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HRSA Health Resources & Services Administration

Table 6A: Selected Diagnoses and Services Rendered

Illinois Data

45 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 22,609 9,200 2.46
3. Tuberculosis A15- through A19-, O98.0- 465 302 1.54
4. Sexually transmitted infections A50- through A64- 29,351 20,852 1.41
4a. Hepatitis B B16.0 through B16.2, B16.9, B17.0, B18.0, B18.1, B19.1-, O98.4- 1,346 716 1.88
4b. Hepatitis C B17.1-, B18.2, B19.2- 9,139 4,224 2.16
4c. Novel coronavirus (SARS-CoV-2) disease U07.1 92,740 58,512 1.58
Selected Diseases of the Respiratory System
5. Asthma J45- 109,350 63,436 1.72
6. Chronic lower respiratory diseases J40 (count only when code U07.1 is not present), J41- through J44-, J47- 55,594 25,491 2.18
6a. Acute respiratory illness due to novel coronavirus (SARS-CoV-2) disease J12.89, J20.8, J40, J22, J98.8, J80 (count only when code U07.1 is present) 10,577 6,662 1.59
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- 19,544 14,179 1.38
8. Abnormal cervical findings C53-, C79.82, D06-, R87.61-, R87.629, R87.810, R87.820 15,806 10,228 1.55
9. Diabetes mellitus E08- through E13-, O24- (exclude O24.41-) 350,098 117,288 2.98
10. Heart disease (selected) I01-, I02- (exclude I02.9), I20- through I25-, I27-, I28-, I30- through I52- 65,506 30,148 2.17
11. Hypertension I10- through I16-, O10-, O11- 461,777 198,856 2.32
12. Contact dermatitis and other eczema L23- through L25-, L30- (exclude L30.1, L30.3, L30.4, L30.5), L58- 41,146 32,525 1.27
13. Dehydration E86- 1,127 973 1.16
14. Exposure to heat or cold T33-, T34-, T67-, T68-, T69-, W92-, W93- 206 160 1.29
14a. Overweight and obesity E66-, Z68- (exclude Z68.1, Z68.20 through Z68.24, Z68.51. Z68.52) 602,278 336,460 1.79
Selected Childhood Conditions (limited to ages 0 through 17)
15. Otitis media and Eustachian tube disorders H65- through H69- 24,339 18,752 1.30
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 8,962 5,693 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 37,361 25,801 1.45
Selected Mental Health Conditions and Substance Use Disorders
18. Alcohol-related disorders F10-, G62.1, O99.31- 41,531 16,565 2.51
19. Other substance-related disorders (excluding tobacco use disorders) F11- through F19- (exclude F17-), G62.0, O99.32- 119,105 25,970 4.59
19a. Tobacco use disorder F17-, O99.33- 89,573 48,569 1.84
20a. Depression and other mood disorders F30- through F39- 372,477 111,115 3.35
20b. Anxiety disorders, including post-traumatic stress disorder (PTSD) F06.4, F40- through F42-, F43.0, F43.1-, F93.0 371,458 119,575 3.11
20c. Attention deficit and disruptive behavior disorders F90- through F91- 88,236 27,295 3.23
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, R48.0 203,962 78,501 2.60
20e. Human trafficking T74.5- through T74.6-, T76.5-through T76.6-, Z04.81, Z04.82, Z62.813, Z91.42 21 20 1.05
20f. Intimate partner violence T74.11, T74.21, T74.31, Z69.11, Y07.0 1,863 530 3.52
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 228,609 166,467 1.37
21a. Hepatitis B test CPT-4: 86704 through 86707, 87340, 87341, 87350 58,216 52,881 1.10
21b. Hepatitis C test CPT-4: 86803, 86804, 87520 through 87522 89,278 82,493 1.08
21c. Novel coronavirus (SARS-CoV-2) diagnostic test CPT-4: 87426, 87635 HCPCS: U0001, U0002, U0003, U0004 CPT PLA: 0202U, 0223U, 0225U 330,162 268,807 1.23
21d. Novel coronavirus (SARS-CoV-2) antibody test CPT-4: 86328, 86408, 86409, 86769 CPT PLA: 0224U, 0226U 9,108 7,594 1.20
21e. Pre-Exposure Prophylaxis (PrEP)-associated management of all PrEP patients CPT-4: 99401-99404 ICD-10: Z11.3, Z11.4, Z20.2, Z20.6, Z51.81, Z71.51, Z71.7, Z79.899 Limit to emtricitabine/tenofovir disoproxil fumarate (FTC/TDF) or emtricitabine/tenofovir alafenamide (FTC/TAF) for PrEP 43,170 30,659 1.41
22. Mammogram CPT-4: 77065, 77066, 77067 ICD-10: Z12.31 50,267 45,313 1.11
23. Pap test CPT-4: 88141 through 88153, 88155, 88164 through 88167, 88174, 88175 ICD-10: Z01.41-, Z01.42, Z12.4(exclude Z01.411 and Z01.419) 79,264 75,897 1.04
24. Selected immunizations: hepatitis A; haemophilus influenzae B (HiB); pneumococcal, diphtheria, tetanus, pertussis (DTaP) (DTP) (DT); measles, mumps, 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 256,437 183,349 1.40
24a. Seasonal flu vaccine CPT-4: 90630, 90653 through 90657, 90658, 90661, 90662, 90672, 90673, 90674, 90682, 90685 through 90689, 90756 236,054 213,861 1.10
25. Contraceptive management ICD-10: Z30- 142,603 82,376 1.73
26. Health supervision of infant or child (ages 0 through 11) CPT-4: 99381 through 99383, 99391 through 99393 ICD-10: Z00.1- 313,672 198,146 1.58
26a. Childhood lead test screening (9 to 72 months) ICD-10: Z13.88 CPT-4: 83655 53,233 46,427 1.15
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409 HCPCS: G0396, G0397, G0443, H0050 148,495 89,162 1.67
26c. Smoke and tobacco use cessation counseling CPT-4: 99406, 99407 HCPCS: S9075 CPT-II: 4000F, 4001F, 4004F 49,638 34,051 1.46
26d. Comprehensive and intermediate eye exams CPT-4: 92002, 92004, 92012, 92014 2,100 1,900 1.11
Line Service Category Applicable ADA Code Number of Visits (a) Number of Patients (b) Visits per Patient
Selected Dental Services
27. Emergency services CDT: D0140, D9110 43,374 37,269 1.16
28. Oral exams CDT: D0120, D0145, D0150, D0160, D0170, D0171, D0180 93,742 81,439 1.15
29. Prophylaxis–adult or child CDT: D1110, D1120 67,284 54,965 1.22
30. Sealants CDT: D1351 7,740 7,055 1.10
31. Fluoride treatment–adult or child CDT: D1206, D1208 CPT-4: 99188 55,732 49,224 1.13
32. Restorative services CDT: D21xx through D29xx 42,765 25,148 1.70
33. Oral surgery (extractions and other surgical procedures) CDT: D7xxx 31,083 22,360 1.39
34. Rehabilitative services (Endo, Perio, Prostho, Ortho) CDT: D3xxx, D4xxx, D5xxx, D6xxx, D8xxx 14,909 8,504 1.75

Footnotes

'-' Data cannot be calculated or has been suppressed for confidentiality purposes.

Cells that are shaded blue represent data that was not reported or null values.

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