GLENDA AGUSTIN, M.D.

Puraply xt, per square centimeter

Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes

Puraply am, per square centimeter

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

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

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

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

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

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage

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

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

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

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

Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less

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

Administration of influenza virus vaccine

Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge

Insertion of needle into vein for collection of blood sample

Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled