MARY RUDYK, M.D.

New patient office or other outpatient visit, 60-74 minutes

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes

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

Established patient office or other outpatient visit, 40-54 minutes

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

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

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

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

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes

Hospital discharge day management, more than 30 minutes

Nursing facility discharge management, more than 30 minutes

Exam of neurobehavioral status, first hour

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

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

Advance care planning, first 30 minutes

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

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes

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

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes

Influenza vaccine split virus, preservative free

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or

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

Removal of impacted ear wax

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes

Physician or allowed practitioner re-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 a

Administration of pneumococcal vaccine

Administration of influenza virus vaccine

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

Injection of drug or substance under skin or into muscle

Skin test for tuberculosis

Stool analysis for blood to screen for colon tumors

Stool analysis for blood, by peroxidase activity

Urinalysis, manual test

Blood glucose (sugar) test performed by hand-held instrument

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