KWAME LARBI-SIAW· CHARLOTTE, NC

Physician group

1000 BLYTHE BLVD, CHARLOTTE, NC 28203

Procedures offered

953 total

Procedure	Min	Avg	Max
Immunization admin first vaccine component CPT 90460 • Preventive Care	$5	$22	$54
Immunization admin each additional component CPT 90461 • Preventive Care	$7	$18	$26
Immunization admin injection single CPT 90471 • Preventive Care	$2	$25	$54
Immunization admin injection each additional CPT 90472 • Preventive Care	$1	$16	$26
HPV vaccine 9-valent CPT 90651 • Preventive Care	$209	$384	$668
Pneumococcal conjugate vaccine 13-valent CPT 90670 • Preventive Care	$258	$302	$357
Rotavirus vaccine pentavalent CPT 90680 • Preventive Care	$110	$140	$214
Influenza vaccine quadrivalent preservative free CPT 90686 • Preventive Care	$31	$37	$41
MMR vaccine CPT 90707 • Preventive Care	$47	$98	$207
Tdap vaccine age 7 years or older CPT 90715 • Preventive Care	$38	$77	$106
Varicella vaccine CPT 90716 • Preventive Care	$118	$213	$397
Pneumococcal vaccine adult CPT 90732 • Preventive Care	$116	$163	$238
Zoster vaccine recombinant adjuvanted CPT 90750 • Preventive Care	$209	$277	$468
Preventive visit new patient infant CPT 99381 • Preventive Care	$42	$138	$230
Preventive visit new patient age 1-4 CPT 99382 • Preventive Care	$11	$151	$240
Preventive visit new patient age 5-11 CPT 99383 • Preventive Care	$150	$181	$251
Preventive visit new patient age 12-17 CPT 99384 • Preventive Care	$11	$147	$244
Preventive visit new patient age 18-39 CPT 99385 • Preventive Care	$14	$181	$273
Preventive visit new patient age 40-64 CPT 99386 • Preventive Care	$42	$218	$384
Preventive visit new patient age 65+ CPT 99387 • Preventive Care	$59	$231	$345
Preventive visit established patient infant CPT 99391 • Preventive Care	$32	$131	$216
Preventive visit established patient age 1-4 CPT 99392 • Preventive Care	$36	$117	$178
Preventive visit established patient age 5-11 CPT 99393 • Preventive Care	$10	$120	$207
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$13	$109	$159
Preventive visit established patient age 18-39 CPT 99395 • Preventive Care	$160	$201	$232
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$9	$168	$263
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$50	$126	$187
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$5	$52	$80
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$184	$338	$493
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$18	$555	$1,413
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$258	$670	$1,199
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$322	$339	$348
Annual wellness visit initial HCPCS G0438 • Preventive Care	$190	$299	$402
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$127	$189	$271
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$97	$316	$501
Bronchoscopy with brushing CPT 31623 • Pulmonology	$130	$583	$1,130
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$50	$505	$1,050
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$52	$532	$1,119
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$112	$498	$1,211
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$152	$1,325	$2,893
Ventilation assist and management initiation CPT 94002 • Pulmonology	$91	$202	$281
Spirometry CPT 94010 • Pulmonology	$12	$33	$73
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$19	$92	$147
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$37	$68	$125
Respiratory flow volume loop CPT 94375 • Pulmonology	$8	$36	$52
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$134	$211	$336
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$11	$24	$33
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$20	$40	$64
Plethysmography lung volumes CPT 94726 • Pulmonology	$17	$78	$108
Gas dilution lung volumes CPT 94727 • Pulmonology	$17	$66	$102