NOEL GARCIA, M.D.

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

Transitional care management services for problem of high complexity

Dxa bone density measurement of hip, pelvis, spine

Aspiration and/or injection of fluid from large joint

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

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

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

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza

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

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

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

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

Prostate cancer screening; prostate specific antigen test (psa)

Blood test, thyroid stimulating hormone (tsh)

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

Cyanocobalamin (vitamin b-12) level

Blood test, comprehensive group of blood chemicals

X-ray of chest, 2 views

X-ray of lower and sacral spine, 2-3 views

Ferritin (blood protein) level

Blood test, lipids (cholesterol and triglycerides)

Blood test, basic group of blood chemicals (calcium, total)

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)

Hemoglobin a1c level

Uric acid level, blood

Thyroxine (thyroid chemical), free

Injection of drug or substance under skin or into muscle

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count

Complete blood cell count (red cells, white blood cell, platelets), automated test

Magnesium level

Urine microalbumin (protein) analysis

Creatine kinase (cardiac enzyme) level, total

Administration of pneumococcal vaccine

Creatinine level to test for kidney function or muscle injury

Manual urinalysis test with examination using microscope, automated

Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage

Administration of influenza virus vaccine

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

Insertion of needle into vein for collection of blood sample

Injection, triamcinolone acetonide, not otherwise specified, 10 mg