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HRSA Health Resources & Services Administration

Table 6A: Selected Diagnoses and Services Rendered

National Look-Alikes Data

72 Awardees

Line Diagnostic Category Applicable ICD-10-CM Code Number of Visits by Diagnosis Regardless of Primacy (a) Number of Patients with Diagnosis (b) Visits per Patient
Selected Infectious and Parasitic Diseases
1-2. Symptomatic/Asymptomatic human immunodeficiency virus (HIV) B20, B97.35, O98.7-, Z21 23,650 8,148 2.90
3. Tuberculosis A15- through A19-, O98.01 288 178 1.62
4. Sexually transmitted infections A50- through A64- (exclude A63.0) 8,459 5,405 1.57
4a. Hepatitis B B16.0 through B16.2, B16.9, B17.0, B18.0, B18.1, B19.10, B19.11, O98.4- 5,015 1,864 2.69
4b. Hepatitis C B17.10, B17.11, B18.2, B19.20, B19.21 11,204 5,021 2.23
Selected Diseases of the Respiratory System
5. Asthma J45- 56,638 29,160 1.94
6. Chronic lower respiratory diseases J40- through J44-, J47- 46,171 19,053 2.42
Selected Other Medical Conditions
7. Abnormal breast findings, female C50.01-, C50.11-, C50.21-, C50.31-, C50.41-, C50.51-, C50.61-, C50.81-, C50.91-, C79.81, D05-, D48.6-, D49.3-, N60-, N63-, R92- 10,951 6,731 1.63
8. Abnormal cervical findings C53-, C79.82, D06-, R87.61-, R87.629, R87.810, R87.820 6,998 4,251 1.65
9. Diabetes mellitus E08- through E13-, O24- (exclude O24.41-) 194,357 57,121 3.40
10. Heart disease (selected) I01-, I02- (exclude I02.9), I20- through I25-, I27-, I28-, I30- through I52- 53,923 21,404 2.52
11. Hypertension I10- through I16- 316,927 115,027 2.76
12. Contact dermatitis and other eczema L23- through L25-, L30- (exclude L30.1, L30.3, L30.4, L30.5), L58- 22,560 16,362 1.38
13. Dehydration E86- 1,453 1,026 1.42
14. Exposure to heat or cold T33-, T34-, T67-, T68-, T69- 104 78 1.33
14a. Overweight and obesity E66-, Z68- (exclude Z68.1, Z68.20 through Z68.24, Z68.51. Z68.52) 278,365 137,850 2.02
Selected Childhood Conditions (limited to ages 0 through 17)
15. Otitis media and Eustachian tube disorders H65- through H69- 22,947 15,934 1.44
16. Selected perinatal/neonatal medical conditions A33-, P19-, P22- through P29- (exclude P29.3), P35- through P96- (exclude P54-, P91.6-, P92- , P96.81), R78.81, R78.89 3,815 2,425 1.57
17. Lack of expected normal physiological development (such as delayed milestone, failure to gain weight, failure to thrive); nutritional deficiencies in children only. Does not include sexual or mental development. E40- through E46-, E50- through E63-, P92-, R62- (exclude R62.7), R63.3 23,430 14,321 1.64
Selected Mental Health Conditions and Substance Use Disorders
18. Alcohol-related disorders F10-, G62.1, O99.31 29,758 8,817 3.38
19. Other substance-related disorders (excluding tobacco use disorders) F11- through F19- (exclude F17-), G62.0, O99.32- 55,251 14,881 3.71
19a. Tobacco use disorder F17-, O99.33 63,035 30,812 2.05
20a. Depression and other mood disorders F30- through F39- 218,454 64,174 3.40
20b. Anxiety disorders, including post-traumatic stress disorder (PTSD) F06.4, F40- through F42-, F43.0, F43.1-, F93.0 186,752 57,933 3.22
20c. Attention deficit and disruptive behavior disorders F90- through F91- 43,057 12,403 3.47
20d. Other mental disorders, excluding drug or alcohol dependence F01- through F09- (exclude F06.4), F20- through F29-, F43- through F48- (exclude F43.0- and F43.1-), F50- through F99- (exclude F55-, F84.2, F90-, F91-, F93.0, F98-), O99.34, R45.1, R45.2, R45.5, R45.6, R45.7, R45.81, R45.82, R48.0 109,218 38,029 2.87
Line Service Category Applicable ICD-10-CM Code or CPT4/II Code Number of Visits (a) Number of Patients (b) Visits per Patient
Selected Diagnostic Tests/Screening/Preventive Services
21. HIV test CPT-4: 86689, 86701 through 86703, 87389 through 87391, 87534 through 87539, 87806 32,652 25,782 1.27
21a. Hepatitis B test CPT-4: 86704 through 86707, 87340, 87341, 87350 12,375 11,234 1.10
21b. Hepatitis C test CPT-4: 86803, 86804, 87520 through 87522 14,004 12,755 1.10
22. Mammogram CPT-4: 77052, 77057, 77065, 77066, 77067 OR ICD-10: Z12.31 25,131 21,854 1.15
23. Pap test CPT-4: 88141 through 88153, 88155, 88164 through 88167, 88174, 88175 OR ICD-10: Z01.41-, Z01.42, Z12.4(exclude Z01.411 and Z01.419) 31,421 29,723 1.06
24. Selected immunizations: hepatitis A; haemophilus influenzae B (HiB); pneumococcal, diphtheria, tetanus, pertussis (DTaP) (DTP) (DT); mumps, measles, rubella (MMR); poliovirus; varicella; hepatitis B CPT-4: 90632, 90633, 90634, 90636, 90643, 90644, 90645, 90646, 90647, 90648, 90669, 90670, 90696, 90697, 90698, 90700, 90701, 90702, 90703, 90704, 90705, 90706, 90707, 90708, 90710, 90712, 90713, 90714, 90715, 90716, 90718, 90720, 90721, 90723, 90730, 90731, 90732, 90740, 90743, 90744, 90745, 90746, 90747, 90748 100,116 73,720 1.36
24a. Seasonal flu vaccine CPT-4: 90630, 90653 through 90657, 90661, 90662, 90672, 90673, 90674, 90682, 90685 through 90688, 90749, 90756 97,579 90,431 1.08
25. Contraceptive management ICD-10: Z30- 50,601 29,775 1.70
26. Health supervision of infant or child (ages 0 through 11) CPT-4: 99381 through 99383, 99391 through 99393 113,878 73,986 1.54
26a. Childhood lead test screening (9 to 72 months) ICD-10: Z13.88 CPT-4: 83655 8,034 7,383 1.09
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409 HCPCS: G0396, G0397, H0050 4,170 3,918 1.06
26c. Smoke and tobacco use cessation counseling CPT4: 99406, 99407 OR HCPCS: S9075 OR CPTII: 4000F, 4001F, 4004F 43,426 26,287 1.65
26d. Comprehensive and intermediate eye exams CPT4: 92002, 92004, 92012, 92014 5,995 5,702 1.05
Line Service Category Applicable ADA Code Number of Visits (a) Number of Patients (b) Visits per Patient
Selected Dental Services
27. Emergency services ADA: D9110 5,801 4,814 1.21
28. Oral exams ADA: D0120, D0140, D0145, D0150, D0160, D0170, D0171, D0180 49,108 41,165 1.19
29. Prophylaxis–adult or child ADA: D1110, D1120 36,285 28,760 1.26
30. Sealants ADA: D1351 4,246 3,544 1.20
31. Fluoride treatment–adult or child ADA: D1206, D1208 CPT-4: 99188 24,220 20,426 1.19
32. Restorative services ADA: D21xx through D29xx 29,934 15,067 1.99
33. Oral surgery (extractions and other surgical procedures) ADA: D7xxx 8,087 5,473 1.48
34. Rehabilitative services (Endo, Perio, Prostho, Ortho) ADA: D3xxx, D4xxx,D5xxx , D6xxx, D8xxx 13,249 6,206 2.13

Source of codes:

Note: “X” in a code denotes any number including the absence of a number in that place.
“–” (Dashes) in a code indicate that additional characters are required.
ICD­10­CM codes all have at least four digits. These codes are not intended to reflect if a code is billable or not. Instead they are used to point out that other codes in the series are to be considered.