THOMAS GASTON· STATESVILLE, NC

Physician group

557 BROOKDALE DR, STATESVILLE, NC 28677

Procedures offered

952 total

Procedure	Min	Avg	Max
Immunization admin each additional component CPT 90461 • Preventive Care	$7	$8	$9
Immunization admin injection single CPT 90471 • Preventive Care	$19	$20	$21
Immunization admin injection each additional CPT 90472 • Preventive Care	$13	$14	$15
HPV vaccine 9-valent CPT 90651 • Preventive Care	$268	$320	$371
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$197	$244	$292
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$99	$107	$115
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$19	$22	$25
MMR vaccine CPT 90707 • Preventive Care	$80	$94	$109
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$30	$43	$56
Varicella vaccine CPT 90716 • Preventive Care	$157	$187	$217
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$113	$123	$132
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$244	$244	$245
Preventive visit new patient infant CPT 99381 • Preventive Care	$72	$87	$101
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$77	$82	$87
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$94	$106	$118
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$113	$123	$132
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$129	$129	$129
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$139	$144	$148
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$121	$121	$121
Preventive visit established patient infant CPT 99391 • Preventive Care	$91	$94	$98
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$72	$84	$97
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$79	$92	$104
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	$100	$116
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$111	$117	$124
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$97	$108	$120
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$32	$36	$39
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$186	$186	$186
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$181	$181	$181
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$340	$340	$340
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$130	$130	$130
Annual wellness visit initial HCPCS G0438 • Preventive Care	$165	$165	$165
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$121	$125	$130
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$130	$130	$130
Bronchoscopy with brushing CPT 31623 • Pulmonology	$273	$273	$273
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$254	$254	$254
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$347	$347	$347
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$370	$370	$370
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$1,235	$1,235	$1,235
Ventilation assist and management initiation CPT 94002 • Pulmonology	$90	$90	$90
Spirometry CPT 94010 • Pulmonology	$19	$19	$19
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$32	$36	$39
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$27	$27	$27
Respiratory flow volume loop CPT 94375 • Pulmonology	$31	$35	$39
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$88	$88	$88
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$6	$7	$8
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$15	$16	$18
Plethysmography lung volumes CPT 94726 • Pulmonology	$44	$49	$54
Gas dilution lung volumes CPT 94727 • Pulmonology	$37	$41	$45
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$9	$29	$50