 PRESSUREWIRE AERIS 300 921.00 | (1, 1) | ncp-6-1 | 2 | 4,300 |
040317 03B881 0718 695099 C1769 1 PRESSUREWIRE AERIS 300 921.00
| 040317 03B881 0718 695099 C1769 1 PRESSUREWIRE AERIS 300 921.00 | (0.5, 0.5) | ncp-6-1 | 2 | 4,252 |
4/6/2013 SALINE LOCK IRRIG PFS 0.9% 2ML 1 $33.93
| 4/6/2013 SALINE LOCK IRRIG PFS 0.9% 2ML 1 $33.93 | (1, 1) | ncp-1-3 | 2 | 4,097 |
4/5/2013 BENAZEPRIL TAB 10MG 1 $11.71
| 4/5/2013 BENAZEPRIL TAB 10MG 1 $11.71 | (3.25, 3.25) | ncp-1-3 | 2 | 3,009 |
4/5/2013 BENAZEPRIL TAB 10MG 1 $11.71
| 4/5/2013 BENAZEPRIL TAB 10MG 1 $11.71 | (1, 1) | ncp-1-3 | 2 | 2,937 |
6020080025 206 R&B PCU 1 3832.00 3832.00
| 6020080025 206 R&B PCU 1 3832.00 3832.00 | (1, 1) | ncp-0-1 | 2 | 200 |
012710 3711993 RH (D) 28.00
| 012710 3711993 RH (D) 28.00 | (1, 1) | ncp-4-0 | 2 | 557 |
012710 8769873 ESTAB PT LEVEL 3 DTL 99213 158.00
| 012710 8769873 ESTAB PT LEVEL 3 DTL 99213 158.00 | (2.25, 2.25) | ncp-4-0 | 2 | 768 |
012710 8769873 ESTAB PT LEVEL 3 DTL 99213 158.00
| 012710 8769873 ESTAB PT LEVEL 3 DTL 99213 158.00 | (1, 1) | ncp-4-0 | 2 | 739 |
012710 1960561 CT THORAX W/CONTRAST 71260 2281.00
| 012710 1960561 CT THORAX W/CONTRAST 71260 2281.00 | (3.25, 3.25) | ncp-4-0 | 2 | 705 |
012710 1960561 CT THORAX W/CONTRAST 71260 2281.00
| 012710 1960561 CT THORAX W/CONTRAST 71260 2281.00 | (2.25, 2.25) | ncp-4-0 | 2 | 677 |
012710 1960561 CT THORAX W/CONTRAST 71260 2281.00
| 012710 1960561 CT THORAX W/CONTRAST 71260 2281.00 | (1, 1) | ncp-4-0 | 2 | 648 |
012710 3711993 RH (D) 28.00
| 012710 3711993 RH (D) 28.00 | (3.25, 3.25) | ncp-4-0 | 2 | 614 |
012710 3711993 RH (D) 28.00
| 012710 3711993 RH (D) 28.00 | (3.25, 3.25) | ncp-4-0 | 2 | 613 |
012710 3711993 RH (D) 28.00
| 012710 3711993 RH (D) 28.00 | (2.25, 2.25) | ncp-4-0 | 2 | 586 |
012710 3711993 RH (D) 28.00
| 012710 3711993 RH (D) 28.00 | (2.25, 2.25) | ncp-4-0 | 2 | 585 |
012710 3711993 RH (D) 28.00
| 012710 3711993 RH (D) 28.00 | (1, 1) | ncp-4-0 | 2 | 556 |
4/5/2013 LORATADINE TAB 10MG 1 $3.49
| 4/5/2013 LORATADINE TAB 10MG 1 $3.49 | (3.25, 3.25) | ncp-1-3 | 2 | 2,864 |
012710 3711993 RH (D) 28.00
| 012710 3711993 RH (D) 28.00 | (3.25, 3.25) | ncp-4-0 | 2 | 524 |
012710 3711993 RH (D) 28.00
| 012710 3711993 RH (D) 28.00 | (3.25, 3.25) | ncp-4-0 | 2 | 523 |
012710 3711993 RH (D) 28.00
| 012710 3711993 RH (D) 28.00 | (2.25, 2.25) | ncp-4-0 | 2 | 496 |
012710 3711993 RH (D) 28.00
| 012710 3711993 RH (D) 28.00 | (2.25, 2.25) | ncp-4-0 | 2 | 495 |
012710 3711993 RH (D) 28.00
| 012710 3711993 RH (D) 28.00 | (1, 1) | ncp-4-0 | 2 | 467 |
012710 3711993 RH (D) 28.00
| 012710 3711993 RH (D) 28.00 | (1, 1) | ncp-4-0 | 2 | 466 |
DATE CODE DESCRIPTION AMOUNT
| DATE CODE DESCRIPTION AMOUNT | (3.25, 3.25) | ncp-4-0 | 2 | 432 |
DATE CODE DESCRIPTION AMOUNT
| DATE CODE DESCRIPTION AMOUNT | (2.25, 2.25) | ncp-4-0 | 2 | 404 |
DATE CODE DESCRIPTION AMOUNT
| DATE CODE DESCRIPTION AMOUNT | (1, 1) | ncp-4-0 | 2 | 375 |
4/6/2013 SALINE LOCK IRRIG PFS 0.9% 2ML 1 $33.93
| 4/6/2013 SALINE LOCK IRRIG PFS 0.9% 2ML 1 $33.93 | (2.25, 2.25) | ncp-1-3 | 2 | 4,133 |
040317 03B881 0718 269082 C1894 1 SHTH CTH MIC PNCH 4 389.00
| 040317 03B881 0718 269082 C1894 1 SHTH CTH MIC PNCH 4 389.00 | (2.25, 2.25) | ncp-6-1 | 2 | 3,962 |
4/6/2013 DOCUSATE CAP 100MG 2 $0.86
| 4/6/2013 DOCUSATE CAP 100MG 2 $0.86 | (1, 1) | ncp-1-3 | 2 | 4,387 |
040317 03B881 0718 272181 C1769 2 GWIRE EXSPRT .014 300 1884.00
| 040317 03B881 0718 272181 C1769 2 GWIRE EXSPRT .014 300 1884.00 | (0.5, 0.5) | ncp-6-1 | 2 | 2,901 |
SUBTOTAL: 515.29
| SUBTOTAL: 515.29 | (1, 1) | ncp-6-1 | 2 | 1,405 |
040317 03B881 0718 282453 C1725 4 CATH BLN NCEUP 2.25X12 2580.00
| 040317 03B881 0718 282453 C1725 4 CATH BLN NCEUP 2.25X12 2580.00 | (1, 1) | ncp-6-1 | 2 | 3,528 |
SUBTOTAL: 515.29
| SUBTOTAL: 515.29 | (3.25, 3.25) | ncp-6-1 | 2 | 1,501 |
040317 03B881 0718 354616 C1887 1 CTHGD VBT 7F 078 JR4 1 539.00
| 040317 03B881 0718 354616 C1887 1 CTHGD VBT 7F 078 JR4 1 539.00 | (3.25, 3.25) | ncp-6-1 | 2 | 3,238 |
040317 03B881 0718 354616 C1887 1 CTHGD VBT 7F 078 JR4 1 539.00
| 040317 03B881 0718 354616 C1887 1 CTHGD VBT 7F 078 JR4 1 539.00 | (2.25, 2.25) | ncp-6-1 | 2 | 3,190 |
SUBTOTAL: 275.00
| SUBTOTAL: 275.00 | (0.5, 0.5) | ncp-6-1 | 2 | 1,936 |
040317 03B881 0718 354616 C1887 1 CTHGD VBT 7F 078 JR4 1 539.00
| 040317 03B881 0718 354616 C1887 1 CTHGD VBT 7F 078 JR4 1 539.00 | (0.5, 0.5) | ncp-6-1 | 2 | 3,094 |
040317 03B881 0718 272181 C1769 2 GWIRE EXSPRT .014 300 1884.00
| 040317 03B881 0718 272181 C1769 2 GWIRE EXSPRT .014 300 1884.00 | (3.25, 3.25) | ncp-6-1 | 2 | 3,045 |
040317 03B881 0718 272181 C1769 2 GWIRE EXSPRT .014 300 1884.00
| 040317 03B881 0718 272181 C1769 2 GWIRE EXSPRT .014 300 1884.00 | (2.25, 2.25) | ncp-6-1 | 2 | 2,997 |
040317 03B881 0718 269152 1 KIT PRSS STD W/72TBG 132.00
| 040317 03B881 0718 269152 1 KIT PRSS STD W/72TBG 132.00 | (3.25, 3.25) | ncp-6-1 | 2 | 2,852 |
4/6/2013 DOCUSATE CAP 100MG 2 $0.86
| 4/6/2013 DOCUSATE CAP 100MG 2 $0.86 | (2.25, 2.25) | ncp-1-3 | 2 | 4,423 |
040317 03B881 0718 269152 1 KIT PRSS STD W/72TBG 132.00
| 040317 03B881 0718 269152 1 KIT PRSS STD W/72TBG 132.00 | (2.25, 2.25) | ncp-6-1 | 2 | 2,804 |
040317 03B881 0718 269152 1 KIT PRSS STD W/72TBG 132.00
| 040317 03B881 0718 269152 1 KIT PRSS STD W/72TBG 132.00 | (1, 1) | ncp-6-1 | 2 | 2,756 |
040317 03B881 0718 269152 1 KIT PRSS STD W/72TBG 132.00
| 040317 03B881 0718 269152 1 KIT PRSS STD W/72TBG 132.00 | (0.5, 0.5) | ncp-6-1 | 2 | 2,708 |
040317 03B881 0718 281479 1 BAND TR BND 24CM REG 2 573.00
| 040317 03B881 0718 281479 1 BAND TR BND 24CM REG 2 573.00 | (3.25, 3.25) | ncp-6-1 | 2 | 2,659 |
272-STERILE SUPPLIES
| 272-STERILE SUPPLIES | (0.5, 0.5) | ncp-6-1 | 2 | 2,129 |
272-STERILE SUPPLIES
| 272-STERILE SUPPLIES | (1, 1) | ncp-6-1 | 2 | 2,177 |
272-STERILE SUPPLIES
| 272-STERILE SUPPLIES | (2.25, 2.25) | ncp-6-1 | 2 | 2,225 |
272-STERILE SUPPLIES
| 272-STERILE SUPPLIES | (3.25, 3.25) | ncp-6-1 | 2 | 2,273 |
040317 03B881 0718 281479 1 BAND TR BND 24CM REG 2 573.00
| 040317 03B881 0718 281479 1 BAND TR BND 24CM REG 2 573.00 | (1, 1) | ncp-6-1 | 2 | 2,563 |
SUBTOTAL: 515.29
| SUBTOTAL: 515.29 | (0.5, 0.5) | ncp-6-1 | 2 | 1,357 |
040517 05B260 0712 440161 63739043401 1 ASPIRIN 81MG CHEW TAB 1.00
| 040517 05B260 0712 440161 63739043401 1 ASPIRIN 81MG CHEW TAB 1.00 | (3.25, 3.25) | ncp-6-1 | 2 | 1,308 |
040517 05B260 0712 440161 63739043401 1 ASPIRIN 81MG CHEW TAB 1.00
| 040517 05B260 0712 440161 63739043401 1 ASPIRIN 81MG CHEW TAB 1.00 | (2.25, 2.25) | ncp-6-1 | 2 | 1,260 |
040517 05B260 0712 440161 63739043401 1 ASPIRIN 81MG CHEW TAB 1.00
| 040517 05B260 0712 440161 63739043401 1 ASPIRIN 81MG CHEW TAB 1.00 | (0.5, 0.5) | ncp-6-1 | 2 | 1,164 |
4/6/2013 DOCUSATE CAP 100MG 2 $0.86
| 4/6/2013 DOCUSATE CAP 100MG 2 $0.86 | (3.25, 3.25) | ncp-1-3 | 2 | 4,459 |
4/6/2013 DOXYCYCLINE CAP 50MG 2 $17.00
| 4/6/2013 DOXYCYCLINE CAP 50MG 2 $17.00 | (1, 1) | ncp-1-3 | 2 | 4,532 |
4/6/2013 DOXYCYCLINE CAP 50MG 2 $17.00
| 4/6/2013 DOXYCYCLINE CAP 50MG 2 $17.00 | (2.25, 2.25) | ncp-1-3 | 2 | 4,568 |
4/6/2013 DOXYCYCLINE CAP 50MG 2 $17.00
| 4/6/2013 DOXYCYCLINE CAP 50MG 2 $17.00 | (3.25, 3.25) | ncp-1-3 | 2 | 4,604 |
040317 03B881 0718 269082 C1894 1 SHTH CTH MIC PNCH 4 389.00
| 040317 03B881 0718 269082 C1894 1 SHTH CTH MIC PNCH 4 389.00 | (0.5, 0.5) | ncp-6-1 | 2 | 3,866 |
4/6/2013 LORATADINE TAB 10MG 1 $3.49
| 4/6/2013 LORATADINE TAB 10MG 1 $3.49 | (1, 1) | ncp-1-3 | 2 | 4,677 |
4/6/2013 J1650 ENOXAPARIN PFS 30MG/0.3ML 1 $345.34
| 4/6/2013 J1650 ENOXAPARIN PFS 30MG/0.3ML 1 $345.34 | (2.25, 2.25) | ncp-1-3 | 2 | 4,858 |
4/6/2013 PANTOPRAZOLE EC TAB 40MG 1 $47.46 | 4/5/2013 PANTOPRAZOLE EC TAB 40MG 1 $47.46 | (1, 1) | ncp-1-3 | 2 | 4,950 |
4/6/2013 PANTOPRAZOLE EC TAB 40MG 1 $47.46 | 4/5/2013 PANTOPRAZOLE EC TAB 40MG 1 $47.46 | (3.25, 3.25) | ncp-1-3 | 2 | 5,022 |
040417 04B039 0712 440161 904404073 1 ASPIRIN 81MG CHEW TAB 1.00
| 040417 04B039 0712 440161 904404073 1 ASPIRIN 81MG CHEW TAB 1.00 | (0.5, 0.5) | ncp-6-1 | 2 | 199 |
040417 04B039 0712 440161 904404073 1 ASPIRIN 81MG CHEW TAB 1.00
| 040417 04B039 0712 440161 904404073 1 ASPIRIN 81MG CHEW TAB 1.00 | (1, 1) | ncp-6-1 | 2 | 247 |
040417 04B133 0712 443838 904629261 2 ATORVASTATIN 40 MG TAB 18.00
| 040417 04B133 0712 443838 904629261 2 ATORVASTATIN 40 MG TAB 18.00 | (0.5, 0.5) | ncp-6-1 | 2 | 392 |
040417 04B133 0712 443838 904629261 2 ATORVASTATIN 40 MG TAB 18.00
| 040417 04B133 0712 443838 904629261 2 ATORVASTATIN 40 MG TAB 18.00 | (1, 1) | ncp-6-1 | 2 | 440 |
040417 04B039+ 0712 444089 62584026511 2 METOPROLOL 25MG TAB 8.00
| 040417 04B039+ 0712 444089 62584026511 2 METOPROLOL 25MG TAB 8.00 | (0.5, 0.5) | ncp-6-1 | 2 | 585 |
040417 04B039+ 0712 444089 62584026511 2 METOPROLOL 25MG TAB 8.00
| 040417 04B039+ 0712 444089 62584026511 2 METOPROLOL 25MG TAB 8.00 | (1, 1) | ncp-6-1 | 2 | 633 |
040417 04B039+ 0712 444089 62584026511 2 METOPROLOL 25MG TAB 8.00
| 040417 04B039+ 0712 444089 62584026511 2 METOPROLOL 25MG TAB 8.00 | (2.25, 2.25) | ncp-6-1 | 2 | 681 |
040417 04B039+ 0712 444089 62584026511 2 METOPROLOL 25MG TAB 8.00
| 040417 04B039+ 0712 444089 62584026511 2 METOPROLOL 25MG TAB 8.00 | (3.25, 3.25) | ncp-6-1 | 2 | 729 |
040517 05B260 0712 445365 186077739 1 TICAGRELOR 90 MG TAB 46.00
| 040517 05B260 0712 445365 186077739 1 TICAGRELOR 90 MG TAB 46.00 | (0.5, 0.5) | ncp-6-1 | 2 | 778 |
040517 05B260 0712 444089 62584026511 1 METOPROLOL 25MG TAB 4.00
| 040517 05B260 0712 444089 62584026511 1 METOPROLOL 25MG TAB 4.00 | (0.5, 0.5) | ncp-6-1 | 2 | 971 |
012710 8769873 ESTAB PT LEVEL 3 DTL 99213 158.00
| 012710 8769873 ESTAB PT LEVEL 3 DTL 99213 158.00 | (3.25, 3.25) | ncp-4-0 | 2 | 796 |
012710 9389883 CONSULT/ESTAB LEVEL 3 DTL 158.00
| 012710 9389883 CONSULT/ESTAB LEVEL 3 DTL 158.00 | (1, 1) | ncp-4-0 | 2 | 830 |
012710 9389883 CONSULT/ESTAB LEVEL 3 DTL 158.00
| 012710 9389883 CONSULT/ESTAB LEVEL 3 DTL 158.00 | (2.25, 2.25) | ncp-4-0 | 2 | 859 |
4/5/2013 DOXYCYCLINE CAP 50MG 2 $17.00
| 4/5/2013 DOXYCYCLINE CAP 50MG 2 $17.00 | (3.25, 3.25) | ncp-1-3 | 2 | 2,139 |
4/5/2013 J7040 NACL 0.9% 500ML BAG 1 $11.60
| 4/5/2013 J7040 NACL 0.9% 500ML BAG 1 $11.60 | (3.25, 3.25) | ncp-1-3 | 2 | 1,704 |
4/5/2013 J7620 DUONEB UD 2.5MG/0.5MG 3ML 1 $25.62
| 4/5/2013 J7620 DUONEB UD 2.5MG/0.5MG 3ML 1 $25.62 | (1, 1) | ncp-1-3 | 2 | 1,777 |
4/5/2013 J7620 DUONEB UD 2.5MG/0.5MG 3ML 1 $25.62
| 4/5/2013 J7620 DUONEB UD 2.5MG/0.5MG 3ML 1 $25.62 | (2.25, 2.25) | ncp-1-3 | 2 | 1,813 |
040217 02B661+ 0736 290945 84484 3 TROPONIN QUANT 1380.00
| 040217 02B661+ 0736 290945 84484 3 TROPONIN QUANT 1380.00 | (0.5, 0.5) | ncp-6-1 | 2 | 6,375 |
040217 02B661+ 0736 290116 82550 2 CREAT KINASE (CK) TOTA 606.00
| 040217 02B661+ 0736 290116 82550 2 CREAT KINASE (CK) TOTA 606.00 | (3.25, 3.25) | ncp-6-1 | 2 | 6,326 |
040217 02B661+ 0736 290116 82550 2 CREAT KINASE (CK) TOTA 606.00
| 040217 02B661+ 0736 290116 82550 2 CREAT KINASE (CK) TOTA 606.00 | (2.25, 2.25) | ncp-6-1 | 2 | 6,278 |