SIRJANA DHUNGANA PARAJULI, MD

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

Transitional care management services for problem of high complexity

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

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

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

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow

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

Advance care planning, first 30 minutes

Telephone medical discussion with physician, 11-20 minutes

Pneumococcal vaccine, 23-valent

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

Influenza vaccine split virus, preservative free

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

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

Natriuretic peptide (heart and blood vessel protein) level

Administration of pneumococcal vaccine

Administration of influenza virus vaccine

Prostate cancer screening; prostate specific antigen test (psa)

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

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous

Blood test, thyroid stimulating hormone (tsh)

Cyanocobalamin (vitamin b-12) level

Folic acid level, serum

Blood test, lipids (cholesterol and triglycerides)

Blood test, comprehensive group of blood chemicals

Adm sarscv2 bvl 50mcg/.5ml a

Ferritin (blood protein) level

Urine microalbumin (protein) level

Red blood cell sedimentation rate, to detect inflammation, automated

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

Blood test, clotting time

Automated urinalysis test

Hemoglobin a1c level

Iron binding capacity

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

Amylase (enzyme) level

Measurement c-reactive protein for detection of infection or inflammation

Rheumatoid factor level

Iron level

Creatinine level to test for kidney function or muscle injury

Uric acid level, blood

Bilirubin level, direct

Lipase (fat enzyme) level

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

Insertion of needle into vein for collection of blood sample

Creatine kinase (cardiac enzyme) level, total

Magnesium level