MICHAEL SUE· ELIZABETH CITY, NC
Physician group
102 NORTHSIDE PARK, ELIZABETH CITY, NC 27909
Procedures offered
962 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $223 | $223 | $223 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $154 | $154 | $154 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $59 | $70 | $82 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $59 | $66 | $73 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $52 | $61 | $71 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $56 | $65 | $75 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $64 | $85 | $106 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $56 | $74 | $92 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $11 | $36 | $53 |
| Immunization admin each additional component CPT 90461 • Preventive Care | $17 | $24 | $30 |
| Immunization admin injection single CPT 90471 • Preventive Care | $11 | $25 | $53 |
| Immunization admin injection each additional CPT 90472 • Preventive Care | $11 | $21 | $30 |
| HPV vaccine 9-valent CPT 90651 • Preventive Care | $329 | $332 | $336 |
| Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care | $258 | $270 | $282 |
| Rotavirus vaccine pentavalent CPT 90680 • Preventive Care | $102 | $111 | $119 |
| Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care | $22 | $23 | $24 |
| MMR vaccine CPT 90707 • Preventive Care | $97 | $108 | $118 |
| Tdap vaccine age 7 years or older CPT 90715 • Preventive Care | $50 | $50 | $51 |
| Varicella vaccine CPT 90716 • Preventive Care | $192 | $216 | $240 |
| Pneumococcal vaccine adult CPT 90732 • Preventive Care | $117 | $164 | $210 |
| Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care | $216 | $218 | $220 |
| Genetic counseling 30 minutes CPT 96040 • Preventive Care | $71 | $71 | $71 |
| Preventive visit new patient infant CPT 99381 • Preventive Care | $110 | $156 | $247 |
| Preventive visit new patient age 1-4 CPT 99382 • Preventive Care | $115 | $186 | $258 |
| Preventive visit new patient age 5-11 CPT 99383 • Preventive Care | $119 | $194 | $268 |
| Preventive visit new patient age 12-17 CPT 99384 • Preventive Care | $136 | $208 | $263 |
| Preventive visit new patient age 18-39 CPT 99385 • Preventive Care | $132 | $213 | $293 |
| Preventive visit new patient age 40-64 CPT 99386 • Preventive Care | $119 | $229 | $339 |
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $165 | $267 | $368 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $193 | $208 | $222 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $207 | $222 | $237 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $169 | $187 | $206 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $136 | $163 | $191 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $231 | $247 | $264 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $127 | $204 | $281 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $136 | $234 | $303 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $40 | $66 | $92 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $683 | $683 | $683 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $177 | $415 | $678 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $180 | $430 | $679 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $171 | $239 | $377 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $171 | $274 | $377 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $142 | $218 | $294 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $272 | $490 | $926 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $275 | $651 | $1,026 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $38 | $496 | $954 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $491 | $897 | $1,304 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $164 | $778 | $1,392 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $824 | $1,126 | $1,429 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $161 | $235 | $309 |