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Table 6A: Selected Diagnoses and Services Rendered

West Virginia Data

X

28 Awardees

Line Diagnostic Category Applicable ICD-10-CM Code or Value Set Object Identifier (OID) 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 OID: 2.16.840.1.113883.3.464.1003.120.12.1003 1,825 421 4.33
3. Tuberculosis A15- through A19-, O98.0-, Z86.15, Z22.7 OID: 2.16.840.1.113762.1.4.1151.56 (O98.0- is not in value set) 102 59 1.73
4. Sexually transmitted infections (gonococcal infections and venereal diseases) A50- through A64-, Z22.4 OID: 2.16.840.1.113883.3.464.1003.112.11.1003 2,606 1,932 1.35
4a. Hepatitis B B16.0 through B16.2, B16.9, B17.0, B18.0, B18.1, B19.1-, O98.4- OID: 2.16.840.1.113883.3.464.1003.110.12.1025 (B19.1- and O98.4- are not in value set) 668 263 2.54
4b. Hepatitis C B17.1-, B18.2, B19.2- OID: 2.16.840.1.113762.1.4.1222.30 5,453 2,622 2.08
4c. Novel coronavirus (SARS-CoV-2) disease U07.1 OID: 2.16.840.1.113762.1.4.1248.139, 2.16.840.1.113762.1.4.1200.151 20,168 18,771 1.07
4d. Post COVID-19 condition U09.9 OID: 2.16.840.1.113762.1.4.1222.1391 976 753 1.30
Selected Diseases of the Respiratory System
5. Asthma J45- OID: 2.16.840.1.113883.3.526.3.362 39,860 22,425 1.78
6. Chronic lower respiratory diseases J40 (count only when code U07.1 is not present), J41- through J44-, J47- 70,520 29,403 2.40
6a. Acute respiratory illness due to novel coronavirus (SARS-CoV-2) disease J12.82, J12.89, J20.8, J40, J22, J98.8, J80 (count codes listed only when code U07.1 is also present) OID: 2.16.840.1.113762.1.4.1029.374 1,893 1,785 1.06
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- through N65-, R92- 11,845 8,057 1.47
8. Abnormal cervical findings C53-, C79.82, D06-, N87.0, N87.1, N87.9, R87.61-, R87.629, R87.810, R87.820 3,826 2,525 1.52
9. Diabetes mellitus E08- through E13-, O24- (exclude O24.41-) OID: 2.16.840.1.113883.3.464.1003.103.12.1001 201,751 60,781 3.32
10. Heart disease (selected) I01-, I02- (exclude I02.9), I20- through I25-, I27-, I28-, I30- through I52- 80,685 34,126 2.36
11. Hypertension I10- through I16-, O10-, O11- 344,780 132,649 2.60
12. Contact dermatitis and other eczema L23- through L25-, L30- (exclude L30.1, L30.3, L30.4, L30.5), L58- 17,562 14,565 1.21
13. Dehydration E86- 1,446 1,307 1.11
14. Exposure to heat or cold T33-, T34-, T67-, T68-, T69-, W92-, W93-, X30-, X31-, X32- 124 98 1.27
14a. Overweight and obesity E66-, Z68- (exclude Z68.1, Z68.20 through Z68.24, Z68.51, Z68.52) 457,368 181,964 2.51
Selected Childhood Conditions (limited to ages 0 through 17)
15. Otitis media and Eustachian tube disorders H65- through H69- 30,812 20,563 1.50
16. Selected perinatal/neonatal medical conditions A33, P19-, P22- through P29- (exclude P29.3-), P35- through P96- (exclude P54-, P91.6-, P92-, P96.81) 2,380 1,439 1.65
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- (exclude R63.39) 11,532 6,897 1.67
Selected Mental Health Conditions and Substance Use Disorders
18. Alcohol-related disorders F10-, G62.1, O99.31- 14,451 4,719 3.06
19. Other substance-related disorders (excluding tobacco use disorders) F11- through F19- (exclude F17-), G62.0, O99.32- 74,951 9,656 7.76
19a. Tobacco use disorder F17-, O99.33-, Z72.0 94,595 42,091 2.25
20a. Depression and other mood disorders F30- through F39- 250,190 72,384 3.46
20b. Anxiety disorders, including post-traumatic stress disorder (PTSD) F06.4, F40- through F42-, F43.0, F43.1-, F43.8-, F93.0 314,299 94,142 3.34
20c. Attention deficit and disruptive behavior disorders F90- through F91- 81,167 18,172 4.47
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-, F64-, F84.2, F90-, F91-, F93.0, F98-), 099.34-, R45.1, R45.2, R45.5, R45.6, R45.7, R45.81, R45.82, R48.0 109,075 35,768 3.05
20e. Human trafficking T74.5- through T74.6-, T76.5- through T76.6-, Z04.81, Z04.82, Z62.813, Z91.42 0 0 0.00
20f. Intimate partner violence T74.11, T74.21, T74.31, Z69.11 258 89 2.90
Line Diagnostic Category Applicable ICD-10-CM, CPT-4/I/II/PLA, or HCPCS 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 20,900 19,423 1.08
21a. Hepatitis B test CPT-4: 80074, 86704 through 86707, 87340, 87341, 87350, 87912 17,208 15,609 1.10
21b. Hepatitis C test CPT-4: 80074, 86803, 86804, 87520 through 87522, 87902 20,987 19,543 1.07
21c. Novel coronavirus (SARS-CoV-2) diagnostic test CPT-4: 87426, 87635, 87636, 87637, HCPCS: U0001, U0002, U0003, U0004, U0005, CPT PLA: 0202U, 0223U, 0225U, 0240U, 0241U 98,570 71,841 1.37
21d. Novel coronavirus (SARS-CoV-2) antibody test CPT-4: 86318, 86328, 86408, 86409, 86413, 86428, 86769, 86811 CPT PLA: 0224U, 0226U 792 752 1.05
21e. Pre-Exposure Prophylaxis (PrEP)-associated management of all patients on PrEP Possible codes to explore for PrEP management: CPT-4: 99401 through 99404, ICD-10: Z11.3, Z11.4, Z20.2, Z20.6, Z51.81, Z71.51, Z71.7, Z79.899, Limited to prescribed PrEP based on a patient's risk for HIV exposure AND limited to emtricitabine / tenofovir disoproxil fumarate(FTC/ TDF) or emtricitabine/ tenofovir alafenamide(FTC / TAF) or cabotegravir for PrEP 236 148 1.59
22. Mammogram CPT-4: 77063, 77065, 77066, 77067, ICD-10: Z12.31, HCPCS: G0279 40,867 34,727 1.18
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) HCPCS: G0123, G0143, G0144, G0145, G0147, G0148 27,682 26,845 1.03
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 47,744 36,357 1.31
24a. Seasonal flu vaccine CPT-4: 90630, 90653 through 90657, 90658, 90661, 90662, 90672, 90673, 90674, 90682, 90685 through 90689, 90694, 90756 55,650 52,887 1.05
24b. Coronavirus (SARS-CoV-2) vaccine CPT-I: 0001A-0004A, 0011A- 0013A, 0021A-0022A, 0031A-0034A, 0041A-0044A, 0051A-0054A, 0064A, 0071A-0074A, 0081A-0083A, 0091A-0094A, 0104A, 0111A-0113A, 0124A, 0134A, 0144A, 0154A, 0164A, 0173A, 91300-91317 CDT: D1701-D1714 Codes listed include those available as of the release date of this manual. 4,328 4,092 1.06
25. Contraceptive management ICD-10: Z30- 37,659 24,097 1.56
26. Health supervision of infant or child (ages 0 through 11) CPT-4: 99381 through 99383, 99391 through 99393, ICD-10: Z00.1 -, Z76.1.Z76.2 66,734 42,222 1.58
26a. Childhood lead test screening (9 to 72 months) ICD-10: Z13.88, CPT-4: 83655 5,239 4,900 1.07
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409, HCPCS: G0396, G0397, G0443, H0050 84,582 68,970 1.23
26c. Smoke and tobacco use cessation counseling CPT-4: 99406, 99407, HCPCS: S9075 81,596 39,840 2.05
26d. Comprehensive and intermediate eye exams CPT-4: 92002, 92004, 92012, 92014 8,027 7,833 1.02
26e. Childhood development screenings and evaluations CPT-4: 96110, 96112, 96113, 96127 ICD-10: Z13.4- 48,279 35,761 1.35
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 16,385 14,290 1.15
28. Oral exams CDT: D0120, DO145, D0150, D0160, D0170, D0171, D0180 56,887 42,150 1.35
29. Prophylaxis–adult or child CDT: D1110, D1120 49,791 36,272 1.37
30. Sealants CDT: D1351 1,381 1,247 1.11
31. Fluoride treatment–adult or child CDT: D1206, D1208, CPT-4: 99188 19,320 14,674 1.32
32. Restorative services CDT: D21xx through D29xx 31,381 17,522 1.79
33. Oral surgery (extractions and other surgical procedures) CDT: D7xxx 10,646 7,532 1.41
34. Rehabilitative services (Endo, Perio, Prostho, Ortho) CDT: D3xxx, D4xxx, D5xxx, D6xxx, D8xxx 6,866 3,502 1.96

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.

View Detailed UDS Footnotes

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