STACIE DAVIDSON· CHARLOTTE, NC

Physician group

4601 PARK RD STE 400, CHARLOTTE, NC 28209

Procedures offered

780 total

Procedure	Min	Avg	Max
Immunization admin injection each additional CPT 90472 • Preventive Care	$10	$10	$10
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$230	$230	$230
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$104	$104	$104
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$20	$20	$20
MMR vaccine CPT 90707 • Preventive Care	$100	$100	$100
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$39	$39	$39
Varicella vaccine CPT 90716 • Preventive Care	$195	$195	$195
Preventive visit new patient infant CPT 99381 • Preventive Care	$98	$98	$99
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$103	$103	$103
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$107	$107	$107
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$121	$121	$122
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$117	$117	$117
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$147	$147	$147
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$95	$95	$95
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$77	$77	$77
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$113	$113	$113
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$91	$106	$122
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$43	$43	$43
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$63	$63	$63
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$359	$359	$359
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$184	$184	$184
Annual wellness visit initial HCPCS G0438 • Preventive Care	$190	$190	$190
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$128	$128	$128
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$22	$26	$30
Bronchoscopy with brushing CPT 31623 • Pulmonology	$30	$30	$30
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$30	$30	$30
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$30	$30	$30
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$30	$30	$30
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$1,073	$1,073	$1,073
Ventilation assist and management initiation CPT 94002 • Pulmonology	$99	$99	$99
Spirometry CPT 94010 • Pulmonology	$37	$37	$37
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$30	$30	$30
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$30	$30	$30
Respiratory flow volume loop CPT 94375 • Pulmonology	$30	$30	$30
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$30	$30	$30
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$30	$30	$30
Plethysmography lung volumes CPT 94726 • Pulmonology	$56	$56	$57
Gas dilution lung volumes CPT 94727 • Pulmonology	$23	$34	$46
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$48	$48	$48
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$13	$20	$26
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$64	$64	$64
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$152	$152	$152
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$248	$248	$248
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$74	$74	$74
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$442	$442	$442
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$1,743	$1,743	$1,743
Radiation physics consultation CPT 77336 • Radiation Therapy	$71	$71	$71
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,085	$1,085	$1,086
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$1,157	$1,157	$1,157
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$30	$30	$30