HOLLY COLEMAN· STATESVILLE, NC

Physician group

524 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625

Procedures offered

838 total

Procedure	Min	Avg	Max
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$257	$257	$258
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$92	$94	$99
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$19	$19	$19
MMR vaccine CPT 90707 • Preventive Care	$47	$77	$93
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$37	$38	$40
Varicella vaccine CPT 90716 • Preventive Care	$24	$104	$184
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$13	$73	$133
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$28	$102	$176
Preventive visit new patient infant CPT 99381 • Preventive Care	$101	$104	$106
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$111	$112	$113
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$116	$126	$137
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$131	$132	$133
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$103	$103	$103
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$148	$148	$149
Preventive visit established patient infant CPT 99391 • Preventive Care	$67	$82	$98
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$11	$66	$115
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$102	$111	$120
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$104	$108	$112
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$116	$116	$116
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$115	$119	$123
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$50	$83	$116
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$38	$38	$38
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$183	$183	$184
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$18	$127	$235
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$169	$182	$195
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$163	$163	$163
Annual wellness visit initial HCPCS G0438 • Preventive Care	$130	$152	$163
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$103	$119	$127
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$30	$30	$30
Bronchoscopy with brushing CPT 31623 • Pulmonology	$30	$30	$30
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$66	$66	$66
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$30	$30	$30
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$74	$107	$139
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$1,278	$1,278	$1,278
Ventilation assist and management initiation CPT 94002 • Pulmonology	$91	$91	$91
Spirometry CPT 94010 • Pulmonology	$7	$22	$30
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$30	$33	$37
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$59	$59	$59
Respiratory flow volume loop CPT 94375 • Pulmonology	$30	$30	$30
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$82	$116	$150
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$6	$6	$6
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$16	$21	$30
Plethysmography lung volumes CPT 94726 • Pulmonology	$46	$50	$52
Gas dilution lung volumes CPT 94727 • Pulmonology	$30	$36	$42
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$8	$27	$46
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$2	$2
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$20	$23	$25
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$69	$69	$69
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$105	$105	$105
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$164	$164	$165