Pediatrics
Pediatric billing for well visits, sick visits, and vaccines
RevantaRCM bills pediatric claims from the Atlanta office. Most of the money is in preventive visits and vaccine administration. The small-balance claims are the ones offices stop chasing.
How we work
How we handle pediatric billing
What we track on every chart
- Every vaccine given on a well-visit day billed as its own line — product and administration — separate from the visit itself.
- Age-banded preventive visit codes matched to the patient's exact age at the date of service, not the schedule's default.
- Developmental and hearing screenings billed alongside the well visit instead of being absorbed into it and lost.
- Small-balance sick-visit claims worked on the same schedule as large claims, instead of being written off as not worth the time.
Where the revenue leaks
- A vaccine administration line dropped because the front desk logged the shot but the coder never saw it.
- VFC (Vaccines for Children) claims billed incorrectly, which denies the administration fee even when the vaccine itself pays.
- A stack of $20–$40 balances nobody follows up on, which adds up fast across a full patient panel.
- Well-visit and sick-visit codes billed on the same date without the modifier that tells the payer they are separate services.
Getting started
From first call to a signed contract
Free practice audit
Jyoti reviews what you already have — claims, denials, AR aging — before anything is agreed to.
30-minute intro call
A direct conversation about your practice, your payers, and whether this is a fit — no pitch deck.
BAA & account review
A Business Associate Agreement is signed first. Then Jyoti reviews your actual account in detail.
Contract & onboarding
Once the contract is signed, billing transitions with minimal disruption to your staff or cash flow.
Codes on these claims
What the office actually files
A well visit and a vaccine given the same day are separate lines. The vaccine product and the administration are separate lines too. When either one is dropped, the visit looks paid and the vaccine is not.
| Code | What it covers |
|---|---|
| 99391 | Preventive visit, established patient, infant under age 1. 99392 through 99394 cover ages 1 through 17. |
| 99381 | Preventive visit, new patient, infant under age 1. 99382 through 99384 cover ages 1 through 17. |
| 90460 | Vaccine administration through age 18, with counseling, first component. |
| 90461 | Each additional vaccine component on the same date. |
| 96110 | Developmental screening. |
| 92551 | Hearing screening, pure tone, air only. |
| 99213 | Sick visit, established patient. 99214 when the visit supports that level. |
These are the codes these practices file most often. A payer still decides what it will pay, and the note has to support the code.
See where your revenue is stalling
Request an account review. No commitment, no pitch deck — just a direct look at your claims, denials, and AR.