FANOUS CLINIC MEDICAL GROUP PC· CHARLOTTE, NC

Physician group

10926 S TRYON ST STE D, CHARLOTTE, NC 28273

Procedures offered

953 total

Procedure	Min	Avg	Max
Immunization admin first vaccine component CPT 90460 • Preventive Care	$10	$13	$21
Immunization admin each additional component CPT 90461 • Preventive Care	$5	$7	$12
Immunization admin injection single CPT 90471 • Preventive Care	$10	$13	$18
Immunization admin injection each additional CPT 90472 • Preventive Care	$10	$13	$15
HPV vaccine 9-valent CPT 90651 • Preventive Care	$316	$322	$329
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$257	$257	$258
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$84	$93	$102
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$19	$21	$22
MMR vaccine CPT 90707 • Preventive Care	$91	$94	$97
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$40	$45	$50
Varicella vaccine CPT 90716 • Preventive Care	$33	$136	$192
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$13	$65	$117
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$37	$143	$216
Preventive visit new patient infant CPT 99381 • Preventive Care	$101	$105	$108
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$111	$113	$113
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$116	$117	$118
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$98	$117	$134
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$129	$129	$130
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$148	$150	$152
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$128	$128	$128
Preventive visit established patient infant CPT 99391 • Preventive Care	$96	$97	$98
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$77	$94	$104
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$102	$109	$120
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$112	$113	$114
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$89	$101	$114
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$122	$123	$125
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$102	$122	$133
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$38	$38	$39
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$169	$176	$184
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$90	$212	$338
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$186	$210	$235
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$136	$156	$163
Annual wellness visit initial HCPCS G0438 • Preventive Care	$130	$157	$166
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$103	$119	$127
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$132	$204	$276
Bronchoscopy with brushing CPT 31623 • Pulmonology	$262	$262	$262
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$30	$176	$252
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$30	$183	$335
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$30	$175	$356
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$1,058	$1,168	$1,278
Ventilation assist and management initiation CPT 94002 • Pulmonology	$91	$91	$92
Spirometry CPT 94010 • Pulmonology	$7	$24	$34
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$30	$35	$44
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$29	$29	$29
Respiratory flow volume loop CPT 94375 • Pulmonology	$14	$20	$30
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$84	$84	$84
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$7	$16	$30
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$16	$23	$30
Plethysmography lung volumes CPT 94726 • Pulmonology	$12	$37	$52
Gas dilution lung volumes CPT 94727 • Pulmonology	$12	$32	$42