KARA TOLMAN· WILMINGTON, NC

Physician group

615 SHIPYARD BLVD, WILMINGTON, NC 28412

Procedures offered

892 total

Procedure	Min	Avg	Max
Immunization admin injection single CPT 90471 • Preventive Care	$10	$14	$18
Immunization admin injection each additional CPT 90472 • Preventive Care	$10	$11	$13
HPV vaccine 9-valent CPT 90651 • Preventive Care	$269	$269	$269
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$257	$257	$258
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$84	$89	$92
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$19	$20	$21
MMR vaccine CPT 90707 • Preventive Care	$14	$66	$93
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$34	$35	$37
Varicella vaccine CPT 90716 • Preventive Care	$163	$170	$184
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$13	$13	$13
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$176	$181	$187
Preventive visit new patient infant CPT 99381 • Preventive Care	$101	$105	$106
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$111	$112	$113
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$94	$109	$116
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$99	$128	$154
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$109	$120	$127
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$115	$133	$148
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$159	$159	$159
Preventive visit established patient infant CPT 99391 • Preventive Care	$100	$100	$100
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$82	$92	$102
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$73	$88	$102
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$97	$104	$112
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$85	$89	$92
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$115	$120	$123
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$10	$91	$133
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$14	$26	$38
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$184	$184	$184
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$68	$151	$235
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$195	$267	$338
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 brushing CPT 31623 • Pulmonology	$30	$30	$30
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$38	$38	$38
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$30	$30	$30
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$37	$88	$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	$7	$22	$30
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$30	$33	$37
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$59	$59	$59
Respiratory flow volume loop CPT 94375 • Pulmonology	$30	$30	$30
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$68	$109	$150
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$7	$7	$7
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$17	$26	$30
Plethysmography lung volumes CPT 94726 • Pulmonology	$46	$50	$52
Gas dilution lung volumes CPT 94727 • Pulmonology	$12	$27	$42
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$46	$46	$46
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$2	$2