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Mid-Valley Clinic
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Code
Description
Admin hepatitis B vaccine
BICILLIN L-A 100000 UNITS IM
DEPO ESTRADIOL INJ UP TO 5MG
DEPOMEDROL 40MG INJ IM
DEPOMEDROL 80MG INJ.
DEXAMETHOSONE SOD.PHOSPHAT 1MG
INJ BETAMTHSNE ACETATE/SOD PHO
INJ DEPO MEDROL 20MG IM
Inj Estradiol Valerate, up to 10mg
INJ MEDROXYPROGEST ACETATE 1MG
INJ.Rho dIMM.GLOBLN HUM 300mcg
INTRAUTERINE COPPR CONTRACEPTV
INTRAUTERINE DEVICE SKYLA
J0171 Injection, adrenalin, epinephrine
J0561 Injection, penicillin g benzathin
J0696 Injection, ceftriaxone sodium, 1000mg
J0696 Injection, ceftriaxone sodium, 2000mg
J0696 Injection, ceftriaxone sodium, 250mg
J0696 Injection, ceftriaxone sodium, 500mg
J1200 Diphenhydramine, up to 50mg
J3430 Injection, phytonadione (vitamin k), per 1 mg
J3489 Inj zoledronic acid 1 mg
J7030 Infusion normal saline solution 1000 cc
J7120 Ringers lactate infusion up to 1000 cc
J7323 Euflexxa - 1% Sodium Hyaluronate
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