SAMUEL RALSTON· FORT BRAGG, NC

Physician group

2817 REILLY ST, FORT BRAGG, NC 28310

Procedures offered

947 total

Procedure	Min	Avg	Max
Immunization admin injection each additional CPT 90472 • Preventive Care	$2	$8	$13
HPV vaccine 9-valent CPT 90651 • Preventive Care	$39	$211	$383
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$271	$281	$300
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$18	$69	$119
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$5	$15	$26
MMR vaccine CPT 90707 • Preventive Care	$59	$86	$113
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$58	$59	$60
Varicella vaccine CPT 90716 • Preventive Care	$23	$123	$223
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$70	$103	$136
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$56	$188	$258
Preventive visit new patient infant CPT 99381 • Preventive Care	$9	$72	$136
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$6	$105	$203
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$14	$113	$212
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$8	$124	$240
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$37	$135	$233
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$117	$232	$309
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$14	$121	$228
Preventive visit established patient infant CPT 99391 • Preventive Care	$53	$106	$142
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$12	$93	$187
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$29	$143	$214
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$10	$107	$205
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$14	$118	$182
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$73	$148	$223
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$52	$113	$182
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$3	$25	$47
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$24	$225	$341
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$148	$366	$584
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$111	$280	$585
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$136	$165	$222
Annual wellness visit initial HCPCS G0438 • Preventive Care	$137	$260	$348
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$107	$139	$202
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$26	$227	$427
Bronchoscopy with brushing CPT 31623 • Pulmonology	$13	$125	$237
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$53	$312	$643
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$31	$155	$279
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$35	$247	$392
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$44	$992	$1,939
Ventilation assist and management initiation CPT 94002 • Pulmonology	$68	$97	$153
Spirometry CPT 94010 • Pulmonology	$14	$36	$58
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$15	$18	$22
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$26	$38	$50
Respiratory flow volume loop CPT 94375 • Pulmonology	$11	$27	$40
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$116	$117	$119
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$4	$24	$37
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$3	$22	$35
Plethysmography lung volumes CPT 94726 • Pulmonology	$8	$14	$20
Gas dilution lung volumes CPT 94727 • Pulmonology	$17	$24	$34
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$19	$45	$93
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$3	$4
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$20	$28	$43