ROMAN MALLEY, MD

Transitional care management services for problem of high complexity

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

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

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

Dxa bone density measurement of hip, pelvis, spine

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

Influenza vaccine split virus, preservative free

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

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 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

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes

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

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

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

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes

Administration of influenza virus vaccine

Blood test, lipids (cholesterol and triglycerides)

Removal of impacted ear wax by washing

Administration of pneumococcal vaccine

Hemoglobin a1c level

Blood glucose (sugar) level