CAMILLE ROBERTS· WINSTON SALEM, NC

Physician group

175 KIMEL PARK DR, WINSTON SALEM, NC 27103

Procedures offered

952 total

Procedure	Min	Avg	Max
Immunization admin each additional component CPT 90461 • Preventive Care	$15	$23	$31
Immunization admin injection single CPT 90471 • Preventive Care	$22	$31	$40
Immunization admin injection each additional CPT 90472 • Preventive Care	$12	$21	$31
HPV vaccine 9-valent CPT 90651 • Preventive Care	$395	$395	$395
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$272	$460	$648
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$123	$123	$123
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$24	$39	$54
MMR vaccine CPT 90707 • Preventive Care	$0	$0	$0
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$59	$78	$96
Varicella vaccine CPT 90716 • Preventive Care	$0	$0	$0
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$0	$168	$335
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$282	$282	$282
Preventive visit new patient infant CPT 99381 • Preventive Care	$94	$171	$249
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$100	$180	$260
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$61	$166	$270
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$106	$207	$308
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$69	$184	$298
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$124	$235	$345
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$135	$254	$373
Preventive visit established patient infant CPT 99391 • Preventive Care	$70	$148	$225
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$78	$125	$172
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$77	$158	$238
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$85	$173	$261
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$86	$176	$267
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$95	$191	$287
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$104	$168	$232
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$26	$42	$59
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$197	$241	$285
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$279	$284	$289
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$280	$434	$589
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$85	$169	$253
Annual wellness visit initial HCPCS G0438 • Preventive Care	$159	$206	$253
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$108	$153	$197
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$424	$515	$606
Bronchoscopy with brushing CPT 31623 • Pulmonology	$467	$574	$680
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$327	$380	$433
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$210	$539	$868
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$539	$731	$924
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$1,307	$2,245	$3,182
Ventilation assist and management initiation CPT 94002 • Pulmonology	$86	$86	$86
Spirometry CPT 94010 • Pulmonology	$31	$31	$31
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$16	$16	$16
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$66	$66	$66
Respiratory flow volume loop CPT 94375 • Pulmonology	$42	$42	$42
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$76	$76	$76
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$15	$15	$15
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$16	$16	$16
Plethysmography lung volumes CPT 94726 • Pulmonology	$59	$59	$59
Gas dilution lung volumes CPT 94727 • Pulmonology	$42	$42	$42
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$74	$74	$74