Twelve Corners Pediatrics Twelve Corners Pediatrics

(585) 473-3535 ext. 4 Patient Portal

Routine Well Child Visit Information

1 Week-9 Month (1 week, 2 week, 2, 4, 6, 9 month)

  • Well Child Office Visit (99391)
  • Caregiver Health Risk Assessment (96161)
  • Recommended Vaccines and Vaccine Administration Fees

12 Month

  • Well Child Office Visit (99392)
  • Recommended Vaccines and Vaccine Administration Fees
  • Lead Test (83655)
  • Hemoglobin Test (85018)
  • Vision Screening (99177)

15 Month

  • Well Child Office Visit (99392)
  • Recommended Vaccines and Vaccine Administration Fees

18 Month

  • Well Child Office Visit (99392)
  • Recommended Vaccines and Vaccine Administration Fees
  • Developmental Screening Questionnaire (96110) MCHAT_-_20_Questione
  • Lead Test (83655)

2 Year

  • Well Child Office Visit (99392)
  • Recommended Vaccines and Vaccine Administration Fees
  • Lead Test (83655)
  • Hemoglobin Test (85018)
  • Developmental Screening Questionnaire (96110) MCHAT_-_20_Questions
  • Vision Screening (99177)

2 ½ Year – 11 Year

  • Well Child Office Visit (99392 or 99393)
  • Recommended Vaccines and Vaccine Administration Fees
  • Lipid Test (80061)
  • If you have a diagnosis of Asthma or Wheezing we may also have you complete an Asthma Control Test Questionnaire ACT 4 to11yrs (96160) and/or have you do a Spirometry (94010)
  • Vision Screening (99177 or 99173) and Hearing Test (92551)

12 + Years

  • Well Child Office Visit (99394 or 99395)
  • Recommended Vaccines and Vaccine Administration Fees
  • Developmental Screening Questionnaire/Emotional assessment PHQ 2-9 (96127) and Substance Abuse Screening CRAFFT 6-19 (96127)
  • Lipid Test (80061)
  • If you have a diagnosis of Asthma or Wheezing we may also have you complete an Asthma Control Test Questionnaire ACT 12yrs and older (96160) and/or have you do a Spirometry (94010)
  • Vision Screeing (99173) and Hearing Test (92551)

** Physicians may order tests (lab and/or Imaging) at outside facilities. Please contact those facilities with any questions regarding their billing and how your insurance policy will cover those tests at that facility.

*** If there are any Illnesses or Injuries brought to your physician’s attention at the time of your well visit requiring new medications, follow-up, or tests/procedures to be performed at the time of your well visit THESE MAY BE BILLED TO YOUR INSURANCE SEPARATELY as an illness/sick/procedure office visit in addition to your well visit.