CUONG TAN DOAN· STATESVILLE, NC

Physician groupFamily Medicine

557 BROOKDALE DR, STATESVILLE, NC 28677

Procedures offered

950 total

ProcedureMinAvgMax
Free thyroxine (T4)
CPT 84439 • Laboratory
$6$6$6
Thyroid stimulating hormone (TSH)
CPT 84443 • Laboratory
$7$10$11
Complete blood count with differential
CPT 85025 • Laboratory
$5$9$16
Complete blood count automated
CPT 85027 • Laboratory
$4$4$5
Prothrombin time (PT)
CPT 85610 • Laboratory
$3$3$4
Sedimentation rate (ESR) automated
CPT 85652 • Laboratory
$2$2$2
Partial thromboplastin time (PTT)
CPT 85730 • Laboratory
$1$3$4
Cyclic citrullinated peptide antibody
CPT 86200 • Laboratory
$8$9$10
Nuclear antigen antibody
CPT 86235 • Laboratory
$13$14$16
Heterophile antibodies screen
CPT 86308 • Laboratory
$4$4$5
TB skin test intradermal
CPT 86580 • Laboratory
$5$9$14
Blood typing ABO
CPT 86900 • Laboratory
$2$2$3
Blood typing Rh
CPT 86901 • Laboratory
$2$2$2
Urine culture bacterial colony count
CPT 87086 • Laboratory
$6$6$6
Chlamydia nucleic acid amplification
CPT 87491 • Laboratory
$17$27$35
Gonorrhea nucleic acid amplification
CPT 87591 • Laboratory
$17$20$22
SARS-CoV-2 COVID-19 amplified probe
CPT 87635 • Laboratory
$36$44$51
Influenza virus assay with direct optical
CPT 87804 • Laboratory
$10$12$14
Strep A assay with optic observation
CPT 87880 • Laboratory
$7$12$17
Amniocentesis diagnostic
CPT 59000 • Maternity
$69$92$116
Cordocentesis fetal blood sampling
CPT 59012 • Maternity
$173$207$252
Chorionic villus sampling
CPT 59015 • Maternity
$132$161$190
Fetal non-stress test
CPT 59025 • Maternity
$12$27$46
Insertion cervical dilator
CPT 59200 • Maternity
$65$78$90
Vaginal delivery including prenatal and postpartum care
CPT 59400 • Maternity
$30$1,326$2,477
Vaginal delivery only
CPT 59409 • Maternity
$654$813$973
Vaginal delivery including postpartum care
CPT 59410 • Maternity
$30$773$1,271
External cephalic version
CPT 59412 • Maternity
$88$118$148
Antepartum care 7 or more visits
CPT 59426 • Maternity
$501$800$1,100
Postpartum care only
CPT 59430 • Maternity
$107$237$367
Cesarean delivery including prenatal and postpartum care
CPT 59510 • Maternity
$1,665$2,404$3,142
Cesarean delivery only
CPT 59514 • Maternity
$773$1,037$1,302
Cesarean delivery including postpartum care
CPT 59515 • Maternity
$909$1,059$1,209
Vaginal delivery after prior cesarean (VBAC) including prenatal
CPT 59610 • Maternity
$1,548$2,377$3,076
Obstetric ultrasound first trimester
CPT 76801 • Maternity
$74$87$100
Obstetric ultrasound complete
CPT 76805 • Maternity
$71$77$84
Obstetric ultrasound detailed fetal anatomy
CPT 76811 • Maternity
$111$114$118
Obstetric ultrasound limited
CPT 76815 • Maternity
$28$44$71
Ultrasound transvaginal obstetric
CPT 76817 • Maternity
$81$84$89
Interactive complexity add-on
CPT 90785 • Mental Health
$5$7$12
Psychiatric diagnostic evaluation
CPT 90791 • Mental Health
$155$174$191
Psychiatric diagnostic evaluation with medical services
CPT 90792 • Mental Health
$126$171$191
Psychotherapy 30 minutes
CPT 90832 • Mental Health
$64$79$92
Psychotherapy 30 min add-on to E/M
CPT 90833 • Mental Health
$43$78$102
Psychotherapy 45 minutes
CPT 90834 • Mental Health
$84$108$129
Psychotherapy 45 min add-on to E/M
CPT 90836 • Mental Health
$70$99$115
Psychotherapy 60 minutes
CPT 90837 • Mental Health
$123$151$184
Psychotherapy 60 min add-on to E/M
CPT 90838 • Mental Health
$113$132$144
Psychotherapy crisis first 60 minutes
CPT 90839 • Mental Health
$152$168$176
Psychotherapy crisis each additional 30 minutes
CPT 90840 • Mental Health
$76$85$95