JESSICA HICKS· STATESVILLE, NC
Physician group
632 SPRINGDALE RD, STATESVILLE, NC 28677
Procedures offered
954 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $31 | $34 | $37 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $10 | $11 | $14 |
| Immunization admin each additional component CPT 90461 • Preventive Care | $7 | $10 | $12 |
| Immunization admin injection single CPT 90471 • Preventive Care | $10 | $15 | $21 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $7 | $10 | $14 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $329 | $329 | $329 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $230 | $244 | $258 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $102 | $103 | $104 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $20 | $23 | $25 |
| MMR vaccine CPT 90707 • Preventive Care | $97 | $97 | $97 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $39 | $42 | $45 |
| Varicella vaccine CPT 90716 • Preventive Care | $192 | $192 | $192 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $117 | $117 | $117 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $216 | $217 | $219 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $72 | $92 | $112 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $99 | $108 | $117 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $90 | $105 | $121 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $112 | $115 | $119 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $113 | $123 | $133 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $110 | $122 | $134 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $132 | $150 | $167 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $58 | $80 | $102 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $91 | $91 | $91 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $103 | $103 | $103 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $102 | $102 | $102 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $102 | $107 | $112 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $111 | $119 | $127 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $96 | $109 | $119 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $38 | $38 | $39 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $177 | $177 | $177 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $158 | $229 | $300 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $327 | $327 | $327 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $110 | $139 | $163 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $98 | $121 | $145 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $90 | $101 | $112 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $238 | $266 | $308 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $238 | $289 | $340 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $132 | $132 | $132 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $305 | $369 | $432 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $362 | $362 | $362 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $187 | $860 | $1,534 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $80 | $94 | $108 |
| Spirometry CPT 94010 • Pulmonology | $7 | $20 | $43 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $31 | $40 | $49 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $31 | $50 | $69 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $10 | $22 | $34 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $88 | $131 | $174 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $16 | $16 | $16 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $17 | $17 | $17 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $47 | $55 | $64 |