LUIS GUZMAN· WINSTON SALEM, NC

Physician group

MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157

Procedures offered

953 total

Procedure	Min	Avg	Max
Immunization admin first vaccine component CPT 90460 • Preventive Care	$16	$32	$45
Immunization admin each additional component CPT 90461 • Preventive Care	$9	$12	$14
Immunization admin injection single CPT 90471 • Preventive Care	$5	$14	$17
Immunization admin injection each additional CPT 90472 • Preventive Care	$10	$13	$16
HPV vaccine 9-valent CPT 90651 • Preventive Care	$209	$391	$570
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$230	$270	$310
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$88	$105	$122
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$20	$23	$27
MMR vaccine CPT 90707 • Preventive Care	$72	$116	$175
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$39	$46	$60
Varicella vaccine CPT 90716 • Preventive Care	$124	$183	$230
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$116	$130	$141
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$151	$205	$259
Preventive visit new patient infant CPT 99381 • Preventive Care	$98	$117	$137
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$103	$125	$144
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$107	$123	$135
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$91	$136	$169
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$111	$130	$163
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$171	$180	$190
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$147	$169	$186
Preventive visit established patient infant CPT 99391 • Preventive Care	$105	$108	$111
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$52	$90	$132
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$112	$115	$118
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$113	$129	$144
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$83	$121	$148
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$113	$137	$157
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$66	$121	$152
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$43	$44	$44
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$196	$196	$196
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$38	$215	$370
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$191	$281	$371
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$179	$182	$184
Annual wellness visit initial HCPCS G0438 • Preventive Care	$178	$183	$189
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$122	$163	$239
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$30	$201	$302
Bronchoscopy with brushing CPT 31623 • Pulmonology	$30	$166	$302
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$151	$201	$282
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$30	$208	$386
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$112	$261	$409
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$282	$862	$1,230
Ventilation assist and management initiation CPT 94002 • Pulmonology	$99	$101	$104
Spirometry CPT 94010 • Pulmonology	$27	$34	$43
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$15	$39	$72
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$30	$33	$37
Respiratory flow volume loop CPT 94375 • Pulmonology	$43	$43	$43
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$30	$65	$87
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$20	$24	$30
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$18	$19	$20
Plethysmography lung volumes CPT 94726 • Pulmonology	$14	$44	$56
Gas dilution lung volumes CPT 94727 • Pulmonology	$16	$35	$48