CHRISTINA SUTTLE· GASTONIA, NC

Physician group

2711 X RAY DR STE 3701, GASTONIA, NC 28054

Procedures offered

782 total

Procedure	Min	Avg	Max
Immunization admin injection single CPT 90471 • Preventive Care	$10	$13	$20
Immunization admin injection each additional CPT 90472 • Preventive Care	$10	$11	$12
HPV vaccine 9-valent CPT 90651 • Preventive Care	$316	$316	$316
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$257	$257	$258
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$84	$88	$92
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$19	$19	$19
MMR vaccine CPT 90707 • Preventive Care	$91	$92	$93
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$40	$40	$40
Varicella vaccine CPT 90716 • Preventive Care	$163	$174	$184
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$13	$73	$133
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$176	$181	$187
Preventive visit new patient infant CPT 99381 • Preventive Care	$101	$104	$106
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$96	$104	$111
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$116	$117	$118
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$99	$112	$131
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$109	$109	$109
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$148	$148	$149
Preventive visit established patient infant CPT 99391 • Preventive Care	$67	$82	$98
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$89	$98	$102
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$102	$103	$104
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$104	$108	$112
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$115	$115	$115
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$98	$110	$123
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$132	$132	$133
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$38	$38	$38
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$184	$184	$184
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$235	$287	$338
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$195	$195	$195
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$163	$163	$163
Annual wellness visit initial HCPCS G0438 • Preventive Care	$130	$152	$163
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$103	$119	$127
Bronchoscopy diagnostic CPT 31622 • 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	$66	$139
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$1,278	$1,278	$1,278
Ventilation assist and management initiation CPT 94002 • Pulmonology	$91	$91	$91
Spirometry CPT 94010 • Pulmonology	$19	$25	$30
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$30	$31	$32
Respiratory flow volume loop CPT 94375 • Pulmonology	$30	$30	$30
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$6	$6	$6
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$15	$22	$30
Plethysmography lung volumes CPT 94726 • Pulmonology	$11	$31	$52
Gas dilution lung volumes CPT 94727 • Pulmonology	$42	$42	$42
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$46	$46	$47
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$2	$2
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$20	$23	$25
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$165	$165	$165
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$257	$257	$257
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$30	$46	$63