THERESA MOORE· WINSTON SALEM, NC

Physician group

1615 POLO RD, WINSTON SALEM, NC 27106

Procedures offered

881 total

ProcedureMinAvgMax
Creatinine urine
CPT 82570 • Laboratory
$5$5$5
Ferritin
CPT 82728 • Laboratory
$3$3$3
IgA IgD IgG IgM each
CPT 82784 • Laboratory
$10$10$10
Glucose quantitative blood
CPT 82947 • Laboratory
$4$4$4
Hemoglobin A1c
CPT 83036 • Laboratory
$11$11$11
Iron serum
CPT 83540 • Laboratory
$1$4$7
Iron binding capacity
CPT 83550 • Laboratory
$10$10$10
Prostate specific antigen (PSA)
CPT 84153 • Laboratory
$21$21$21
Free thyroxine (T4)
CPT 84439 • Laboratory
$10$10$10
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$7$13$19
Complete blood count with differential
CPT 85025 • Laboratory
$6$7$8
Complete blood count automated
CPT 85027 • Laboratory
$1$4$7
Prothrombin time (PT)
CPT 85610 • Laboratory
$3$4$4
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$2$3$3
Partial thromboplastin time (PTT)
CPT 85730 • Laboratory
$7$7$7
Cyclic citrullinated peptide antibody
CPT 86200 • Laboratory
$10$12$14
Nuclear antigen antibody
CPT 86235 • Laboratory
$7$14$20
Heterophile antibodies screen
CPT 86308 • Laboratory
$5$5$5
TB skin test intradermal
CPT 86580 • Laboratory
$12$12$12
Blood typing ABO
CPT 86900 • Laboratory
$3$3$3
Blood typing Rh
CPT 86901 • Laboratory
$2$3$3
Urine culture bacterial colony count
CPT 87086 • Laboratory
$9$9$9
Chlamydia nucleic acid amplification
CPT 87491 • Laboratory
$28$28$28
SARS-CoV-2 COVID-19 amplified probe
CPT 87635 • Laboratory
$51$51$51
Influenza virus assay with direct optical
CPT 87804 • Laboratory
$19$19$19
Strep A assay with optic observation
CPT 87880 • Laboratory
$11$15$19
Amniocentesis diagnostic
CPT 59000 • Maternity
$99$99$99
Cordocentesis fetal blood sampling
CPT 59012 • Maternity
$195$195$195
Fetal non-stress test
CPT 59025 • Maternity
$40$40$41
Insertion cervical dilator
CPT 59200 • Maternity
$104$104$104
Vaginal delivery including prenatal and postpartum care
CPT 59400 • Maternity
$2,338$2,338$2,338
Vaginal delivery only
CPT 59409 • Maternity
$695$739$784
Vaginal delivery including postpartum care
CPT 59410 • Maternity
$917$917$917
External cephalic version
CPT 59412 • Maternity
$88$88$88
Antepartum care 7 or more visits
CPT 59426 • Maternity
$877$877$877
Postpartum care only
CPT 59430 • Maternity
$227$227$227
Cesarean delivery only
CPT 59514 • Maternity
$788$788$788
Cesarean delivery including postpartum care
CPT 59515 • Maternity
$1,134$1,203$1,273
Vaginal delivery after prior cesarean (VBAC) including prenatal
CPT 59610 • Maternity
$2,170$2,170$2,170
Obstetric ultrasound first trimester
CPT 76801 • Maternity
$131$131$131
Obstetric ultrasound complete
CPT 76805 • Maternity
$150$150$150
Obstetric ultrasound detailed fetal anatomy
CPT 76811 • Maternity
$154$154$154
Obstetric ultrasound limited
CPT 76815 • Maternity
$72$75$78
Ultrasound transvaginal obstetric
CPT 76817 • Maternity
$34$69$104
Interactive complexity add-on
CPT 90785 • Mental Health
$6$11$16
Psychiatric diagnostic evaluation
CPT 90791 • Mental Health
$136$167$201
Psychiatric diagnostic evaluation with medical services
CPT 90792 • Mental Health
$125$159$187
Psychotherapy 30 minutes
CPT 90832 • Mental Health
$54$73$93
Psychotherapy 30 min add-on to E/M
CPT 90833 • Mental Health
$72$87$113
Psychotherapy 45 minutes
CPT 90834 • Mental Health
$93$117$130