JOHN RAINEY, M.D.

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

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

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

Pneumococcal vaccine, 13-valent

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

Hospital discharge day management, more than 30 minutes

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

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

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

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

Hospital discharge day management, 30 minutes or less

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

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 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

Pneumococcal vaccine, 23-valent

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

Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional

Removal of impacted ear wax by washing

Detection test by immunoassay with direct visual observation for influenza virus

Annual depression screening, 5 to 15 minutes

Annual alcohol misuse screening, 5 to 15 minutes

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

Injection of drug or substance under skin or into muscle

Administration of influenza virus vaccine

Smoking and tobacco use intensive counseling, 4-10 minutes

Hemoglobin a1c level

Administration of pneumococcal vaccine

Injection, dexamethasone sodium phosphate, 1 mg

Automated urinalysis test

Insertion of needle into vein for collection of blood sample