SHANNA STOTER· WINSTON SALEM, NC

Physician group

MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157

Procedures offered

952 total

Procedure	Min	Avg	Max
Immunization admin each additional component CPT 90461 • Preventive Care	$13	$15	$16
Immunization admin injection single CPT 90471 • Preventive Care	$15	$16	$17
Immunization admin injection each additional CPT 90472 • Preventive Care	$13	$15	$16
HPV vaccine 9-valent CPT 90651 • Preventive Care	$209	$269	$329
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$258	$258	$258
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$88	$95	$103
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$22	$22	$22
MMR vaccine CPT 90707 • Preventive Care	$72	$84	$97
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$39	$45	$50
Varicella vaccine CPT 90716 • Preventive Care	$124	$158	$192
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$116	$117	$117
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$151	$183	$216
Preventive visit new patient infant CPT 99381 • Preventive Care	$117	$160	$203
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$144	$178	$213
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$127	$175	$222
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$169	$210	$252
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$163	$174	$185
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$190	$236	$283
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$175	$241	$307
Preventive visit established patient infant CPT 99391 • Preventive Care	$124	$154	$184
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$132	$138	$144
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$112	$128	$144
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$114	$164	$215
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$118	$169	$220
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$126	$154	$183
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$169	$210	$252
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$52	$52	$52
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$405	$405	$405
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$236	$340	$445
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$775	$775	$775
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$236	$236	$236
Annual wellness visit initial HCPCS G0438 • Preventive Care	$312	$312	$312
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$122	$166	$211
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$568	$568	$568
Bronchoscopy with brushing CPT 31623 • Pulmonology	$631	$631	$631
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$170	$380	$591
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$806	$806	$806
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$112	$485	$857
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$282	$1,413	$2,545
Ventilation assist and management initiation CPT 94002 • Pulmonology	$174	$174	$174
Spirometry CPT 94010 • Pulmonology	$16	$26	$37
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$25	$48	$72
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$37	$72	$108
Respiratory flow volume loop CPT 94375 • Pulmonology	$43	$43	$43
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$87	$123	$158
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$22	$27	$31
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$17	$23	$30
Plethysmography lung volumes CPT 94726 • Pulmonology	$16	$56	$96
Gas dilution lung volumes CPT 94727 • Pulmonology	$16	$47	$79
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$55	$78	$101