| 047 | Advance Care Plan | Claims, Registry |
| 130 | Documentation of Current Medications in the Medical Record | Registry, Electronic Health Record |
| 134 | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | Claims, Electronic Health Record, Registry |
| 134SSP | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | Registry |
| 155 | Falls: Plan of Care | Registry |
| 181 | Elder Maltreatment Screen and Follow-Up Plan | Claims, Registry |
| 226 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | Claims, Electronic Health Record, Registry |
| 268 | Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy | Registry |
| 277 | Sleep Apnea: Severity Assessment at Initial Diagnosis | Registry |
| 279 | Sleep Apnea: Assessment of Adherence to Obstructive Sleep Apnea (OSA) Therapy. | Registry |
| 281 | Dementia: Cognitive Assessment | Electronic Health Record |
| 282 | Dementia: Functional Status Assessment | Registry |
| 286 | Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia | Registry |
| 288 | Dementia: Education and Support of Caregivers for Patients with Dementia | Registry |
| 290 | Assessment of Mood Disorders and Psychosis for Patients with Parkinson's Disease | Registry |
| 291 | Assessment of Cognitive Impairment or Dysfunction for Patients with Parkinson's Disease | Registry |
| 293 | Rehabilitative Therapy Referral for Patients with Parkinson's Disease | Registry |
| 317 | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | Claims, Electronic Health Record, Registry |
| 374 | Closing the Referral Loop: Receipt of Specialist Report | Electronic Health Record, Registry |
| 386 | Amyotrophic Lateral Sclerosis (ALS) Patient Care Preferences | Registry |
| 419 | Overuse of Imaging for the Evaluation of Primary Headache | Registry |
| 431 | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | Registry |
| 487 | Screening for Social Drivers of Health | Registry |
| 498 | Connection to Community Service Provider | Registry |
| 503 | Gains in Patient Activation Measure (PAM) Scores at 12 Months | Registry |