GARY LANGNAS, D.O.

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

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

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

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

Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes

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

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

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

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

Hospital discharge day management, more than 30 minutes

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

Nursing facility discharge management, more than 30 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

Advance care planning, first 30 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

Influenza vaccine split virus, preservative free

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

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

Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free

Administration of pneumococcal vaccine

Injection of drug or substance under skin or into muscle

Administration of influenza virus vaccine

Hemoglobin a1c level

Injection, methylprednisolone acetate, 80 mg

Blood test, lipids (cholesterol and triglycerides)

Injection, ketorolac tromethamine, per 15 mg

Creatinine level to test for kidney function or muscle injury

Insertion of needle into vein for collection of blood sample

Automated urinalysis test

Urine microalbumin (protein) analysis