Screenings & Procedures

During Well Visits at Kids Plus, we perform routine health screenings recommended by the American Academy of Pediatrics and the Bright Futures Guidelines.

These screenings are considered standard of care; to not do them would be to practice substandard medical care.

Insurance companies are supposed to cover these screenings. Unfortunately, not all of them do.

Most plans cover screenings at no cost to you. Some recommend the screenings, then pass the cost on to you by counting it toward your deductible or co-insurance. Some plans don’t cover these screenings at all. If your insurance company doesn’t cover a standard screening, we suggest you call them, ask them why, and strongly urge them to start covering these standard services that benefit, and safeguard, your child’s health.

During your child’s visits, we may have to perform procedures or provide additional services to provide proper care. Insurance companies require us to bill these services and procedures separately, as additions to the “regular” office visit. As with screenings, most insurance companies cover these procedures and services most of the time. But some pass the costs to your deductible or co-insurance, and some don’t cover them at all.

It’s Kids Plus policy to provide the best possible care for your child, no matter what insurance you have. Our goal is to provide exceptional health care for your child, not to pick and choose when we will and when we won’t provide care for your child based on an insurance company’s policies. Because we accept thousands of different insurance plans, we can’t know or keep track of what every plan covers.

It’s your responsibility to understand what services are covered by your insurance plan.

A Sample of Services Performed at Well Visits

Chlamydia Screening (yearly, 16-21 yrs) 87491/11363
Depression Screening (yearly, 12-17 yrs) GO444
Edinburgh Post-Partum Screening (1, 2, 4, 6 mos) 96161
Exercise and Nutrition Counseling G0447
Fluoride Varnish Protection (6, 9, 12, 15, 18, 24, 30, 36, 48 mos) 99188
Hearing and Vision Screening 92551-99173
Hemoglobin  (9 mos, and onset of menarche for girls) 85018
Lead Screening (9, 24 mos) 83655
Lipid Panel 80061
MCAHT & PEDS Screening (9, 18, 24, 30 mos) 96110
Photo Screening – Vision Test (1, 2, 3, 4 yrs) 99177/99174
“Screen for Child Anxiety Related Disorders” Screening 96127

A Sample of Some Additional Services and Procedures That May Be Billed With Your Visit

Asthma Control test (ACT) 96160 Nebulizer Admin Set A7003
Capillary Blood Draw 36416 Nebulizer Treatment 94640
Ceftriaxone Injection (Rocephin antibiotic) J0696 Neurophysch Test Admin W/Comp 96120
Chemical Cautery, Tissue 17250 Neuropsychological Testing 96118
Clear Outer Ear Canal 69200 Office Emergency Care 99058
Treatment Nursemaid Elbow 24640 Preputial Stretching 54450
Control of Nosebleed 30901 Pulse Ox 94760
Destruct Lesion, 15 or more 17111 Rapid Flu 87502
Destruct Lesion, 1-14 17110 Removal of Sutures S0630
Dexamethasone Sodium Phos (Decadron) J1100 Incision/Remove Foreign Body SQ 10120
Evaluate Patient use of Inhaler 94664 Remove Impacted Ear Wax 69210
Face-to-Face Behavioral Counseling 15 Min G0447 Remove Impacted Ear Wax Lavage 69209
Glucose Strip 82948 Remove of Skin Tags 11200
Hemoccult 82270 Specimen Handling 99000
Immunotherapy Injection, Multiple 95117 Spirometry 94010
Immunotherapy One Injection 95115 Spirometry Pre/Post 94060
ImPACT Testing IMPACT Strep A Assay W/Optic 87880
Incision of Tongue Tie 41010 TB Intradermal Test 86580
Initial Treatment of Burn(s) 16000 Throat Culture Screen 87081
Insert Bladder catheter 51701 Treatment of Burn(s) 16020
Measure Blood Oxygen Level 94761 Urine Screening 81002
Medication/Antibiotic Administration 96372 Evening/Weekend Hours 99051
Etonogestrel Implant (Nexplanon) J7307
Insertion, Drug Delivery Implant 11981
Removal Drug Delivery Implant 11982
Removal w/ Reinsertion Drug Delivery Implant 11983

If there’s a standard screening, service, or procedure you DON’T want, let us know.

Please understand that if you decline preventive screenings or treatments, you risk missing a preventable disease, or delaying treatment for a particular disease or condition, for your child.