The URL can be used to link to this page

Home My WebLink AboutC.054.93010_0085IREDELL COUNTY HEALTH DEPART;NENT FEESCHEDULE CPT COD SERVICE FEES Preventive Visits (Ne. 99381 Age under 1 year S SO 00 99382 Age 1.4 years $ 90 00 99383 Age 5.11 years $10000 99384 Age 12.17 years S11000 99385 Age 18-39 years S115 00 99386 Age 40-64 years S1,000 99387 Age 65 years & over S145 00 Pmentiveyisits LEstablished 99391 Age under I year S 70 00 99392 Ace 14 years S 75 00 99393 Age 5.11 years 5 8500 99394 Age 12-17 years S10000 99395 Age 18.39 years S 100 00 99396 Age 40-64 years 5115 00 99397 Age 65 years & over S 130 00 Eval/Mgmt visits (New9 992201 Minimal S 5000 99202 Limited S65 00 99203 Expanded S 8500 99204 Detailed 512500 99205 Comprehensive $15500 CPT COD 5ERNICE EvalAl-mr visits (Established! 99211 Minimal S 35 00 99212 Limited S 45 00 99213 Expanded $ 65 00 99214 Detailed $ 85 00 99215 Comprehensive 5105 00 Antepartum Care 59425 4 - 6 visits 5375 00 59426 7 or more visits $1,00000 L bn atnry 82947 Glucose S 1500 82950 I hour Glucola S 25 00 82951 GTT (3 hr) S 4000 85013 Hematocrit S 15 00 81002 Urine Dipstick 5 1200 81000 Urine with micro $ 1800 87087 Urine Colony Count S 25 00 81025 'Pregnancy Test (urine) S 1000 (19 years & over) 6