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Table 6A: Selected Diagnoses and Services Rendered

Nebraska Data

X

7 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 243 150 1.62
3. Tuberculosis ICD-10: A15- through A19-, B90-, J65, O98.0-,P37.0 OID: 2.16.840.1.113762.1.4.1146.451 - - -
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 1,144 800 1.43
4a. Hepatitis B ICD-10: B16.0 through B16.2, B16.9, B18.0, B18.1, B19.1- OID: 2.16.840.1.113883.3.67.1.101.1.271 157 92 1.71
4b. Hepatitis C ICD-10: B17.1-, B18.2, B19.2- OID: 2.16.840.1.113762.1.4.1222.30 228 158 1.44
4c. Novel coronavirus (SARS-CoV-2) disease ICD-10: U07.1 OID: 2.16.840.1.113762.1.4.1248.139 903 834 1.08
4d. Long COVID ICD-10: U09, U09.9 OID: 2.16.840.1.113762.1.4.1178.98 26 22 1.18
Selected Diseases of the Respiratory System
5. Asthma ICD-10: J45- OID: 2.16.840.1.113883.3.526.2.60 6,636 4,006 1.66
6. Chronic lower respiratory diseases J40 (count J40 only when code U07.1 is not present), J41- through J44-, J47-, J4A- 3,000 1,649 1.82
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 35 30 1.17
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- 1,692 1,326 1.28
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 1,228 740 1.66
9. Diabetes mellitus ICD-10: E08- through E13-, O24- (exclude O24.4-) OID: 2.16.840.1.113762.1.4.1219.35 32,154 11,823 2.72
10. Heart disease (selected) ICD-10: I01-, I02- (exclude I02.9), I20- through I25-, I27-, I28-, I30- through I52-, Q24- 3,940 2,254 1.75
11. Hypertension I10- through I16-, O10-, O11- OID: 2.16.840.1.113762.1.4.1222.1547 (Includes all codes other than O11-) 37,977 17,681 2.15
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) 3,678 2,896 1.27
13. Dehydration ICD-10: E86- 90 86 1.05
14. Exposure to heat or cold ICD-10: T33-, T34-, T67-, T68-, T69-, W92-, W93-, X30-, X31-, X32- 36 26 1.38
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) 58,593 30,116 1.95
Selected Childhood Conditions (limited to ages 0 through 17)
15. Otitis media and Eustachian tube disorders ICD-10: H65- through H69-, H72- 5,069 3,700 1.37
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- 1,363 932 1.46
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) 2,900 2,082 1.39
Selected Mental Health Conditions and Substance Use Disorders
18. Alcohol-related disorders ICD-10: F10-, G62.1, K70-, O99.31- 4,004 1,483 2.70
19. Other substance-related disorders (excluding tobacco use disorders) ICD-10: F11- through F19- (exclude F17-), G62.0, O99.32- 7,849 2,031 3.86
19a. Tobacco use disorder ICD-10: F17-, O99.33-, Z72.0 8,473 4,897 1.73
20a. Depression and other mood disorders ICD-10: F30- through F39- 32,004 9,467 3.38
20b. Anxiety disorders, including post-traumatic stress disorder (PTSD) ICD-10: F06.4, F40- through F42-, F43.0, F43.1-, F43.8-, F93.0 28,636 9,262 3.09
20c. Attention deficit and disruptive behavior disorders ICD-10: F90- through F91- 12,732 3,511 3.63
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 21,246 8,026 2.65
20e. Human trafficking ICD-10: T74.5- through T74.6-, T76.5- through T76.6-, Z04.81, Z04.82, Z62.813, Z91.42 - - -
20f. Intimate partner violence ICD-10: T74.11-, T74.21-, T74.31-, Z69.11 65 36 1.81
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 12,334 11,657 1.06
21a. Hepatitis B test CPT-4: 80074, 86704 through 86707, 87340, 87341, 87350, 87467, 87912 HCPCS: G0499 3,165 3,089 1.02
21b. Hepatitis C test CPT-4: 80074, 86803, 86804, 87520 through 87522, 87902 HCPCS: G0472 10,276 9,695 1.06
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 8,563 7,187 1.19
21d. Novel coronavirus (SARS-CoV-2) antibody test ICD-10: Z01.84 CPT-4: 86318, 86328, 86408, 86409, 86413, 86769 CPT PLA: 0224U, 0226U 138 132 1.05
21e. Pre-Exposure Prophylaxis (PrEP)-associated prescribing and management ICD-10: Z29.81 82 55 1.49
22. Mammogram ICD-10: Z12.31 CPT-4: 77061, 77062, 77063, 77065, 77066, 77067 HCPCS: G0279 5,035 4,601 1.09
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 6,641 6,452 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: 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 24,781 17,528 1.41
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 25,023 22,571 1.11
24b. Coronavirus (SARS-CoV-2) vaccine CPT-4: 91300 through 91322 2,593 2,545 1.02
25. Contraceptive management ICD-10: Z30- 7,426 5,692 1.30
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 31,347 20,385 1.54
26a. Childhood lead test screening (9 to 72 months) ICD-10: Z13.88, CPT-4: 83655 5,241 4,847 1.08
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409, HCPCS: G0396, G0397, G0443, H0050 0 0 0.00
26c. Smoke and tobacco use cessation counseling ICD-10: Z71.6 CPT-4: 99406, 99407 HCPCS: G9906 5,280 3,158 1.67
26c2. Tobacco use cessation pharmacotherapies OID: 2.16.840.1.113883.3.526.3.1190 1,762 1,218 1.45
26c3. Medications for opioid use disorder (MOUD) OID: 2.16.840.1.113762.1.4.1046.269 697 230 3.03
26d. Comprehensive and intermediate eye exams CPT-4: 92002, 92004, 92012, 92014 0 0 0.00
26e. Childhood development screenings and evaluations ICD-10: Z13.4- CPT-4: 96110, 96112, 96113, 96127 8,985 4,839 1.86
26f. Alzheimer's disease and related dementias (ADRD) screening CPT-4: 99483 OID: 2.16.840.1.113883.3.526.3.1006 223 218 1.02
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 6,380 5,592 1.14
28. Oral exams CDT: D0120, D0145, D0150, D0160, D0170, D0171, D0180 30,225 23,909 1.26
29. Prophylaxis–adult or child CDT: D1110, D1120 23,275 17,971 1.30
30. Sealants CDT: D1351 4,381 3,548 1.23
31. Fluoride treatment–adult or child CDT: D1206, D1208, CPT-4: 99188 25,880 19,603 1.32
32. Restorative services CDT: D21xx through D29xx 17,380 9,675 1.80
33. Oral surgery (extractions and other surgical procedures) CDT: D7xxx 6,697 5,620 1.19
34. Rehabilitative services (Endo, Perio, Prostho, Ortho) CDT: D3xxx, D4xxx, D5xxx, D6xxx, D8xxx 11,109 4,839 2.30

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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