WAL-MART STORES EAST LP· MOUNT OLIVE, NC

Provider

308 NC HIGHWAY 55 W, MOUNT OLIVE, NC 28365

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	$19	$19
Auto-added CPT 92015 • General	$30	$30	$30
Auto-added CPT 92020 • General	$13	$15	$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	$50	$50	$50
Eye exam established patient comprehensive CPT 92014 • Ophthalmology	$49	$61	$73
Visual field examination CPT 92083 • Ophthalmology	$34	$34	$34
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