WAL-MART STORES EAST LP· CHARLOTTE, NC

Provider

9820 CALLABRIDGE CT, CHARLOTTE, NC 28216

Procedures offered

26 total

Procedure	Min	Avg	Max
Blood glucose test strip HCPCS A4253 • Durable Medical Equipment	$15	$15	$15
Auto-added CPT 87502 • General	$57	$57	$57
Auto-added CPT 87651 • General	$19	$20	$21
Auto-added CPT 92015 • General	$13	$21	$30
Auto-added CPT 92020 • General	$17	$17	$17
Auto-added CPT 92310 • General	$59	$59	$59
SARS-CoV-2 COVID-19 amplified probe CPT 87635 • Laboratory	$27	$29	$31
Office visit new patient straightforward CPT 99202 • Office Visits	$30	$37	$44
Office visit established patient minimal CPT 99211 • Office Visits	$30	$30	$30
Office visit established patient straightforward CPT 99212 • Office Visits	$30	$30	$30
Office visit established patient low complexity CPT 99213 • Office Visits	$30	$37	$43
Eye exam new patient intermediate CPT 92002 • Ophthalmology	$47	$47	$47
Eye exam new patient comprehensive CPT 92004 • Ophthalmology	$63	$63	$63
Eye exam established patient intermediate CPT 92012 • Ophthalmology	$32	$41	$50
Eye exam established patient comprehensive CPT 92014 • Ophthalmology	$49	$61	$73
Visual field examination CPT 92083 • Ophthalmology	$51	$51	$51
Immunization admin injection single CPT 90471 • Preventive Care	$10	$10	$10
Immunization admin injection each additional CPT 90472 • Preventive Care	$5	$5	$5
HPV vaccine 9-valent CPT 90651 • Preventive Care	$336	$336	$336
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$163	$163	$164
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$17	$17	$17
MMR vaccine CPT 90707 • Preventive Care	$100	$102	$103
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$45	$45	$45
Varicella vaccine CPT 90716 • Preventive Care	$196	$196	$196
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$65	$65	$66
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$220	$230	$239