|
G9402
|
Recd f/u w/in 30d disch |
|
A4594
|
Neuromod adj rehab mouthpie |
|
A9513
|
Lutetium lu 177 dotatat ther |
|
A9515
|
Choline c-11 |
|
A9517
|
I131 iodide cap, rx |
|
A9521
|
Tc99m exametazime |
|
A9530
|
I131 iodide sol, rx |
|
A9542
|
In111 ibritumomab, dx |
|
A9543
|
Y90 ibritumomab, rx |
|
A9547
|
In111 oxyquinoline |
|
A9548
|
In111 pentetate |
|
A9557
|
Tc99m bicisate |
|
A9563
|
P32 na phosphate |
|
A9568
|
Technetium tc99m arcitumomab |
|
A9569
|
Technetium tc-99m auto wbc |
|
A9570
|
Indium in-111 auto wbc |
|
A9572
|
Indium in-111 pentetreotide |
|
A9582
|
Iodine i-123 iobenguane |
|
A9584
|
Iodine i-123 ioflupane |
|
A9586
|
Florbetapir f18 |
|
A9587
|
Gallium ga-68 |
|
A9588
|
Fluciclovine f-18 |
|
A9591
|
Fluoroestradiol f 18 |
|
A9592
|
Copper cu 64 dotatate diag |
|
A9593
|
Gallium ga-68 psma-11 ucsf |
|
A9594
|
Gallium ga-68 psma-11, ucla |
|
A9600
|
Sr89 strontium |
|
A9604
|
Sm 153 lexidronam |
|
A9606
|
Radium ra223 dichloride ther |
|
A9607
|
Lutetium lu 177 vipivotide |
|
A9615
|
Inj, pegulicianine, 1 mg |
|
A9697
|
Inj, magtrace per study dose |
|
C1735
|
Cath renal denerv radiofreq |
|
C1736
|
Cath renal denerv ultrasnd |
|
C1737
|
Si&pelvis fusn&fixn dev |
|
C1738
|
Power endo us-guid bx dev |
|
C7518
|
Cor/gft angio w/ ivus or oct |
|
C7519
|
Cor/gft angio w/ flow resrv |
|
C7546
|
Rep nph/urt cath w/dil stric |
|
C7549
|
Chge urtr stent w/ dil stric |
|
C7555
|
Rmvl thyrd w/autotran parath |
|
C7558
|
Cor angio/vent w/drug admin |
|
C7562
|
R&l hrt angio w/ffr & 3d map |
|
C7563
|
Trluml ballo angiop all art |
|
C7564
|
Vein mech throm w/intrvas us |
|
C7565
|
Rpr aa hrn < 3 rdc w/ rmvl |
|
C8000
|
Suprt dev, a-v fistula, imp |
|
C8001
|
3d anat seg imaging preop |
|
C8002
|
Prep skin cell susp, automtd |
|
C8003
|
Imp extar knee shck absrb |
|
C9067
|
Gallium ga-68 dotatoc |
|
C9169
|
Inj, nogapendekin pmln 1 mcg |
|
C9170
|
Inj, tarlatamab-dlle, 1 mg |
|
C9171
|
Inj, pegulicianine, 1 mg |
|
C9172
|
Inj, beqvez, per tx dose |
|
C9290
|
Inj, bupivacaine liposome |
|
C9610
|
Cath coronary drug-delivery |
|
C9769
|
Cysto w/temp pros implant |
|
C9786
|
Echo cad for hf preserved ef |
|
C9794
|
Complex simulation w/pet-ct |
|
C9795
|
Sbrt w/positron emission del |
|
C9804
|
Pump elastomc non-opioid dev |
|
C9806
|
Pump perist non-opioid dev |
|
C9807
|
Nerve stim non-opioid dev |
|
C9808
|
Cryo probe non-opioid dev |
|
C9809
|
Cryo needle non-opioid dev |
|
E0491
|
Oral dv nm mouthpc hw remote |
|
E1800
|
Adjust elbow ext & flex dev |
|
E1803
|
Adjust elbow extension dev |
|
E1804
|
Adjust elbow flexion dev |
|
E1805
|
Adjust wrist ext & flex dev |
|
E1807
|
Adjust wrist extension dev |
|
E1808
|
Adjust wrist flexion device |
|
E1810
|
Adjust knee ext & flex dev |
|
E1813
|
Adjust knee extension device |
|
E1814
|
Adjust knee flexion device |
|
E1815
|
Adjust ankle ext & flex dev |
|
E1822
|
Adjust ankle extension dev |
|
E1823
|
Adjust ankle flexion device |
|
E1825
|
Adjust finger ext & flex dev |
|
E1826
|
Adjust finger extension dev |
|
E1827
|
Adjust finger flexion device |
|
E1828
|
Adjust toe extension device |
|
E1829
|
Adjust toe flexion device |
|
E1830
|
Adjust toe ext & flex device |
|
G0106
|
Colon ca screen;barium enema |
|
G0120
|
Colon ca scrn; barium enema |
|
G0122
|
Colon ca scrn; barium enema |
|
G0556
|
Adv prim care mgmt lvl 1 |
|
G0532
|
Take home supp nasal spray |
|
G0533
|
Buprenorphone inj weekly |
|
G0534
|
Coordinated care/or referral |
|
G0535
|
Pt navigat svs direct/ref |
|
G0536
|
Peer recover support svs |
|
G0537
|
Risk ascvd tst once pr 12 mo |
|
G0538
|
Ascvd rsk mng clin stf pr mo |
|
G0539
|
Initial care training 30 m |
|
G0540
|
Train for caregiver add 15 |
|
G0541
|
No pt prsnt train initial 30 |
|
G0542
|
No pt prsnt train add 15 |
|
G0543
|
Group train w/o patient |
|
G0544
|
Post d/c phone follow up |
|
G0545
|
Inherent visit to inpt |
|
G0546
|
Phone/internet ehr assess |
|
G0547
|
Phone/internet svs 11-20 m |
|
G0548
|
Phone/inter svs 21-30 m |
|
G0549
|
Phone/inter for treat>31m |
|
G0550
|
Phone/inter for dx/treat >5m |
|
G0551
|
Phn/intr svs fr dx treat 30m |
|
G0552
|
Supply of digital device |
|
G0553
|
Monthly tx for dmht 20mins |
|
G0554
|
Add 20 m of monthly tx |
|
G0555
|
Replacment pt electronic sys |
|
G0557
|
Adv prim care mgmt lvl 2 |
|
G0558
|
Adv prim care mgmt lvl 3 |
|
G0559
|
Unrelat prac follow up visit |
|
G0560
|
Safety plan interven |
|
G0561
|
Temp tube delivery, unil |
|
G0562
|
Complex simulation w/pet-ct |
|
G0563
|
Sbrt w/positron emission del |
|
G1001
|
Cdsm evicore |
|
G1002
|
Cdsm medcurrent |
|
G1003
|
Cdsm medicalis |
|
G1004
|
Cdsm ndsc |
|
G1007
|
Cdsm aim |
|
G1008
|
Cdsm cranberry pk |
|
G1010
|
Cdsm stanson |
|
G1011
|
Cdsm qualified nos |
|
G1012
|
Cdsm agilemd |
|
G1013
|
Cdsm evidencecare |
|
G1014
|
Cdsm inveniqa |
|
G1015
|
Cdsm reliant |
|
G1016
|
Cdsm speed of care |
|
G1017
|
Cdsm healthhelp |
|
G1018
|
Cdsm infinx |
|
G1019
|
Cdsm logicnets |
|
G1020
|
Cdsm curbside |
|
G1021
|
Cdsm ehealthline |
|
G1022
|
Cdsm intermountain |
|
G1023
|
Cdsm persivia |
|
G1024
|
Cdsm radrite |
|
G2012
|
Brief check in by md/qhp |
|
G2069
|
Med assist tx inject |
|
G2070
|
Med assist tx implant |
|
G2071
|
Med tx remove implant |
|
G2072
|
Med tx insert/remove imp |
|
G2091
|
Pt 66+ frailty and adv ill |
|
G2099
|
Pt 66+ frailty and adv ill |
|
G2101
|
Pt 66+ frailty and adv ill |
|
G2107
|
Pt 66+ frailty and adv ill |
|
G2116
|
Pt 66-80 frailty and adv ill |
|
G2126
|
Pt 66-80 frailty and adv ill |
|
G8482
|
Flu immunize order/admin |
|
G8483
|
Flu imm no admin doc rea |
|
G8484
|
Flu immunize no admin |
|
G8577
|
Reop req bld grft oth |
|
G8578
|
No reop req bld grft oth |
|
G8694
|
Lvef <=40% |
|
G8842
|
Ahi rdi rei doc win 2mo |
|
G8843
|
Doc reas no ahi rdi rei |
|
G8844
|
No ahi rdi rei ini dx no rsn |
|
G8923
|
Lvef <= 40% or lvsd |
|
G8934
|
Lvef <=40% or dep lv sys fcn |
|
G8965
|
Csit perf on low chd rsk |
|
G8966
|
Csit perf sx or high chd rsk |
|
G9246
|
No enc or enc/vir ld 90days |
|
G9247
|
2 enc enc/vir ld 90d |
|
G9254
|
Doc pt dischg >2d |
|
G9255
|
Pt dc home 2nd po day |
|
G9321
|
Prev ct nuc med cnt doc 12mo |
|
G9322
|
No cnt ct nuc med doc 12mo |
|
G9403
|
Doc reas no 30 day f/u |
|
G9404
|
No 30 day f/u |
|
G9405
|
Recd f/u w/in 7d dc |
|
G9406
|
Doc reas no 7d f/u |
|
G9407
|
No 7d f/u |
|
G9458
|
Tob user recd cess interv |
|
G9459
|
Tob non-user |
|
G9460
|
No tob assess or cess inter |
|
G9659
|
>=86y scr colo nomed rsn |
|
G9660
|
Doc med rsn colo pt >= 86y |
|
G9707
|
Pt had hosp dur msmt per |
|
G9751
|
Pt died w/in 24 mos rpt time |
|
G9760
|
Pt w/hosp anytime msmt per |
|
G9892
|
Doc pt rsn no dil mac exam |
|
G9893
|
No mac exam |
|
G9919
|
Scrn nd pos nd prov of rec |
|
G9920
|
Scrning perf and negative |
|
G9921
|
No or part scrn nd rng or os |
|
G9974
|
Mac exam perf |
|
G9975
|
Doc med rsn no dil mac exam |
|
G9990
|
No pneum vax admin 19+ |
|
G9991
|
Pneum vax admin 19+ |
|
G9999
|
Doc sys rsn <3 colon |
|
H0052
|
Mmip mental health and care |
|
H0053
|
Ht mental health and care |
|
J0135
|
Adalimumab injection |
|
J0138
|
Inj acetaminoph 10mg/ibu 3mg |
|
J0139
|
Inj, adalimumab, 1 mg |
|
J0601
|
Sevelamer carbonate 20 mg |
|
J0602
|
Sevelamer carbonate pdr 20mg |
|
J0603
|
Sevelamer hydrochloride 20mg |
|
J0605
|
Sucroferric oxyhydroxide 5mg |
|
J0607
|
Lanthanum carbonate oral 5mg |
|
J0608
|
Lanthanum carbonate pwdr 5mg |
|
J0609
|
Ferric citrate orl 3 mg iron |
|
J0615
|
Calcium acetate, oral, 23 mg |
|
J0666
|
Inj, bupivacaine liposome |
|
J0688
|
Inj cefazolin sodium, hikma |
|
J0739
|
Hiv prep, inj, cabotegravir |
|
J0750
|
Hiv prep, ftc/tdf 200/300mg |
|
J0751
|
Hiv prep, ftc/taf 200/25mg |
|
J0870
|
Injection, imetelstat, 1 mg |
|
J0873
|
Inj daptomycin (xellia) |
|
J0901
|
Vadadustat oral 1mg for esrd |
|
J1010
|
Inj, methylpred acetate 1 mg |
|
J1171
|
Inj, hydromorphone, 0.1 mg |
|
J1307
|
Inj, crovalimab-akkz, 10 mg |
|
J1414
|
Inj, beqvez, per tx dose |
|
J1552
|
Inj, alyglo, 500 mg |
|
J1596
|
Inj, glycopyrrolate, 0.1 mg |
|
J1598
|
Inj glycopyrrolate fres kabi |
|
J1885
|
Ketorolac tromethamine inj |
|
J1939
|
Inj, bumetanide, 0.5 mg |
|
J2002
|
Inj, lidocaine in d5w, 1 mg |
|
J2183
|
Inj meropenem (wg crit care) |
|
J2290
|
Inj, nafcillin sodium, 20 mg |
|
J2373
|
Inj, immphentiv, 20 mcg |
|
J2468
|
Inj, palonosetron (posfrea) |
|
J2472
|
Inj, pantoprazole sodium chl |
|
J2561
|
Inj, sezaby, 1 mg |
|
J2679
|
Inj fluphenazine hcl 1.25 mg |
|
J2796
|
Romiplostim injection |
|
J2802
|
Inj, romiplostim 1 microgram |
|
J2806
|
Inj sincalide, maia, 5 mcg |
|
J2919
|
Inj, methylpred sod succ 5mg |
|
J3392
|
Inj, exagamglogene autotem |
|
J3425
|
Hydroxocobalamin im 10mcg |
|
J7514
|
Mycophenol (myhibbin) 100 mg |
|
J7601
|
Ensifentrine inh 3 mg |
|
J8510
|
Oral busulfan |
|
J8522
|
Capecitabine, oral, 50 mg |
|
J9026
|
Inj, tarlatamab-dlle, 1 mg |
|
J9028
|
Inj, nogapendekin pmln, 1mcg |
|
J9033
|
Inj, bendamustine hcl, 1mg |
|
J9056
|
Inj, vivimusta, 1 mg |
|
J9058
|
Inj apotex/bendamustine 1 mg |
|
J9059
|
Inj bendamustine, baxter 1mg |
|
J9076
|
Inj, cyclophos (baxter) 5mg |
|
J9259
|
Paclitaxel (american regent) |
|
J9329
|
Inj, tislelizumab-jsgr |
|
M0003
|
Opt care episod neuro mvp |
|
M0004
|
Qual care neurologic cnd mvp |
|
M0237
|
Intrav inf, toci, first dose |
|
M0238
|
Intrav inf, toci, second dos |
|
M1150
|
Lvef <=40% or mod/sev l vsf |
|
M1154
|
Hospc serv dur meas pd |
|
M1155
|
Pt anphx due to pneum |
|
M1177
|
Pt recd pcv on/aft 19 |
|
M1179
|
No pcv recd |
|
M1211
|
Gsa level>9.0% |
|
M1212
|
Missing gsa not perf |
|
M1219
|
Anphx due to vax |
|
M1259
|
Pt stat doc <= 1 yr dialysis |
|
M1260
|
Pt not doc <= 1 yr dialysis |
|
M1264
|
Pts 75+ dialysis dt |
|
M1267
|
Pt no act kid transplt wtlst |
|
M1268
|
Pt ac stat kid trnsplt wtlst |
|
M1272
|
Pts kid transplt wtlst |
|
M1292
|
Pt 66+ frail inpt adv ill |
|
M1343
|
Pt pam lvl 4 base or srt lin |
|
M1344
|
No bsln/2nd pam score 4-12mo |
|
M1345
|
Pt bsln pam, 2nd scr 4-12 mo |
|
M1346
|
No pam inc 6 pts 4-12 mo |
|
M1347
|
Pt pam incr 3 pt 4-12 mo |
|
M1348
|
Pam incr 6 pt 4-12 mo |
|
M1349
|
No pam inc 3 pts 4-12 mo |
|
M1371
|
Mst rec gsa<7 |
|
M1372
|
Mst rec gsa >=7 and<8 |
|
M1373
|
Mst rec gsa >=8 and <=9 |
|
M1374
|
Ra dx enc 90 days dur per pd |
|
M1375
|
Ra dx enc 90 days dur per pd |
|
M1376
|
Ra dx enc 90 days dur per pd |
|
M1377
|
Fu colscop 10 yr doc w/ disc |
|
M1378
|
Med rsn no 10 yr fu colscope |
|
M1379
|
10 yr fu no rec rsn not giv |
|
M1380
|
2 rx in perf pd any com meds |
|
M1381
|
Pt sec strk wthin 5 days |
|
M1382
|
Enc dur perf pd pos 11 |
|
M1383
|
Acute pvd |
|
M1384
|
Pt died dur perf pd |
|
M1385
|
Pt rsn not seen 2nd pam |
|
M1386
|
Exc sx melmn or mlnm is |
|
M1387
|
Pt died dur perf pd |
|
M1388
|
Pt doc exm rec melmn |
|
M1390
|
Pt no doc exm for rec |
|
M1391
|
All pt dx w/ rec mlnm |
|
M1392
|
Pt rsn no exm or lst to fu |
|
M1393
|
Pr no dx rec mlnm |
|
M1394
|
Stg i-iii br ca |
|
M1395
|
Init chemo w/def dur ec grp |
|
M1396
|
Pt ther clin trial |
|
M1397
|
Pt w/ recur/prog |
|
M1398
|
Bslne and fu promis doc |
|
M1399
|
Pt lve prac |
|
M1400
|
Pt died dur perf pd |
|
M1401
|
Stg i-iii br ca |
|
M1402
|
Init chemo w/def dur ec grp |
|
M1403
|
Bslne and fu promis doc |
|
M1404
|
Pt ther clin trial |
|
M1405
|
Pt w/ recur/prog |
|
M1406
|
Pt lve prac |
|
M1407
|
Pt died dur perf pd |
|
M1408
|
Gmln brca bef dx ca |
|
M1409
|
Recd gmln brca1/brca2 couns |
|
M1410
|
No gmln brca1/brca2 couns |
|
M1411
|
1st ln ici no chemo |
|
M1412
|
Met nsclc w/ egfr alk oth ab |
|
M1413
|
Pos pdl1 bef init ici tx |
|
M1414
|
Med rsn no pdl1 bef 1st ther |
|
M1415
|
No pos pdl1 bef ici ther |
|
M1416
|
Pt rec hosp |
|
M1417
|
Pt up to date cov |
|
M1418
|
Med rsn not up to date cov |
|
M1419
|
Pt not up to date cov |
|
M1420
|
Complete ophthalmologic mvp |
|
M1421
|
Dermatological care mvp |
|
M1422
|
Gastroenterology care mvp |
|
M1423
|
Opt care urologic cnd mvp |
|
M1424
|
Pulmonology care mvp |
|
M1425
|
Surgical care mvp |
|
Q0155
|
Dronabinol (syndros) 0.1 mg |
|
Q0237
|
Inj, tocilizumab-anoh, hospi |
|
Q0516
|
Supply fee hiv prep oral 30 |
|
Q0517
|
Supply fee hiv prep oral 60 |
|
Q0518
|
Supply fee hiv prep oral 90 |
|
Q0519
|
Supply fee hiv prep inj 30 |
|
Q0520
|
Supply fee hiv prep inj 60 |
|
Q0521
|
Supply fee hiv prep fda appr |
|
Q5131
|
Inj, idacio, 20 mg |
|
Q5132
|
Inj, abrilada, 10 mg |
|
Q5140
|
Inj adalimumab-fkjp, 1 mg |
|
Q5141
|
Inj adalimumab-aaty, 1 mg |
|
Q5142
|
Inj adalimumab-ryvk, 1 mg |
|
Q5143
|
Inj adalimumab-adbm, 1 mg |
|
Q5144
|
Inj, idacio, 1 mg |
|
Q5145
|
Inj, abrilada, 1 mg |
|
Q5146
|
Inj, hercessi, 10 mg |
|
Q9982
|
Flutemetamol f18 diagnostic |
|
Q9983
|
Florbetaben f18 diagnostic |
|
Q9996
|
Ustekinumab- ttwe sub cu inj |
|
Q9997
|
Ustekinumab-ttwe iv inj 1 mg |