90723 (423040)    SELECTION (357.3)

Name Value
SELECTION ID 90723
SELECTION LIST CPT CODES
SELECTION GROUP IMMUNIZATIONS
PRINT ORDER WITHIN GROUP 3
QUANTITY 1
SUBCOLUMN VALUE
  • SUBCOLUMN NUMBER:   2
    90723
  • SUBCOLUMN NUMBER:   3
    DTAP-HEP B-IPV VACCINE, IM