| S5175 | Laundry service, external, professional; per order |
| G8809 | Rh-immunoglobulin (rhogam) ordered |
| G9365 | One high-risk medication ordered |
| G9366 | One high-risk medication not ordered |
| M1209 | At least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnoses |
| G9368 | At least two orders for high-risk medications from the same drug class not ordered |
| G9924 | Documentation of medical reason(s) for not providing safety concerns screen or for not providing recommendations, orders or referrals for positive screen (e.g., patient in palliative care, other medical reason) |
