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Table 6A: Selected Diagnoses and Services Rendered

National Look-Alikes Data

X

170 Look-Alikes

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 74,527 25,585 2.91
3. Tuberculosis ICD-10: A15- through A19-, B90-, J65, O98.0-,P37.0 OID: 2.16.840.1.113762.1.4.1146.451 1,448 810 1.79
4. Sexually transmitted infections (gonococcal infections and venereal diseases) A50- through A64-, A69.0, A69.1, A69.8, A69.9 OID: 2.16.840.1.113883.3.464.1003.112.11.1003 24,911 14,632 1.70
4a. Hepatitis B ICD-10: B16.0 through B16.2, B16.9, B18.0, B18.1, B19.1- OID: 2.16.840.1.113883.3.67.1.101.1.271 10,126 3,969 2.55
4b. Hepatitis C ICD-10: B17.1-, B18.2, B19.2- OID: 2.16.840.1.113762.1.4.1222.30 16,565 7,474 2.22
4c. Novel coronavirus (SARS-CoV-2) disease ICD-10: U07.1 OID: 2.16.840.1.113762.1.4.1248.139 16,843 10,462 1.61
4d. Long COVID ICD-10: U09, U09.9 OID: 2.16.840.1.113762.1.4.1178.98 1,393 767 1.82
Selected Diseases of the Respiratory System
5. Asthma ICD-10: J45- OID: 2.16.840.1.113883.3.526.2.60 134,933 75,295 1.79
6. Chronic lower respiratory diseases J40 (count J40 only when code U07.1 is not present), J41- through J44-, J47-, J4A- 105,651 42,163 2.51
6a. Respiratory conditions related to COVID-19 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 4,337 1,224 3.54
Selected Other Medical Conditions
7. Abnormal breast findings, female ICD-10: C50.01-, C50.11-, C50.21-, C50.31-, C50.41-, C50.51-, C50.61-, C50.81-, C50.91-, C79.81, D05-, D24., D48.6, D49.3, N60- through N65-, R92- 49,494 30,163 1.64
8. Abnormal cervical findings C53-, C79.82, D06-, N87.0, N87.1, N87.9, R87.61- (exclude R87.615 and R87.616), R87.629, R87.810, R87.820 25,014 16,596 1.51
9. Diabetes mellitus ICD-10: E08- through E13-, O24- (exclude O24.4-) OID: 2.16.840.1.113762.1.4.1219.35 581,214 167,566 3.47
10. Heart disease (selected) ICD-10: I01-, I02- (exclude I02.9), I20- through I25-, I27-, I28-, I30- through I52-, Q24- 180,075 67,930 2.65
11. Hypertension I10- through I16-, O10-, O11- OID: 2.16.840.1.113762.1.4.1222.1547 (Includes all codes other than O11-) 860,534 304,981 2.82
12. Contact dermatitis and other eczema ICD-10: H01.13-, L20.89, L23- through L25-, L30- (exclude L30.1, L30.3, L30.4, L30.5) 56,538 40,887 1.38
13. Dehydration ICD-10: E86- 4,615 3,101 1.49
14. Exposure to heat or cold ICD-10: T33-, T34-, T67-, T68-, T69-, W92-, W93-, X30-, X31-, X32- 580 394 1.47
14a. Overweight and obesity ICD-10: E66-, Z68- (exclude Z68.1, Z68.20 through Z68.24, Z68.51, Z68.52) OID: 2.16.840.1.113762.1.4.1222.35 (includes all E66- codes except E66.3) 1,067,484 452,750 2.36
Selected Childhood Conditions (limited to ages 0 through 17)
15. Otitis media and Eustachian tube disorders ICD-10: H65- through H69-, H72- 47,356 27,735 1.71
16. Selected perinatal/neonatal medical conditions ICD-10: A33, P19-, P22- through P29- (exclude P29.3-), P35- through P96- (exclude P54-, P91.6-, P92-, P96.81), Q86- 9,404 5,906 1.59
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. ICD-10: E40- through E46-, E50- through E63-, P92-, R62- (exclude R62.7), R63.3- (exclude R63.39) 70,516 42,297 1.67
Selected Mental Health Conditions and Substance Use Disorders
18. Alcohol-related disorders ICD-10: F10-, G62.1, K70-, O99.31- 137,817 34,573 3.99
19. Other substance-related disorders (excluding tobacco use disorders) ICD-10: F11- through F19- (exclude F17-), G62.0, O99.32- 298,454 60,282 4.95
19a. Tobacco use disorder ICD-10: F17-, O99.33-, Z72.0 182,139 84,505 2.16
20a. Depression and other mood disorders ICD-10: F30- through F39- 904,292 213,559 4.23
20b. Anxiety disorders, including post-traumatic stress disorder (PTSD) ICD-10: F06.4, F40- through F42-, F43.0, F43.1-, F43.8-, F93.0 1,049,698 250,308 4.19
20c. Attention deficit and disruptive behavior disorders ICD-10: F90- through F91- 292,392 68,874 4.25
20d. Other mental disorders, excluding drug or alcohol dependence ICD-10: 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, R48.0 592,748 161,522 3.67
20e. Human trafficking ICD-10: T74.5- through T74.6-, T76.5- through T76.6-, Z04.81, Z04.82, Z62.813, Z91.42 116 96 1.21
20f. Intimate partner violence ICD-10: T74.11-, T74.21-, T74.31-, Z69.11 1,302 899 1.45
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 HCPCS: G0432 through G0435, G0475 OID: 2.16.840.1.113762.1.4.1056.50 216,343 150,340 1.44
21a. Hepatitis B test CPT-4: 80074, 86704 through 86707, 87340, 87341, 87350, 87467, 87912 HCPCS: G0499 95,958 82,158 1.17
21b. Hepatitis C test CPT-4: 80074, 86803, 86804, 87520 through 87522, 87902 HCPCS: G0472 133,187 116,798 1.14
21c. Novel coronavirus (SARS-CoV-2) diagnostic test CPT-4: 87426, 87428, 87635, 87636, 87637, 87811 HCPCS: U0001, U0002 CPT PLA: 0202U, 0223U, 0225U, 0240U, 0241U 84,039 67,475 1.25
21d. Novel coronavirus (SARS-CoV-2) antibody test ICD-10: Z01.84 CPT-4: 86318, 86328, 86408, 86409, 86413, 86769 CPT PLA: 0224U, 0226U 10,221 6,468 1.58
21e. Pre-Exposure Prophylaxis (PrEP)-associated prescribing and management ICD-10: Z29.81 35,862 14,525 2.47
22. Mammogram ICD-10: Z12.31 CPT-4: 77061, 77062, 77063, 77065, 77066, 77067 HCPCS: G0279 106,746 94,226 1.13
23. Pap test ICD-10: R87.619, R87.629, Z01.41-, Z01.42, Z12.4 (exclude Z01.411 and Z01.419) CPT-4: 88141 through 88153, 88155, 88164 through 88167, 88174, 88175 HCPCS: G0123, G0143, G0144, G0145, G0147, G0148, P3000 112,772 99,546 1.13
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: 90371, 90389, 90396, 90632, 90633, 90634, 90636, 90644, 90645, 90646, 90647, 90648, 90669, 90670, 90671, 90677, 90684, 90696, 90698, 90700, 90701, 90702, 90703, 90704, 90705, 90706, 90707, 90708, 90710, 90712, 90713, 90714, 90715, 90716, 90720, 90721, 90723, 90730, 90731, 90732, 90739, 90740, 90743, 90744, 90745, 90746, 90747, 90748, 90759 220,015 164,579 1.34
24a. Seasonal flu vaccine CPT-4: 90630, 90653, 90654, 90656, 90657, 90658, 90659, 90660, 90661, 90662, 90672, 90673, 90674, 90682, 90685, 90686, 90687, 90688, 90694, 90724, 90756 195,059 172,875 1.13
24b. Coronavirus (SARS-CoV-2) vaccine CPT-4: 91300 through 91322 24,422 23,056 1.06
25. Contraceptive management ICD-10: Z30- 94,416 57,361 1.65
26. Health supervision of infant or child (ages 0 through 11) ICD-10: Z00.1-, Z76.1, Z76.2 CPT-4: 99381 through 99383, 99391 through 99393 266,397 170,031 1.57
26a. Childhood lead test screening (9 to 72 months) ICD-10: Z13.88, CPT-4: 83655 33,564 29,703 1.13
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409, HCPCS: G0396, G0397, G0443, H0050 38,361 20,881 1.84
26c. Smoke and tobacco use cessation counseling ICD-10: Z71.6 CPT-4: 99406, 99407 HCPCS: G9906 136,604 75,505 1.81
26c2. Tobacco use cessation pharmacotherapies OID: 2.16.840.1.113883.3.526.3.1190 143,373 54,779 2.62
26c3. Medications for opioid use disorder (MOUD) OID: 2.16.840.1.113762.1.4.1046.269 104,855 23,207 4.52
26d. Comprehensive and intermediate eye exams CPT-4: 92002, 92004, 92012, 92014 25,699 24,025 1.07
26e. Childhood development screenings and evaluations ICD-10: Z13.4- CPT-4: 96110, 96112, 96113, 96127 80,135 51,414 1.56
26f. Alzheimer's disease and related dementias (ADRD) screening CPT-4: 99483 OID: 2.16.840.1.113883.3.526.3.1006 9,048 6,938 1.30
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 38,315 28,655 1.34
28. Oral exams CDT: D0120, D0145, D0150, D0160, D0170, D0171, D0180 205,248 154,513 1.33
29. Prophylaxis–adult or child CDT: D1110, D1120 142,900 111,294 1.28
30. Sealants CDT: D1351 13,290 10,729 1.24
31. Fluoride treatment–adult or child CDT: D1206, D1208, CPT-4: 99188 95,589 76,757 1.25
32. Restorative services CDT: D21xx through D29xx 113,987 58,310 1.95
33. Oral surgery (extractions and other surgical procedures) CDT: D7xxx 26,977 18,760 1.44
34. Rehabilitative services (Endo, Perio, Prostho, Ortho) CDT: D3xxx, D4xxx, D5xxx, D6xxx, D8xxx 53,745 25,970 2.07

Footnotes

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

'**' Patient Support Services are listed as Enabling Services in the 2025 UDS Manual.

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

View Detailed UDS Footnotes

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