PATRICK SCIARA, MD

Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use

Transitional care management services for problem of high complexity

New patient office or other outpatient visit, 45-59 minutes

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes

Transitional care management services for problem of at least moderate complexity

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes

Nursing facility discharge management, more than 30 minutes

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

Established patient office or other outpatient visit, 30-39 minutes

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow

Established patient office or other outpatient visit, 20-29 minutes

Influenza vaccine split virus, preservative free

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month

Injection of drug or substance under skin or into muscle

Administration of pneumococcal vaccine

Administration of influenza virus vaccine

Annual depression screening, 5 to 15 minutes

Hemoglobin a1c level

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

Creatinine level to test for kidney function or muscle injury

Urine microalbumin (protein) level

Anticoagulant management of patient taking warfarin

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Urinalysis, manual test