ALYSON WICKEMEYER· KINSTON, NC

Physician group

1435 HIGHWAY 258N, KINSTON, NC 28504

Procedures offered

953 total

Procedure	Min	Avg	Max
Immunization admin first vaccine component CPT 90460 • Preventive Care	$10	$11	$14
Immunization admin each additional component CPT 90461 • Preventive Care	$5	$7	$8
Immunization admin injection single CPT 90471 • Preventive Care	$9	$10	$10
Immunization admin injection each additional CPT 90472 • Preventive Care	$8	$8	$8
HPV vaccine 9-valent CPT 90651 • Preventive Care	$329	$329	$329
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$230	$231	$232
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$92	$92	$92
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$22	$22	$22
MMR vaccine CPT 90707 • Preventive Care	$97	$97	$97
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$45	$45	$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	$194	$194	$194
Preventive visit new patient infant CPT 99381 • Preventive Care	$81	$89	$97
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$80	$80	$80
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$85	$85	$85
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$115	$126	$145
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$140	$140	$140
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$116	$116	$116
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$125	$125	$125
Preventive visit established patient infant CPT 99391 • Preventive Care	$106	$106	$106
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$63	$88	$113
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$113	$113	$113
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$113	$113	$113
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$100	$108	$116
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$124	$124	$124
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$116	$123	$133
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$39	$39	$39
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$43	$43	$43
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$204	$268	$326
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$327	$362	$397
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$105	$123	$132
Annual wellness visit initial HCPCS G0438 • Preventive Care	$131	$155	$180
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$123	$134	$145
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$117	$124	$130
Bronchoscopy with brushing CPT 31623 • Pulmonology	$265	$265	$265
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$197	$197	$197
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$119	$119	$119
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$360	$360	$360
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$1,090	$1,090	$1,090
Ventilation assist and management initiation CPT 94002 • Pulmonology	$59	$77	$96
Spirometry CPT 94010 • Pulmonology	$30	$32	$35
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$40	$40	$40
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$58	$58	$58
Respiratory flow volume loop CPT 94375 • Pulmonology	$14	$20	$26
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$68	$68	$68
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$18	$18	$18
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$14	$15	$17
Plethysmography lung volumes CPT 94726 • Pulmonology	$12	$34	$57
Gas dilution lung volumes CPT 94727 • Pulmonology	$29	$40	$45