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QPP Measure #TPCC_1

Total Per Capita Cost (TPCC)

The TPCC measure assesses the overall cost of care delivered to a patient with a focus on the primary care they receive from their provider(s). The measure is payment-standardized, risk-adjusted, and specialty-adjusted. In all supplemental documentation, the term "cost" generally means the standardized Medicare allowed amount.

Submission Methods: Administrative Claims

The following codes apply for this QPP measure:

HCPCS Codes

CodeDescription
G0053Advancing rheumatology patient care mips value pathways
G0055Advancing care for heart disease mips value pathways
M0001Advancing cancer care mips value pathways
M0002Optimal care for kidney health mips value pathways
M0005Value in primary care mips value pathway
M1366Focusing on women's health mips value pathway
M1368Prevention and treatment of infectious disorders including hepatitis c and hiv mips value pathway
M1422Gastroenterology care mips value pathway
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