AYMAN GEBRAIL, M.D.

Transitional care management services for problem of high complexity

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

Transitional care management services for problem of at least moderate complexity

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

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment

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

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

Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation

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

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

Advance care planning, first 30 minutes

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

Aspiration and/or injection of fluid from large joint

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days

Test to measure expiratory airflow and volume changes before and after medication administration

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

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus

Testing for presence of drug, read by direct observation

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes

Removal of impacted ear wax

Established patient office or other outpatient visit, 10-19 minutes

Infusion into a vein for hydration, 31-60 minutes

Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)

Stool analysis for blood, by fecal hemoglobin determination by immunoassay

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days

Face-to-face behavioral counseling for obesity, 15 minutes

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

Detection test by immunoassay with direct visual observation for influenza virus

Heart rhythm recording continous external ekg over more than 48 hours up to 7 days

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

Annual depression screening, 5 to 15 minutes

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment

Hemoglobin a1c level

Smoking and tobacco use intensive counseling, 4-10 minutes

Injection of drug or substance under skin or into muscle

Injection, denosumab, 1 mg

Infusion, normal saline solution , 1000 cc

Injection, methylprednisolone acetate, 80 mg

Urine microalbumin (protein) analysis

Injection, ketorolac tromethamine, per 15 mg

Automated urinalysis test

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

Insertion of needle into vein for collection of blood sample