JEANETTE DEFELICE· BURLINGTON, NC

Physician group

1240 HUFFMAN MILL ROAD, BURLINGTON, NC 27215

Procedures offered

952 total

Procedure	Min	Avg	Max
Immunization admin each additional component CPT 90461 • Preventive Care	$15	$21	$27
Immunization admin injection single CPT 90471 • Preventive Care	$21	$21	$22
Immunization admin injection each additional CPT 90472 • Preventive Care	$12	$20	$27
HPV vaccine 9-valent CPT 90651 • Preventive Care	$395	$542	$690
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$272	$373	$474
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$123	$169	$215
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$24	$32	$41
MMR vaccine CPT 90707 • Preventive Care	$117	$161	$206
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$59	$70	$82
Varicella vaccine CPT 90716 • Preventive Care	$230	$316	$403
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$141	$207	$274
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$282	$367	$452
Preventive visit new patient infant CPT 99381 • Preventive Care	$70	$137	$203
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$129	$171	$213
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$126	$174	$221
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$136	$235	$333
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$136	$189	$242
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$160	$228	$296
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$173	$239	$304
Preventive visit established patient infant CPT 99391 • Preventive Care	$60	$117	$173
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$101	$180	$259
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$70	$130	$190
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$109	$163	$216
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$80	$151	$222
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$122	$177	$233
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$134	$234	$333
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$27	$58	$89
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$71	$71	$71
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$368	$431	$494
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$217	$356	$494
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$110	$244	$379
Annual wellness visit initial HCPCS G0438 • Preventive Care	$204	$204	$204
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$138	$195	$252
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$424	$544	$665
Bronchoscopy with brushing CPT 31623 • Pulmonology	$466	$595	$724
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$62	$124	$186
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$217	$541	$866
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$241	$479	$717
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$1,294	$1,750	$2,205
Ventilation assist and management initiation CPT 94002 • Pulmonology	$90	$90	$90
Spirometry CPT 94010 • Pulmonology	$40	$59	$78
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$49	$90	$132
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$67	$99	$130
Respiratory flow volume loop CPT 94375 • Pulmonology	$17	$35	$54
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$167	$261	$355
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$15	$27	$39
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$16	$26	$37
Plethysmography lung volumes CPT 94726 • Pulmonology	$15	$52	$90
Gas dilution lung volumes CPT 94727 • Pulmonology	$57	$57	$57
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$73	$96	$120