MARY JO GROTE· NEW BERN, NC

Physician group

3110 WELLONS BLVD, NEW BERN, NC 28562

Procedures offered

953 total

Procedure	Min	Avg	Max
Immunization admin first vaccine component CPT 90460 • Preventive Care	$10	$28	$54
Immunization admin each additional component CPT 90461 • Preventive Care	$10	$17	$25
Immunization admin injection single CPT 90471 • Preventive Care	$12	$26	$48
Immunization admin injection each additional CPT 90472 • Preventive Care	$7	$25	$35
HPV vaccine 9-valent CPT 90651 • Preventive Care	$395	$395	$395
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$272	$417	$645
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$92	$106	$123
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$24	$26	$29
MMR vaccine CPT 90707 • Preventive Care	$93	$104	$117
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$50	$55	$59
Varicella vaccine CPT 90716 • Preventive Care	$163	$196	$230
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$141	$213	$334
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$187	$234	$282
Preventive visit new patient infant CPT 99381 • Preventive Care	$74	$169	$261
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$81	$178	$273
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$80	$184	$284
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$63	$198	$320
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$63	$134	$205
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$78	$182	$359
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$112	$185	$257
Preventive visit established patient infant CPT 99391 • Preventive Care	$62	$72	$82
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$11	$82	$166
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$69	$150	$250
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$76	$143	$274
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$76	$111	$146
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$83	$192	$297
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$13	$106	$212
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$29	$63	$94
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$46	$46	$46
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$29	$376	$814
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$285	$346	$407
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$76	$292	$400
Annual wellness visit initial HCPCS G0438 • Preventive Care	$140	$234	$399
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$94	$178	$312
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$118	$361	$662
Bronchoscopy with brushing CPT 31623 • Pulmonology	$119	$427	$734
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$120	$243	$358
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$267	$600	$932
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$30	$201	$321
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$756	$1,792	$3,341
Ventilation assist and management initiation CPT 94002 • Pulmonology	$75	$79	$84
Spirometry CPT 94010 • Pulmonology	$20	$36	$64
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$12	$65	$91
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$25	$42	$60
Respiratory flow volume loop CPT 94375 • Pulmonology	$18	$18	$18
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$133	$145	$151
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$9	$10	$11
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$12	$31	$40
Plethysmography lung volumes CPT 94726 • Pulmonology	$36	$98	$128
Gas dilution lung volumes CPT 94727 • Pulmonology	$9	$26	$44