JOHN MULLALLY, MD

Transitional care management services for problem of high complexity

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

Pneumococcal vaccine, 23-valent

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

Hospital discharge day management, 30 minutes or less

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, 30-39 minutes

Transitional care management services for problem of at least moderate complexity

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes

Established patient office or other outpatient visit, 20-29 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

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

Aspiration and/or injection of fluid from large joint

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

Test to measure expiratory airflow and volume

Influenza vaccine, quadrivalent derived from cell cultures

Injection of drug or substance under skin or into muscle

Administration of influenza virus vaccine

Smoking and tobacco use intensive counseling, 4-10 minutes

Administration of pneumococcal vaccine

Injection, methylprednisolone acetate, 80 mg

Annual depression screening, 5 to 15 minutes