COUNTY OF WAYNE· GOLDSBORO, NC

Provider

1560 CLINGMAN ST, GOLDSBORO, NC 27534

Procedures offered

952 total

Procedure	Min	Avg	Max
Immunization admin each additional component CPT 90461 • Preventive Care	$12	$12	$12
Immunization admin injection single CPT 90471 • Preventive Care	$18	$20	$23
Immunization admin injection each additional CPT 90472 • Preventive Care	$9	$10	$11
HPV vaccine 9-valent CPT 90651 • Preventive Care	$329	$349	$369
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$254	$256	$258
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$102	$109	$115
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$5	$14	$22
MMR vaccine CPT 90707 • Preventive Care	$97	$102	$107
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$50	$52	$55
Varicella vaccine CPT 90716 • Preventive Care	$192	$203	$215
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$117	$124	$131
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$216	$228	$241
Preventive visit new patient infant CPT 99381 • Preventive Care	$5	$54	$103
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$76	$87	$97
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$95	$103	$112
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$72	$84	$95
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$92	$98	$104
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$121	$132	$142
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$5	$80	$154
Preventive visit established patient infant CPT 99391 • Preventive Care	$70	$81	$92
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$5	$52	$98
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$56	$77	$98
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$64	$86	$107
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$5	$44	$83
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$5	$61	$117
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$5	$66	$126
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$26	$26	$26
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$134	$134	$134
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$378	$378	$378
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$378	$378	$378
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$150	$150	$150
Annual wellness visit initial HCPCS G0438 • Preventive Care	$159	$159	$159
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$106	$106	$106
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$141	$155	$168
Bronchoscopy with brushing CPT 31623 • Pulmonology	$319	$361	$403
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$142	$157	$171
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$323	$361	$399
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$222	$296	$371
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$221	$264	$306
Ventilation assist and management initiation CPT 94002 • Pulmonology	$86	$87	$89
Spirometry CPT 94010 • Pulmonology	$8	$17	$26
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$54	$56	$57
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$28	$42	$56
Respiratory flow volume loop CPT 94375 • Pulmonology	$20	$21	$23
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$145	$150	$155
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$12	$14	$16
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$13	$14	$16
Plethysmography lung volumes CPT 94726 • Pulmonology	$12	$13	$14
Gas dilution lung volumes CPT 94727 • Pulmonology	$12	$29	$46
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$42	$50	$58