FEES-Travel Medicine

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OFFICE VISIT CONSULT   NEW PATIENT CPT CODE   ESTAB. PATIENT CPT CODE   FEE
FIRST TIME CONSULT   99204   99214   $70.00
REPEAT CONSULT   -   99214   $50.00
CHILD <16 yrs   99204   99214   $30.00
TRAVEL PACK ONLY   -   -   $40.00
REPLACE YELLOW CARD   -   -   $5.00
ADMINISTRATION FEE   -   -   $30.00
             
VACCINES   CODE   CODE   FEE
Gardasil®   90649   ICD-10: Z23   Each $200.00
Hepatitis A- Adult   90632   ICD-10: Z23   Each $110.00
Hepatitis A- Child   90633   ICD-10: Z23   Each $70.00
Hepatitis B- Adult   90746   ICD-10: Z23   Each $100.00
Hepatitis B- Child   90744   ICD-10: Z23   $40.00
Influenza- IM   90658   ICD-10: Z23   $25.00
Influenza- FluMist   90672   ICD-10: Z23   $25.00
Japanese Encephalitis   90738   ICD-10: Z23   Each $330.00
Meningococcal   90734   ICD-10: Z23   $180.00
MMR   90707   ICD-10: Z23   $110.00
MMR Titer   86735, 86765, 86762 ICD-10: Z11.59       $50.00
Pneumococcal   90732   ICD-10: Z23   $100.00
Polio   90713   ICD-10: Z23   $60.00
PPD Placement   86580   ICD-10: Zll.l   $25.00
Rabavert®   90675   ICD-10: Z23   Each $300.00
TDAP   90715   ICD-10: Z23   $60.00
Twinrix®   90636   ICD-10: Z23   Each 160.00
Typhoid- IM   90691   ICD-10: Z23   $120.00
Typhoid- Oral   90690   ICD-10: Z23   $100.00
Varicella   90716   ICD-10: Z23   Each 180.00
Yellow Fever   90717   ICD-10: Z23   $200.00
Zostavax®   90736   ICD-10: Z23   $250.00