90647 (277404)    SELECTION (357.3)

Name Value
SELECTION ID 90647
SELECTION LIST CPT CODES
SELECTION GROUP IMMUNIZATIONS
PRINT ORDER WITHIN GROUP 13
QUANTITY 1
SUBCOLUMN VALUE
  • SUBCOLUMN NUMBER:   2
    90647
  • SUBCOLUMN NUMBER:   3
    HIB VACCINE, PRP-OMP, IM