DARE COUNTY ADMINISTRATIVE OFFICES· MANTEO, NC

Provider

109 EXETER ST, MANTEO, NC 27954

Procedures offered

953 total

ProcedureMinAvgMax
Immunization admin first vaccine component
CPT 90460 • Preventive Care
$10$14$24
Immunization admin each additional component
CPT 90461 • Preventive Care
$5$7$12
Immunization admin injection single
CPT 90471 • Preventive Care
$10$14$24
Immunization admin injection each additional
CPT 90472 • Preventive Care
$10$10$12
HPV vaccine 9-valent
CPT 90651 • Preventive Care
$274$301$329
Pneumococcal conjugate vaccine 13-valent
CPT 90670 • Preventive Care
$257$257$258
Rotavirus vaccine pentavalent
CPT 90680 • Preventive Care
$92$95$102
Influenza vaccine quadrivalent preservative free
CPT 90686 • Preventive Care
$21$21$22
MMR vaccine
CPT 90707 • Preventive Care
$93$94$97
Tdap vaccine age 7 years or older
CPT 90715 • Preventive Care
$37$41$50
Varicella vaccine
CPT 90716 • Preventive Care
$33$138$192
Pneumococcal vaccine adult
CPT 90732 • Preventive Care
$13$99$133
Zoster vaccine recombinant adjuvanted
CPT 90750 • Preventive Care
$187$197$216
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
$115$115$116
Preventive visit new patient age 12-17
CPT 99384 • Preventive Care
$131$131$132
Preventive visit new patient age 18-39
CPT 99385 • Preventive Care
$127$127$127
Preventive visit new patient age 40-64
CPT 99386 • Preventive Care
$117$137$148
Preventive visit new patient age 65+
CPT 99387 • Preventive Care
$159$159$160
Preventive visit established patient infant
CPT 99391 • Preventive Care
$69$82$96
Preventive visit established patient age 1-4
CPT 99392 • Preventive Care
$73$74$75
Preventive visit established patient age 5-11
CPT 99393 • Preventive Care
$101$102$102
Preventive visit established patient age 12-17
CPT 99394 • Preventive Care
$111$111$112
Preventive visit established patient age 18-39
CPT 99395 • Preventive Care
$85$105$115
Preventive visit established patient age 40-64
CPT 99396 • Preventive Care
$122$122$123
Preventive visit established patient age 65+
CPT 99397 • Preventive Care
$100$121$132
Cervical or vaginal cancer screening pelvic exam
HCPCS G0101 • Preventive Care
$27$35$38
Colorectal cancer screening flexible sigmoidoscopy
HCPCS G0104 • Preventive Care
$159$175$184
Colorectal cancer screening colonoscopy high risk
HCPCS G0105 • Preventive Care
$338$347$364
Colorectal cancer screening colonoscopy not high risk
HCPCS G0121 • Preventive Care
$338$351$364
Initial preventive physical exam (Welcome to Medicare)
HCPCS G0402 • Preventive Care
$161$163$163
Annual wellness visit initial
HCPCS G0438 • Preventive Care
$163$164$166
Annual wellness visit subsequent
HCPCS G0439 • Preventive Care
$112$123$127
Bronchoscopy diagnostic
CPT 31622 • Pulmonology
$30$58$144
Bronchoscopy with brushing
CPT 31623 • Pulmonology
$30$127$320
Bronchoscopy with bronchial alveolar lavage
CPT 31624 • Pulmonology
$30$154$303
Bronchoscopy with biopsy
CPT 31625 • Pulmonology
$30$65$169
Bronchoscopy with transbronchial lung biopsy
CPT 31628 • Pulmonology
$30$154$403
Bronchoscopy with endobronchial ultrasound biopsy
CPT 31652 • Pulmonology
$865$1,175$1,278
Ventilation assist and management initiation
CPT 94002 • Pulmonology
$91$91$92
Spirometry
CPT 94010 • Pulmonology
$8$25$30
Spirometry before and after bronchodilator
CPT 94060 • Pulmonology
$30$40$58
Bronchospasm provocation evaluation
CPT 94070 • Pulmonology
$58$59$59
Respiratory flow volume loop
CPT 94375 • Pulmonology
$15$27$36
Cardiopulmonary exercise test
CPT 94621 • Pulmonology
$150$152$157
Nebulizer inhalation treatment
CPT 94640 • Pulmonology
$10$19$30
Aerosol or vapor inhalation initial demonstration
CPT 94664 • Pulmonology
$16$25$30
Plethysmography lung volumes
CPT 94726 • Pulmonology
$38$49$52
Gas dilution lung volumes
CPT 94727 • Pulmonology
$40$42$42