COUNTY OF SAMPSON· CLINTON, NC
Provider
360 COUNTY COMPLEX RD, CLINTON, NC 28328
Procedures offered
952 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Immunization admin each additional component CPT 90461 • Preventive Care | $7 | $11 | $13 |
| Immunization admin injection single CPT 90471 • Preventive Care | $12 | $19 | $34 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $9 | $12 | $13 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $209 | $308 | $369 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $231 | $243 | $258 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $102 | $107 | $115 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $5 | $17 | $22 |
| MMR vaccine CPT 90707 • Preventive Care | $94 | $100 | $112 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $34 | $46 | $56 |
| Varicella vaccine CPT 90716 • Preventive Care | $157 | $190 | $215 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $117 | $126 | $133 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $207 | $221 | $241 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $5 | $74 | $106 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $96 | $100 | $111 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $95 | $126 | $165 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $72 | $121 | $158 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $104 | $143 | $212 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $121 | $150 | $183 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $5 | $108 | $151 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $70 | $83 | $96 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $5 | $84 | $156 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $56 | $88 | $104 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $64 | $84 | $97 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $5 | $107 | $152 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $5 | $89 | $123 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $5 | $112 | $190 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $37 | $37 | $37 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $159 | $159 | $159 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $191 | $191 | $191 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $364 | $364 | $364 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $161 | $161 | $161 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $166 | $166 | $166 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $112 | $141 | $169 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $168 | $220 | $294 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $199 | $307 | $403 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $96 | $138 | $171 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $382 | $390 | $399 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $189 | $225 | $265 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $306 | $501 | $865 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $86 | $89 | $92 |
| Spirometry CPT 94010 • Pulmonology | $8 | $17 | $30 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $41 | $45 | $54 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $29 | $42 | $56 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $15 | $18 | $20 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $145 | $151 | $157 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $12 | $15 | $17 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $13 | $15 | $16 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $12 | $15 | $18 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $12 | $29 | $46 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $9 | $55 | $98 |