| MIPS 001Diabetes: Glycemic Status Assessment Greater Than 9% | MIPS CQM | Avg. rate 23.12% | Decile 10 <= 10.00 | ActiveHigh priority |
| Medicare Part B Claims | Avg. rate 1.68% | Decile 10 <= 10.00 | ActiveHigh priority |
| eCQM | Avg. rate 40.91% | Decile 10 <= 12.50 | ActiveHigh priority |
| MIPS 005Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD) | MIPS CQM | Avg. rate 97.23% | Decile 10 100.00 | Topped Out7-pt cap |
| eCQM | Avg. rate 81.04% | Decile 10 >= 93.33 | Active |
| MIPS 006Coronary Artery Disease (CAD): Antiplatelet Therapy | MIPS CQM | Avg. rate 91.60% | Decile 10 100.00 | Topped Out7-pt cap |
| MIPS 007Coronary Artery Disease (CAD): Beta-Blocker Therapy – Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF ≤ 40%) | MIPS CQM | Avg. rate 97.61% | Decile 10 100.00 | Topped Out7-pt cap |
| eCQM | Avg. rate 87.44% | Decile 10 >= 95.97 | Active |
| MIPS 008Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) | MIPS CQM | Avg. rate 98.50% | Decile 10 100.00 | Topped Out7-pt cap |
| eCQM | Avg. rate 91.56% | Decile 10 >= 98.15 | Active |
| MIPS 024Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older | MIPS CQM | Avg. rate 85.30% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| Medicare Part B Claims | Avg. rate 100.00% | Decile 10 100.00 | Topped OutHigh priority |
| MIPS 039Screening for Osteoporosis for Women Aged 65-85 Years of Age | MIPS CQM | Avg. rate 59.10% | Decile 10 >= 99.00 | Active |
| Medicare Part B Claims | Avg. rate 76.84% | Decile 10 100.00 | Active |
| MIPS 047Advance Care Plan | MIPS CQM | Avg. rate 82.98% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| Medicare Part B Claims | Avg. rate 100.00% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| MIPS 048Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | MIPS CQM | Avg. rate 90.83% | Decile 10 100.00 | Topped Out7-pt cap |
| MIPS 050Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older | MIPS CQM | Avg. rate 93.17% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| MIPS 052Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation and Long-Acting Inhaled Bronchodilator Therapy | MIPS CQM | Avg. rate 85.98% | Decile 10 100.00 | Topped Out |
| MIPS 065Appropriate Treatment for Upper Respiratory Infection (URI) | MIPS CQM | Avg. rate 96.20% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| eCQM | Avg. rate 88.61% | Decile 10 100.00 | ActiveHigh priority |
| MIPS 066Appropriate Testing for Pharyngitis | MIPS CQM | Avg. rate 96.54% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| eCQM | Avg. rate 71.29% | Decile 10 >= 94.95 | ActiveHigh priority |
| MIPS 102Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| eCQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 116Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis | MIPS CQM | Avg. rate 91.71% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| MIPS 117Diabetes: Eye Exam | MIPS CQM | Avg. rate 91.80% | Decile 10 100.00 | Topped Out7-pt cap |
| eCQM | Avg. rate 62.05% | Decile 10 100.00 | Active |
| MIPS 118Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF ≤ 40%) | MIPS CQM | Avg. rate 91.08% | Decile 10 100.00 | Topped Out |
| MIPS 126Diabetes Mellitus: Diabetic Foot and Ankle Care Peripheral Neuropathy – Neurological Evaluation | MIPS CQM | Avg. rate 80.25% | Decile 10 100.00 | Topped Out7-pt cap |
| MIPS 127Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | MIPS CQM | Avg. rate 86.80% | Decile 10 100.00 | Topped Out7-pt cap |
| MIPS 130Documentation of Current Medications in the Medical Record | MIPS CQM | Avg. rate 92.26% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| eCQM | Avg. rate 87.08% | Decile 10 >= 99.96 | Topped Out7-pt capHigh priority |
| MIPS 134Preventive Care and Screening: Screening for Depression and Follow-Up Plan | MIPS CQM | Avg. rate 85.58% | Decile 10 100.00 | Topped Out7-pt cap |
| Medicare Part B Claims | Avg. rate 95.64% | Decile 10 100.00 | Topped Out7-pt cap |
| eCQM | Avg. rate 45.55% | Decile 10 >= 93.44 | Active |
| MIPS 141Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 20% OR Documentation of a Plan of Care | MIPS CQM | Avg. rate 98.17% | Decile 10 100.00 | Topped OutHigh priority |
| Medicare Part B Claims | Avg. rate 93.64% | Decile 10 100.00 | ActiveHigh priority |
| MIPS 143Oncology: Medical and Radiation – Pain Intensity Quantified | MIPS CQM | Avg. rate 92.71% | Decile 10 100.00 | Topped OutHigh priority |
| eCQM | Avg. rate 77.99% | Decile 10 100.00 | Topped OutHigh priority |
| MIPS 144Oncology: Medical and Radiation – Plan of Care for Pain | MIPS CQM | Avg. rate 83.56% | Decile 10 100.00 | Topped OutHigh priority |
| MIPS 145Radiology: Exposure Dose Indices Reported for Procedures Using Fluoroscopy | MIPS CQM | Avg. rate 91.31% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| Medicare Part B Claims | Avg. rate 86.28% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| MIPS 155Falls: Plan of Care | MIPS CQM | Avg. rate 96.30% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| MIPS 164Coronary Artery Bypass Graft (CABG): Prolonged Intubation | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 167Coronary Artery Bypass Graft (CABG): Postoperative Renal Failure | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 168Coronary Artery Bypass Graft (CABG): Surgical Re-Exploration | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 176Tuberculosis Screening Prior to First Course of Biologic and/or Immune Response Modifier Therapy | MIPS CQM | Avg. rate 80.36% | Decile 10 100.00 | Topped Out7-pt cap |
| MIPS 177Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity | MIPS CQM | Avg. rate 93.41% | Decile 10 100.00 | Topped Out7-pt cap |
| MIPS 178Rheumatoid Arthritis (RA): Functional Status Assessment | MIPS CQM | Avg. rate 91.32% | Decile 10 100.00 | Topped Out7-pt cap |
| MIPS 180Rheumatoid Arthritis (RA): Glucocorticoid Management | MIPS CQM | Avg. rate 92.89% | Decile 10 100.00 | Topped Out7-pt cap |
| MIPS 181Elder Maltreatment Screen and Follow-Up Plan | MIPS CQM | Avg. rate 94.05% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| Medicare Part B Claims | Avg. rate 95.30% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| MIPS 182Functional Outcome Assessment | MIPS CQM | Avg. rate 98.62% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| MIPS 187Stroke and Stroke Rehabilitation: Thrombolytic Therapy | MIPS CQM | Avg. rate 97.61% | Decile 10 100.00 | Topped Out7-pt cap |
| MIPS 191Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery | MIPS CQM | Avg. rate 97.81% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| eCQM | Avg. rate 95.45% | Decile 10 100.00 | ActiveHigh priority |
| MIPS 205Sexually Transmitted Infection (STI) Testing for People with HIV | MIPS CQM | Avg. rate — | Decile 10 — | No benchmark |
| eCQM | Avg. rate — | Decile 10 — | No benchmark |
| MIPS 217Functional Status Change for Patients with Knee Impairments | MIPS CQM | Avg. rate 78.83% | Decile 10 100.00 | ActiveHigh priority |
| MIPS 218Functional Status Change for Patients with Hip Impairments | MIPS CQM | Avg. rate 78.38% | Decile 10 100.00 | ActiveHigh priority |
| MIPS 219Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments | MIPS CQM | Avg. rate 78.79% | Decile 10 100.00 | ActiveHigh priority |
| MIPS 220Functional Status Change for Patients with Low Back Impairments | MIPS CQM | Avg. rate 78.90% | Decile 10 100.00 | ActiveHigh priority |
| MIPS 221Functional Status Change for Patients with Shoulder Impairments | MIPS CQM | Avg. rate 78.26% | Decile 10 100.00 | ActiveHigh priority |
| MIPS 222Functional Status Change for Patients with Elbow, Wrist or Hand Impairments | MIPS CQM | Avg. rate 80.76% | Decile 10 100.00 | ActiveHigh priority |
| MIPS 226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | MIPS CQM | Avg. rate 85.77% | Decile 10 100.00 | Topped Out7-pt cap |
| Medicare Part B Claims | Avg. rate 93.70% | Decile 10 100.00 | Topped Out7-pt cap |
| eCQM | Avg. rate 66.95% | Decile 10 100.00 | Active |
| MIPS 236Controlling High Blood Pressure | MIPS CQM | Avg. rate 68.71% | Decile 10 >= 90.00 | ActiveHigh priority |
| Medicare Part B Claims | Avg. rate 79.68% | Decile 10 >= 90.00 | ActiveHigh priority |
| eCQM | Avg. rate 66.06% | Decile 10 >= 84.04 | ActiveHigh priority |
| MIPS 238Use of High-Risk Medications in Older Adults | MIPS CQM | Avg. rate 0.70% | Decile 10 0.00 | Topped Out7-pt capHigh priority |
| eCQM | Avg. rate 4.79% | Decile 10 0.00 | Topped Out7-pt capHigh priority |
| MIPS 243Cardiac Rehabilitation Patient Referral from an Outpatient Setting | MIPS CQM | Avg. rate 72.12% | Decile 10 100.00 | ActiveHigh priority |
| MIPS 249Barrett’s Esophagus | MIPS CQM | Avg. rate 99.52% | Decile 10 100.00 | Topped Out |
| Medicare Part B Claims | Avg. rate 100.00% | Decile 10 100.00 | Topped Out |
| MIPS 250Radical Prostatectomy Pathology Reporting | MIPS CQM | Avg. rate 99.90% | Decile 10 100.00 | Topped Out |
| Medicare Part B Claims | Avg. rate 100.00% | Decile 10 100.00 | Topped Out |
| MIPS 259Rate of Endovascular Aneurysm Repair (EVAR) of Small or Moderate Non-Ruptured Infrarenal Abdominal Aortic Aneurysms (AAA) without Major Complications (Discharged to Home by Post-Operative Day #2) | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 261Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| Medicare Part B Claims | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 268Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy | MIPS CQM | Avg. rate 85.24% | Decile 10 100.00 | Topped Out7-pt cap |
| MIPS 275Inflammatory Bowel Disease (IBD): Assessment of Hepatitis B Virus (HBV) Status Before Initiating Anti-TNF (Tumor Necrosis Factor) Therapy | MIPS CQM | Avg. rate — | Decile 10 — | No benchmark |
| MIPS 277Sleep Apnea: Severity Assessment at Initial Diagnosis | MIPS CQM | Avg. rate 71.11% | Decile 10 100.00 | Topped Out7-pt cap |
| MIPS 279Sleep Apnea: Assessment of Adherence to Obstructive Sleep Apnea (OSA) Therapy | MIPS CQM | Avg. rate 98.17% | Decile 10 100.00 | Topped Out7-pt cap |
| MIPS 282Dementia: Functional Status Assessment | MIPS CQM | Avg. rate 96.36% | Decile 10 100.00 | Topped Out7-pt cap |
| MIPS 286Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia | MIPS CQM | Avg. rate 96.57% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| MIPS 288Dementia: Education and Support of Caregivers for Patients with Dementia | MIPS CQM | Avg. rate 96.98% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| MIPS 291Assessment of Cognitive Impairment or Dysfunction for Patients with Parkinson’s | MIPS CQM | Avg. rate 94.04% | Decile 10 100.00 | Topped Out7-pt cap |
| MIPS 293Rehabilitative Therapy Referral for Patients with Parkinson’s Disease | MIPS CQM | Avg. rate 95.08% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| MIPS 303Cataracts: Improvement in Patient’s Visual Function within 90 Days Following Cataract | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 304Cataracts: Patient Satisfaction within 90 Days Following Cataract Surgery | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 317Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | MIPS CQM | Avg. rate 73.53% | Decile 10 100.00 | Topped Out |
| Medicare Part B Claims | Avg. rate 87.15% | Decile 10 100.00 | Topped Out7-pt cap |
| eCQM | Avg. rate 28.13% | Decile 10 >= 45.84 | Active |
| MIPS 320Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients | MIPS CQM | Avg. rate 93.54% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| Medicare Part B Claims | Avg. rate 100.00% | Decile 10 100.00 | Topped OutHigh priority |
| MIPS 326Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy | MIPS CQM | Avg. rate 92.45% | Decile 10 100.00 | Topped Out7-pt cap |
| MIPS 331Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) | MIPS CQM | Avg. rate 24.51% | Decile 10 0.00 | ActiveHigh priority |
| MIPS 332Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use) | MIPS CQM | Avg. rate 92.42% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| MIPS 335Maternity Care: Elective Delivery (Without Medical Indication) at < 39 Weeks (Overuse) | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 336Maternity Care: Postpartum Follow-up and Care Coordination | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 338HIV Viral Suppression | MIPS CQM | Avg. rate 95.49% | Decile 10 100.00 | Topped OutHigh priority |
| eCQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 340HIV Annual Retention in Care | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| eCQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 344Rate of Carotid Endarterectomy (CEA) or Carotid Artery Stenting (CAS) for Asymptomatic Patients, Without Major Complications (Discharged to Home by Post-Operative Day #2) | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 350Total Knee or Hip Replacement: Shared Decision-Making: Trial of Conservative (Non-surgical) Therapy | MIPS CQM | Avg. rate 82.49% | Decile 10 100.00 | Topped OutHigh priority |
| MIPS 351Total Knee or Hip Replacement: Venous Thromboembolic and Cardiovascular Risk Evaluation | MIPS CQM | Avg. rate 92.60% | Decile 10 100.00 | Topped OutHigh priority |
| MIPS 354Anastomotic Leak Intervention | MIPS CQM | Avg. rate 0.96% | Decile 10 0.00 | ActiveHigh priority |
| MIPS 355Unplanned Reoperation within the 30-Day Postoperative Period | MIPS CQM | Avg. rate 0.35% | Decile 10 0.00 | ActiveHigh priority |
| MIPS 356Unplanned Hospital Readmission within 30 Days of Principal Procedure | MIPS CQM | Avg. rate 0.79% | Decile 10 0.00 | ActiveHigh priority |
| MIPS 357Surgical Site Infection (SSI) | MIPS CQM | Avg. rate 0.18% | Decile 10 0.00 | ActiveHigh priority |
| MIPS 358Patient-Centered Surgical Risk Assessment and Communication | MIPS CQM | Avg. rate 88.96% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| MIPS 360Optimizing Patient Exposure to Ionizing Radiation: Count of Potential High Dose Radiation Imaging Studies: Computed Tomography (CT) and Cardiac Nuclear Medicine Studies | MIPS CQM | Avg. rate 87.98% | Decile 10 100.00 | Topped OutHigh priority |
| MIPS 364Optimizing Patient Exposure to Ionizing Radiation: Appropriateness: Follow-up CT Imaging for Incidentally Detected Pulmonary Nodules According to Recommended Guidelines | MIPS CQM | Avg. rate 90.84% | Decile 10 100.00 | Topped OutHigh priority |
| MIPS 370Depression Remission at Twelve Months | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| eCQM | Avg. rate 13.93% | Decile 10 >= 28.69 | ActiveHigh priority |
| MIPS 374Closing the Referral Loop: Receipt of Specialist Report | MIPS CQM | Avg. rate 89.54% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| eCQM | Avg. rate 46.43% | Decile 10 >= 95.76 | ActiveHigh priority |
| MIPS 383Adherence to Antipsychotic Medications For Individuals with Schizophrenia | MIPS CQM | Avg. rate 84.19% | Decile 10 100.00 | ActiveHigh priority |
| MIPS 384Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery | MIPS CQM | Avg. rate 94.65% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| MIPS 385Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery | MIPS CQM | Avg. rate 79.26% | Decile 10 >= 89.80 | ActiveHigh priority |
| MIPS 386Amyotrophic Lateral Sclerosis (ALS) Patient Care Preferences | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 387Annual Hepatitis C Virus (HCV) Screening for Patients who are Active Injection Drug Users | MIPS CQM | Avg. rate — | Decile 10 — | No benchmark |
| MIPS 389Cataract Surgery: Difference Between Planned and Final Refraction | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 392Cardiac Tamponade and/or Pericardiocentesis Following Atrial Fibrillation Ablation | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 393Infection within 180 Days of Cardiac Implantable Electronic Device (CIED) Implantation, Replacement, or Revision | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 394Immunizations for Adolescents | MIPS CQM | Avg. rate 47.42% | Decile 10 >= 85.19 | Active |
| MIPS 395Lung Cancer Reporting (Biopsy/Cytology Specimens) | MIPS CQM | Avg. rate 99.62% | Decile 10 100.00 | Topped OutHigh priority |
| Medicare Part B Claims | Avg. rate 95.96% | Decile 10 100.00 | Topped OutHigh priority |
| MIPS 396Lung Cancer Reporting (Resection Specimens) | MIPS CQM | Avg. rate 99.85% | Decile 10 100.00 | Topped OutHigh priority |
| Medicare Part B Claims | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 397Melanoma Reporting | MIPS CQM | Avg. rate 97.14% | Decile 10 100.00 | Topped OutHigh priority |
| Medicare Part B Claims | Avg. rate 99.53% | Decile 10 100.00 | Topped OutHigh priority |
| MIPS 398Optimal Asthma Control | MIPS CQM | Avg. rate 80.16% | Decile 10 100.00 | ActiveHigh priority |
| MIPS 400One-Time Screening for Hepatitis C Virus (HCV) and Treatment Initiation | MIPS CQM | Avg. rate — | Decile 10 — | No benchmark |
| MIPS 401Hepatitis C: Screening for Hepatocellular Carcinoma (HCC) in Patients with Cirrhosis | MIPS CQM | Avg. rate — | Decile 10 — | No benchmark |
| MIPS 404Anesthesiology Smoking Abstinence | MIPS CQM | Avg. rate 79.89% | Decile 10 100.00 | ActiveHigh priority |
| MIPS 405Appropriate Follow-up Imaging for Incidental Abdominal Lesions | MIPS CQM | Avg. rate 79.03% | Decile 10 100.00 | Topped OutHigh priority |
| Medicare Part B Claims | Avg. rate 61.15% | Decile 10 100.00 | ActiveHigh priority |
| MIPS 406Appropriate Follow-up Imaging for Incidental Thyroid Nodules in Patients | MIPS CQM | Avg. rate 5.44% | Decile 10 0.00 | Topped OutHigh priority |
| Medicare Part B Claims | Avg. rate 9.16% | Decile 10 0.00 | Topped OutHigh priority |
| MIPS 410Psoriasis: Clinical Response to Systemic Medications | MIPS CQM | Avg. rate 88.39% | Decile 10 100.00 | ActiveHigh priority |
| MIPS 413Door to Puncture Time for Endovascular Stroke Treatment | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 415Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older | MIPS CQM | Avg. rate 97.14% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| MIPS 416Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 2 Through 17 Years | MIPS CQM | Avg. rate 4.57% | Decile 10 0.00 | ActiveHigh priority |
| MIPS 418Osteoporosis Management in Women Who Had a Fracture | MIPS CQM | Avg. rate 23.18% | Decile 10 >= 47.73 | Active |
| Medicare Part B Claims | Avg. rate — | Decile 10 — | No benchmark |
| MIPS 420Varicose Vein Treatment with Saphenous Ablation: Outcome Survey | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 421Appropriate Assessment of Retrievable Inferior Vena Cava (IVC) Filters for Removal | MIPS CQM | Avg. rate — | Decile 10 — | No benchmark |
| MIPS 422Performing Cystoscopy at the Time of Hysterectomy for Pelvic Organ Prolapse to Detect Lower Urinary Tract Injury | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| Medicare Part B Claims | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 430Prevention of Post-Operative Nausea and Vomiting (PONV) – Combination Therapy | MIPS CQM | Avg. rate 99.34% | Decile 10 100.00 | Topped OutHigh priority |
| MIPS 431Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | MIPS CQM | Avg. rate 69.11% | Decile 10 100.00 | Active |
| MIPS 432Proportion of Patients Sustaining a Bladder or Bowel Injury at the time of any Pelvic Organ Prolapse Repair | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 438Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | MIPS CQM | Avg. rate 75.60% | Decile 10 100.00 | Active |
| eCQM | Avg. rate 78.25% | Decile 10 >= 89.01 | Active |
| MIPS 440Skin Cancer: Biopsy Reporting Time – Pathologist to Clinician | MIPS CQM | Avg. rate 99.31% | Decile 10 100.00 | Topped OutHigh priority |
| MIPS 441Ischemic Vascular Disease (IVD) All or None Outcome Measure (Optimal Control) | MIPS CQM | Avg. rate 53.21% | Decile 10 >= 79.21 | ActiveHigh priority |
| MIPS 445Risk-Adjusted Operative Mortality for Coronary Artery Bypass Graft (CABG) | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 448Appropriate Workup Prior to Endometrial Ablation | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 450Appropriate Treatment for Patients with Stage I (T1c) - III HER2 Positive Breast Cancer | MIPS CQM | Avg. rate 92.89% | Decile 10 100.00 | Topped OutHigh priority |
| MIPS 451RAS (KRAS and NRAS) Gene Mutation Testing Performed for Patients with Metastatic Colorectal Cancer who Receive Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibody Therapy | MIPS CQM | Avg. rate — | Decile 10 — | No benchmark |
| MIPS 453Percentage of Patients who Died from Cancer Receiving Systemic Cancer-Directed | MIPS CQM | Avg. rate 8.37% | Decile 10 0.00 | ActiveHigh priority |
| MIPS 457Percentage of Patients who Died from Cancer Admitted to Hospice for Less than 3 | MIPS CQM | Avg. rate 8.66% | Decile 10 0.00 | Topped OutHigh priority |
| MIPS 459Back Pain After Lumbar Surgery | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 461Leg Pain After Lumbar Surgery | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 463Prevention of Post-Operative Vomiting (POV) – Combination Therapy (Pediatrics) | MIPS CQM | Avg. rate 98.99% | Decile 10 100.00 | Topped OutHigh priority |
| MIPS 464Otitis Media with Effusion: Systemic Antimicrobials - Avoidance of Inappropriate Use | MIPS CQM | Avg. rate 97.01% | Decile 10 100.00 | Topped Out7-pt capHigh priority |
| MIPS 465Uterine Artery Embolization Technique: Documentation of Angiographic Endpoints and Interrogation of Ovarian Arteries | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 468Continuity of Pharmacotherapy for Opioid Use Disorder (OUD) | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 470Functional Status After Primary Total Knee Replacement | MIPS CQM | Avg. rate 28.10% | Decile 10 >= 60.66 | ActiveHigh priority |
| MIPS 471Functional Status After Lumbar Surgery | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 477Multimodal Pain Management | MIPS CQM | Avg. rate 97.47% | Decile 10 100.00 | Topped OutHigh priority |
| MIPS 478Functional Status Change for Patients with Neck Impairments | MIPS CQM | Avg. rate 79.62% | Decile 10 100.00 | ActiveHigh priority |
| MIPS 482Hemodialysis Vascular Access: Practitioner Level Long-term Catheter Rate | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 483Person-Centered Primary Care Measure Patient Reported Outcome Performance Measure (PCPCM PRO-PM) | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 485Psoriasis – Improvement in Patient-Reported Itch Severity | MIPS CQM | Avg. rate 52.11% | Decile 10 >= 96.97 | ActiveHigh priority |
| MIPS 486Dermatitis – Improvement in Patient-Reported Itch Severity | MIPS CQM | Avg. rate 48.20% | Decile 10 >= 95.12 | ActiveHigh priority |
| MIPS 488Kidney Health Evaluation | MIPS CQM | Avg. rate 48.67% | Decile 10 >= 96.25 | Active |
| eCQM | Avg. rate — | Decile 10 — | No benchmark |
| MIPS 489Adult Kidney Disease: Angiotensin Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy | MIPS CQM | Avg. rate 87.14% | Decile 10 100.00 | Topped Out |
| MIPS 490Appropriate Intervention of Immune-Related Diarrhea and/or Colitis in Patients Treated | MIPS CQM | Avg. rate — | Decile 10 — | No benchmark |
| MIPS 491Mismatch Repair (MMR) or Microsatellite Instability (MSI) Biomarker Testing Status | MIPS CQM | Avg. rate 92.70% | Decile 10 100.00 | Topped OutHigh priority |
| MIPS 493Adult Immunization Status | MIPS CQM | Avg. rate — | Decile 10 — | No benchmark |
| MIPS 495Ambulatory Palliative Care Patients’ Experience of Feeling Heard and Understood | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 496Cardiovascular Disease (CVD) Risk Assessment Measure - Proportion of Pregnant/Postpartum Patients that Receive CVD Risk Assessment with a Standardized Instrument | MIPS CQM | Avg. rate — | Decile 10 — | No benchmark |
| MIPS 497Preventive Care and Wellness (Composite) | MIPS CQM | Avg. rate 25.55% | Decile 10 >= 47.46 | Active |
| MIPS 499Appropriate Screening and Plan of Care for Elevated Intraocular Pressure Following Intravitreal or Periocular Steroid Therapy | MIPS CQM | Avg. rate 71.11% | Decile 10 >= 94.94 | Active |
| MIPS 500Acute Posterior Vitreous Detachment Appropriate Examination and Follow-up | MIPS CQM | Avg. rate — | Decile 10 — | No benchmark |
| MIPS 501Acute Posterior Vitreous Detachment and Acute Vitreous Hemorrhage Appropriate Examination and Follow-up | MIPS CQM | Avg. rate — | Decile 10 — | No benchmark |
| MIPS 502Improvement or Maintenance of Functioning for Individuals with a Mental and/or Substance Use Disorder | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 503Gains in Patient Activation Measure (PAM) Scores at 12 Months | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 504Initiation, Review, and/or Update to Suicide Safety Plan for Individuals with Suicidal | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 505Reduction in Suicidal Ideation or Behavior Symptoms | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 506Positive PD-L1 Biomarker Expression Test Result Prior to First-Line Immune Checkpoint Inhibitor Therapy | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 507Appropriate Germline Testing for Ovarian Cancer Patients | MIPS CQM | Avg. rate — | Decile 10 — | No benchmark |
| MIPS 509Melanoma: Tracking and Evaluation of Recurrence | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 510First Year Standardized Kidney Transplant Waitlist Ratio (FYSWR) | MIPS CQM | Avg. rate — | Decile 10 — | No benchmark |
| MIPS 511Percentage of Prevalent Patients Waitlisted for Kidney Transplant (PPPW) and Percentage of Prevalent Patients Waitlisted for Kidney Transplant in Active Status (aPPPW) | MIPS CQM | Avg. rate — | Decile 10 — | No benchmark |
| MIPS 512Prevalent Standardized Kidney Transplant Waitlist Ratio (PSWR) | MIPS CQM | Avg. rate — | Decile 10 — | No benchmark |
| MIPS 513Patient Reported Falls and Plan of Care | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |
| MIPS 516Hepatitis C Virus (HCV): Sustained Virological Response (SVR) | MIPS CQM | Avg. rate — | Decile 10 — | No benchmarkHigh priority |