COUNTY OF ROBESON OFFICE OF TREASURER· LUMBERTON, NC
Provider
460 COUNTRY CLUB RD, LUMBERTON, NC 28360
Procedures offered
207 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Retinal imaging OCT posterior segment CPT 92134 • Ophthalmology | $24 | $24 | $24 |
| Ophthalmic biometry IOL power calculation CPT 92136 • Ophthalmology | $26 | $26 | $26 |
| Fundus photography CPT 92250 • Ophthalmology | $33 | $33 | $33 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $69 | $69 | $69 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $61 | $61 | $61 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,288 | $1,288 | $1,288 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $1,560 | $1,560 | $1,560 |
| Total hip replacement CPT 27130 • Orthopedics | $140 | $140 | $140 |
| Total knee replacement CPT 27447 • Orthopedics | $1,119 | $1,119 | $1,119 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $132 | $132 | $132 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $869 | $869 | $869 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $456 | $456 | $456 |
| Carpal tunnel release CPT 64721 • Orthopedics | $552 | $552 | $552 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $213 | $213 | $213 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $242 | $242 | $242 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $239 | $239 | $239 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $232 | $232 | $232 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $103 | $103 | $103 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $20 | $20 | $20 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $23 | $23 | $23 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $76 | $76 | $76 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $27 | $27 | $27 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $30 | $30 | $30 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $22 | $22 | $22 |
| Immunization admin each additional component CPT 90461 • Preventive Care | $8 | $8 | $8 |
| Immunization admin injection single CPT 90471 • Preventive Care | $15 | $15 | $15 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $13 | $13 | $13 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $268 | $268 | $268 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $99 | $99 | $99 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $19 | $19 | $19 |
| MMR vaccine CPT 90707 • Preventive Care | $91 | $91 | $91 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $34 | $34 | $34 |
| Varicella vaccine CPT 90716 • Preventive Care | $184 | $184 | $184 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $207 | $207 | $207 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $92 | $92 | $92 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $90 | $90 | $90 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $118 | $118 | $118 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $133 | $133 | $133 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $102 | $102 | $102 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $106 | $106 | $106 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $161 | $161 | $161 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $83 | $83 | $83 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $97 | $97 | $97 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $82 | $82 | $82 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $114 | $114 | $114 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $83 | $83 | $83 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $98 | $98 | $98 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $106 | $106 | $106 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $36 | $36 | $36 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $121 | $121 | $121 |