MICHAEL HIRSCH, MD

Transitional care management services for problem of at least moderate complexity

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

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

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

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

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

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

Established patient office or other outpatient visit, 30-39 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 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

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

Removal of impacted ear wax

Influenza vaccine split virus, preservative free

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

Telephone medical discussion with physician, 11-20 minutes

Administration of influenza virus vaccine

Administration of pneumococcal vaccine

Urinalysis, manual test

Insertion of needle into vein for collection of blood sample