DIANA IDELSON· SOUTHPORT, NC
Physician group
4320 SOUTHPORT SUPPLY RD SE STE 200, SOUTHPORT, NC 28461
Procedures offered
895 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $19 | $27 | $35 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $10 | $10 | $10 |
| Immunization admin each additional component CPT 90461 • Preventive Care | $5 | $5 | $5 |
| Immunization admin injection single CPT 90471 • Preventive Care | $10 | $10 | $10 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $10 | $11 | $11 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $274 | $274 | $274 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $230 | $244 | $258 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $92 | $98 | $104 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $20 | $20 | $20 |
| MMR vaccine CPT 90707 • Preventive Care | $93 | $97 | $100 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $39 | $39 | $39 |
| Varicella vaccine CPT 90716 • Preventive Care | $16 | $106 | $195 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $13 | $13 | $13 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $94 | $140 | $187 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $106 | $107 | $107 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $111 | $113 | $115 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $113 | $114 | $116 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $99 | $119 | $131 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $98 | $111 | $123 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $142 | $145 | $148 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $123 | $123 | $123 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $7 | $7 | $7 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $102 | $102 | $102 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $83 | $97 | $112 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $114 | $114 | $114 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $94 | $108 | $123 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $66 | $82 | $99 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $3 | $13 | $23 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $104 | $144 | $184 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $135 | $237 | $338 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $180 | $180 | $180 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $100 | $132 | $163 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $163 | $163 | $163 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $127 | $127 | $127 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $30 | $174 | $318 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $345 | $345 | $345 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $13 | $133 | $252 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $30 | $222 | $413 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $371 | $371 | $371 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $947 | $1,113 | $1,278 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $80 | $80 | $80 |
| Spirometry CPT 94010 • Pulmonology | $30 | $31 | $32 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $30 | $42 | $54 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $52 | $52 | $52 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $30 | $33 | $36 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $75 | $109 | $143 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $15 | $23 | $30 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $46 | $49 | $52 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $8 | $23 | $37 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $40 | $40 | $40 |