90714 (261786)    SELECTION (357.3)

Name Value
SELECTION ID 90714
SELECTION LIST CPT CODES
SELECTION GROUP IMMUNIZATIONS
PRINT ORDER WITHIN GROUP 31
QUANTITY 1
SUBCOLUMN VALUE
  • SUBCOLUMN NUMBER:   2
    90714
  • SUBCOLUMN NUMBER:   3
    TD VACCINE NO PRSRV IM