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Oral or intranasal vaccine administration such as FluMist nasal spray or rotavirus oral vaccine uses CPT 90473 for the first dose and +90474 for each additional dose

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Both of these problems mean that cobalamin deficiency is mainly caused by its insufficient intake (a common complication of a vegetarian or vegan diet) or intestinal absorption disorders of vitamin B12, which occur in the course of diseases of various origins (Table 1) [41]