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Code
Description
Admin of Pneumococcal Immunization
Administration Of Influenza Virus Vaccine When No Physician Fee Schedule Service On The Same Day
Betamethasone acet&sod phosp
Butorphanol tartrate 1 mg
Cefazolin sodium injection
Cefotaxime sodium injection
Chlorpromazine hcl injection
Cyclophosphamide lyophilized, 2.0 gm
DEMEROL 100 MG INJ
Depo Provera 150 mg
Depo-Estradiol Injection 5 mg Charge
Depo-Provera Injection 150 mg Charge
Dexamethasone, oral, 0.25 mg
Diazepam Injection 5 mg Charge
Diphenhydramine, up to 50mg
Eligard/ Leuprolide acetate suspnsion
EPINEPHRINE TO 1 ML
Ertapenem Sodium 500 mg Injection
Etonogestrel Implant (Implanon)
GAMMA GLOBULIN 1 CC
Garamycin gentamicin inj
Hyalgan Injection
Hydrocortisone sodium succ i
Imitrex, sumatriptan succinate, per 6 mg
Influenza Virus Vaccine, IM, Fluzone
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