90716 (261794)    SELECTION (357.3)

Name Value
SELECTION ID 90716
SELECTION LIST CPT CODES
SELECTION GROUP IMMUNIZATIONS
PRINT ORDER WITHIN GROUP 34
QUANTITY 1
SUBCOLUMN VALUE
  • SUBCOLUMN NUMBER:   2
    90716
  • SUBCOLUMN NUMBER:   3
    VARIVAX (CHICKEN POX) VACCINE