MOLLY WIGGINS· WINSTON SALEM, NC

Physician group

1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157

Procedures offered

952 total

Procedure	Min	Avg	Max
Immunization admin each additional component CPT 90461 • Preventive Care	$13	$19	$30
Immunization admin injection single CPT 90471 • Preventive Care	$20	$42	$59
Immunization admin injection each additional CPT 90472 • Preventive Care	$14	$20	$30
HPV vaccine 9-valent CPT 90651 • Preventive Care	$209	$293	$342
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$258	$354	$464
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$88	$98	$109
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$22	$34	$46
MMR vaccine CPT 90707 • Preventive Care	$65	$77	$97
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$39	$55	$76
Varicella vaccine CPT 90716 • Preventive Care	$114	$140	$192
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$73	$120	$174
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$151	$189	$216
Preventive visit new patient infant CPT 99381 • Preventive Care	$114	$157	$258
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$125	$184	$270
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$131	$192	$282
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$111	$178	$317
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$143	$204	$307
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$157	$186	$261
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$139	$234	$387
Preventive visit established patient infant CPT 99391 • Preventive Care	$105	$148	$232
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$84	$131	$181
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$115	$168	$247
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$90	$126	$198
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$97	$122	$148
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$137	$201	$295
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$139	$168	$243
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$42	$66	$90
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$58	$73	$87
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$207	$430	$734
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$68	$181	$295
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$137	$244	$391
Annual wellness visit initial HCPCS G0438 • Preventive Care	$186	$294	$402
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$122	$145	$198
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$201	$387	$563
Bronchoscopy with brushing CPT 31623 • Pulmonology	$460	$546	$632
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$44	$280	$474
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$236	$482	$646
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$44	$255	$600
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$282	$1,185	$1,911
Ventilation assist and management initiation CPT 94002 • Pulmonology	$104	$104	$104
Spirometry CPT 94010 • Pulmonology	$31	$52	$82
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$56	$92	$140
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$35	$70	$140
Respiratory flow volume loop CPT 94375 • Pulmonology	$28	$28	$28
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$78	$181	$378
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$21	$33	$55
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$20	$38	$55
Plethysmography lung volumes CPT 94726 • Pulmonology	$16	$62	$121
Gas dilution lung volumes CPT 94727 • Pulmonology	$37	$51	$67
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$10	$30	$68