THOMAS WILSON· WINSTON SALEM, NC

Physician group

ONE MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157

Procedures offered

946 total

Procedure	Min	Avg	Max
HPV vaccine 9-valent CPT 90651 • Preventive Care	$336	$414	$493
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$387	$387	$387
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$105	$129	$153
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$20	$27	$34
MMR vaccine CPT 90707 • Preventive Care	$100	$116	$145
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$40	$57	$75
Varicella vaccine CPT 90716 • Preventive Care	$288	$288	$288
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$176	$176	$176
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$220	$272	$323
Preventive visit new patient infant CPT 99381 • Preventive Care	$127	$134	$148
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$138	$149	$160
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$136	$148	$160
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$120	$139	$149
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$146	$160	$173
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$147	$160	$174
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$188	$205	$221
Preventive visit established patient infant CPT 99391 • Preventive Care	$80	$89	$98
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$89	$113	$138
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$110	$124	$138
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$101	$126	$151
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$122	$137	$151
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$135	$150	$165
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$124	$153	$185
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$42	$46	$49
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$98	$98	$98
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$289	$369	$479
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$280	$453	$626
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$115	$154	$231
Annual wellness visit initial HCPCS G0438 • Preventive Care	$160	$206	$253
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$109	$139	$170
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$500	$500	$500
Bronchoscopy with brushing CPT 31623 • Pulmonology	$538	$538	$538
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$280	$391	$502
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$262	$262	$262
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$350	$490	$631
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$747	$1,080	$1,413
Ventilation assist and management initiation CPT 94002 • Pulmonology	$138	$138	$138
Spirometry CPT 94010 • Pulmonology	$48	$51	$57
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$76	$77	$78
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$44	$121	$199
Respiratory flow volume loop CPT 94375 • Pulmonology	$39	$39	$39
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$155	$155	$155
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$26	$26	$26
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$26	$26	$26
Plethysmography lung volumes CPT 94726 • Pulmonology	$19	$42	$54
Gas dilution lung volumes CPT 94727 • Pulmonology	$12	$35	$49
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$9	$11	$13
Pulse oximetry single measurement CPT 94760 • Pulmonology	$4	$4	$4
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$33	$33	$33
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$111	$111	$111