CLEAR FOUNDATIONS THERAPY AND ASSESSMENT PLLC· CHARLOTTE, NC

Provider

5113 PIPER STATION DR STE 104, CHARLOTTE, NC 28277

Procedures offered

842 total

Procedure	Min	Avg	Max
Immunization admin first vaccine component CPT 90460 • Preventive Care	$10	$10	$10
Immunization admin each additional component CPT 90461 • Preventive Care	$5	$5	$5
Immunization admin injection single CPT 90471 • Preventive Care	$10	$10	$10
Immunization admin injection each additional CPT 90472 • Preventive Care	$10	$10	$10
HPV vaccine 9-valent CPT 90651 • Preventive Care	$274	$274	$274
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$257	$257	$258
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$92	$92	$92
MMR vaccine CPT 90707 • Preventive Care	$93	$93	$93
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$37	$37	$37
Varicella vaccine CPT 90716 • Preventive Care	$163	$163	$163
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$13	$73	$133
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$187	$187	$187
Preventive visit new patient infant CPT 99381 • Preventive Care	$106	$106	$106
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$111	$111	$111
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$116	$116	$116
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$131	$131	$131
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$148	$148	$148
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$102	$102	$102
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$102	$102	$102
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$112	$112	$112
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$114	$114	$114
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$122	$122	$123
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$132	$132	$132
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$38	$38	$38
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$183	$183	$184
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$90	$214	$338
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$90	$90	$90
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$163	$163	$163
Annual wellness visit initial HCPCS G0438 • Preventive Care	$163	$163	$163
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$127	$127	$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	$30	$30	$30
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$30	$30	$30
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$30	$30	$30
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	$30	$30	$30
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$30	$35	$37
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$59	$59	$59
Respiratory flow volume loop CPT 94375 • Pulmonology	$30	$33	$36
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$150	$150	$150
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$30	$30	$30
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$30	$30	$30
Plethysmography lung volumes CPT 94726 • Pulmonology	$52	$52	$52
Gas dilution lung volumes CPT 94727 • Pulmonology	$42	$42	$42
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$55	$55	$55
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$25	$25	$25
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$69	$69	$69
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$105	$105	$105