Code Description

 Dollar

Amount

99213 Established Office Visits $134
 90471 Single Immunization Administration $46
 90472 Multiple Immunization Administration $29
 99000 Handling Fee $16
 99174 Vision Screen: Welch Allyn $35
 99391 Established Infant Preventative Health Care $168
92551 Hearing Screening $21
96110 Developmental Screening $44
 99392 Established (1-4 YRS) Preventative Health Care $184
 99214 Established Office Visit $202
36416 Heel/Finger Stick $17
99393 Established (5-11 YRS) Preventative Health Care $184
90670 Prevnar 13 $205
90647 Pedvax Hib $64
90723 Pediarix $96

 

**Pediatric Associats offers discounts and sliding fee scale for those who qualify and pay at time of service.**