ROBERT DAHLQUIST· CHARLOTTE, NC

Physician group

1000 BLYTHE BLVD, CHARLOTTE, NC 28203

Procedures offered

947 total

Procedure	Min	Avg	Max
Immunization admin injection each additional CPT 90472 • Preventive Care	$13	$13	$13
HPV vaccine 9-valent CPT 90651 • Preventive Care	$383	$383	$383
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$271	$286	$300
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$119	$119	$119
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$26	$26	$26
MMR vaccine CPT 90707 • Preventive Care	$113	$113	$113
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$58	$58	$58
Varicella vaccine CPT 90716 • Preventive Care	$223	$223	$223
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$136	$151	$165
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$251	$254	$258
Preventive visit new patient infant CPT 99381 • Preventive Care	$85	$110	$136
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	$104	$150	$240
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$233	$233	$233
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$212	$227	$242
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$293	$293	$293
Preventive visit established patient infant CPT 99391 • Preventive Care	$125	$133	$142
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$136	$146	$156
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$186	$200	$214
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$89	$147	$205
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$210	$225	$240
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$172	$172	$172
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$104	$150	$240
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$66	$66	$66
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$45	$72	$100
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$144	$375	$584
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$397	$491	$585
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$136	$187	$290
Annual wellness visit initial HCPCS G0438 • Preventive Care	$297	$322	$348
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$107	$154	$202
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$235	$245	$256
Bronchoscopy with brushing CPT 31623 • Pulmonology	$475	$475	$475
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$306	$375	$444
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$279	$279	$279
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$175	$410	$645
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$1,939	$1,939	$1,939
Ventilation assist and management initiation CPT 94002 • Pulmonology	$68	$111	$153
Spirometry CPT 94010 • Pulmonology	$21	$32	$44
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$22	$22	$22
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$97	$97	$97
Respiratory flow volume loop CPT 94375 • Pulmonology	$24	$52	$80
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$262	$262	$262
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$29	$33	$37
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$27	$31	$35
Plethysmography lung volumes CPT 94726 • Pulmonology	$42	$65	$88
Gas dilution lung volumes CPT 94727 • Pulmonology	$25	$36	$51
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$19	$56	$93
Pulse oximetry single measurement CPT 94760 • Pulmonology	$4	$5	$6
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$4	$23	$43