ISMA VELEZ-FERNANDEZ· WINSTON SALEM, NC

Physician group

3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103

Procedures offered

952 total

Procedure	Min	Avg	Max
Immunization admin each additional component CPT 90461 • Preventive Care	$22	$22	$22
Immunization admin injection single CPT 90471 • Preventive Care	$44	$44	$44
Immunization admin injection each additional CPT 90472 • Preventive Care	$22	$22	$22
HPV vaccine 9-valent CPT 90651 • Preventive Care	$560	$560	$560
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$440	$440	$440
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$174	$174	$174
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$38	$38	$38
MMR vaccine CPT 90707 • Preventive Care	$165	$165	$165
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$85	$85	$85
Varicella vaccine CPT 90716 • Preventive Care	$327	$327	$327
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$200	$200	$200
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$367	$367	$367
Preventive visit new patient infant CPT 99381 • Preventive Care	$194	$194	$194
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$203	$203	$203
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$212	$212	$212
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$182	$182	$182
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$231	$231	$231
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$213	$213	$213
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$228	$228	$228
Preventive visit established patient infant CPT 99391 • Preventive Care	$125	$125	$125
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$137	$137	$137
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$186	$186	$186
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$204	$204	$204
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$209	$209	$209
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$222	$222	$222
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$239	$239	$239
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$68	$68	$68
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$294	$294	$294
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$563	$563	$563
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$348	$348	$348
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$294	$294	$294
Annual wellness visit initial HCPCS G0438 • Preventive Care	$303	$303	$303
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$205	$205	$205
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$430	$430	$430
Bronchoscopy with brushing CPT 31623 • Pulmonology	$480	$480	$480
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$249	$249	$249
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$588	$588	$588
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$623	$623	$623
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$1,451	$1,451	$1,451
Ventilation assist and management initiation CPT 94002 • Pulmonology	$167	$167	$167
Spirometry CPT 94010 • Pulmonology	$62	$62	$62
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$106	$106	$106
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$54	$54	$54
Respiratory flow volume loop CPT 94375 • Pulmonology	$26	$26	$26
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$123	$123	$123
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$32	$32	$32
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$30	$30	$30
Plethysmography lung volumes CPT 94726 • Pulmonology	$70	$70	$70
Gas dilution lung volumes CPT 94727 • Pulmonology	$22	$22	$22
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$16	$16	$16