MARIA MEDICAL CENTER, PLLC· DUNN, NC

Physician group

800 SUSAN TART RD, DUNN, NC 28334

Procedures offered

954 total

Procedure	Min	Avg	Max
Prosthetic training each 15 minutes CPT 97761 • Physical Therapy	$22	$23	$25
Immunization admin first vaccine component CPT 90460 • Preventive Care	$23	$26	$29
Immunization admin each additional component CPT 90461 • Preventive Care	$10	$11	$12
Immunization admin injection single CPT 90471 • Preventive Care	$12	$13	$14
Immunization admin injection each additional CPT 90472 • Preventive Care	$6	$10	$14
HPV vaccine 9-valent CPT 90651 • Preventive Care	$225	$310	$395
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$258	$265	$272
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$117	$120	$123
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$21	$22	$24
MMR vaccine CPT 90707 • Preventive Care	$117	$117	$117
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$57	$58	$59
Varicella vaccine CPT 90716 • Preventive Care	$230	$230	$230
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$133	$137	$141
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$268	$275	$282
Preventive visit new patient infant CPT 99381 • Preventive Care	$85	$101	$117
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$92	$92	$93
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$61	$118	$176
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$99	$144	$189
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$99	$139	$180
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$115	$125	$136
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$125	$149	$172
Preventive visit established patient infant CPT 99391 • Preventive Care	$44	$55	$67
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$74	$81	$87
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$74	$109	$145
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$61	$110	$160
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$82	$117	$137
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$90	$143	$182
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$100	$122	$158
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$32	$46	$60
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$65	$194	$322
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$430	$431	$431
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$424	$427	$430
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$88	$136	$185
Annual wellness visit initial HCPCS G0438 • Preventive Care	$118	$174	$196
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$109	$146	$164
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$277	$314	$352
Bronchoscopy with brushing CPT 31623 • Pulmonology	$387	$451	$515
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$312	$336	$359
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$192	$272	$353
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$455	$491	$526
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$343	$716	$1,089
Ventilation assist and management initiation CPT 94002 • Pulmonology	$79	$106	$132
Spirometry CPT 94010 • Pulmonology	$17	$20	$22
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$36	$38	$44
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$26	$38	$50
Respiratory flow volume loop CPT 94375 • Pulmonology	$14	$18	$22
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$64	$91	$118
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$11	$14	$17
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$12	$17	$22
Plethysmography lung volumes CPT 94726 • Pulmonology	$13	$14	$14