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Table 6A: Selected Diagnoses and Services Rendered

Rhode Island Data

X

8 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 729 287 2.54
3. Tuberculosis ICD-10: A15- through A19-, B90-, J65, O98.0-,P37.0 OID: 2.16.840.1.113762.1.4.1146.451 31 26 1.19
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 1,972 1,454 1.36
4a. Hepatitis B ICD-10: B16.0 through B16.2, B16.9, B18.0, B18.1, B19.1- OID: 2.16.840.1.113883.3.67.1.101.1.271 488 287 1.70
4b. Hepatitis C ICD-10: B17.1-, B18.2, B19.2- OID: 2.16.840.1.113762.1.4.1222.30 946 521 1.82
4c. Novel coronavirus (SARS-CoV-2) disease ICD-10: U07.1 OID: 2.16.840.1.113762.1.4.1248.139 3,016 2,812 1.07
4d. Long COVID ICD-10: U09, U09.9 OID: 2.16.840.1.113762.1.4.1178.98 95 72 1.32
Selected Diseases of the Respiratory System
5. Asthma ICD-10: J45- OID: 2.16.840.1.113883.3.526.2.60 21,845 12,620 1.73
6. Chronic lower respiratory diseases J40 (count J40 only when code U07.1 is not present), J41- through J44-, J47-, J4A- 10,075 5,189 1.94
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: 2.16.840.1.113762.1.4.1029.374 275 275 1.00
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- 6,696 4,952 1.35
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 3,440 2,163 1.59
9. Diabetes mellitus ICD-10: E08- through E13-, O24- (exclude O24.4-) OID: 2.16.840.1.113762.1.4.1219.35 57,008 19,298 2.95
10. Heart disease (selected) ICD-10: I01-, I02- (exclude I02.9), I20- through I25-, I27-, I28-, I30- through I52-, Q24- 14,728 8,008 1.84
11. Hypertension I10- through I16-, O10-, O11- OID: 2.16.840.1.113762.1.4.1222.1547 (Includes all codes other than O11-) 83,770 36,457 2.30
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) 8,816 7,314 1.21
13. Dehydration ICD-10: E86- 281 267 1.05
14. Exposure to heat or cold ICD-10: T33-, T34-, T67-, T68-, T69-, W92-, W93-, X30-, X31-, X32- 62 56 1.11
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) 130,545 61,365 2.13
Selected Childhood Conditions (limited to ages 0 through 17)
15. Otitis media and Eustachian tube disorders ICD-10: H65- through H69-, H72- 4,848 3,712 1.31
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- 2,023 1,261 1.60
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) 4,159 2,936 1.42
Selected Mental Health Conditions and Substance Use Disorders
18. Alcohol-related disorders ICD-10: F10-, G62.1, K70-, O99.31- 16,301 4,389 3.71
19. Other substance-related disorders (excluding tobacco use disorders) ICD-10: F11- through F19- (exclude F17-), G62.0, O99.32- 16,677 4,873 3.42
19a. Tobacco use disorder ICD-10: F17-, O99.33-, Z72.0 13,558 8,168 1.66
20a. Depression and other mood disorders ICD-10: F30- through F39- 98,403 22,746 4.33
20b. Anxiety disorders, including post-traumatic stress disorder (PTSD) ICD-10: F06.4, F40- through F42-, F43.0, F43.1-, F43.8-, F93.0 128,095 30,529 4.20
20c. Attention deficit and disruptive behavior disorders ICD-10: F90- through F91- 35,574 9,042 3.93
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 62,488 21,172 2.95
20e. Human trafficking ICD-10: 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 ICD-10: T74.11-, T74.21-, T74.31-, Z69.11 78 61 1.28
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 27,797 23,302 1.19
21a. Hepatitis B test CPT-4: 80074, 86704 through 86707, 87340, 87341, 87350, 87467, 87912 HCPCS: G0499 10,864 10,093 1.08
21b. Hepatitis C test CPT-4: 80074, 86803, 86804, 87520 through 87522, 87902 HCPCS: G0472 17,105 15,901 1.08
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 44,987 33,044 1.36
21d. Novel coronavirus (SARS-CoV-2) antibody test ICD-10: Z01.84 CPT-4: 86318, 86328, 86408, 86409, 86413, 86769 CPT PLA: 0224U, 0226U 2,165 2,090 1.04
21e. Pre-Exposure Prophylaxis (PrEP)-associated prescribing and management ICD-10: Z29.81 7,168 764 9.38
22. Mammogram ICD-10: Z12.31 CPT-4: 77061, 77062, 77063, 77065, 77066, 77067 HCPCS: G0279 16,784 14,837 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 11,181 10,307 1.08
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 38,696 29,192 1.33
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 34,766 32,099 1.08
24b. Coronavirus (SARS-CoV-2) vaccine CPT-4: 91300 through 91322 4,773 4,574 1.04
25. Contraceptive management ICD-10: Z30- 19,249 11,527 1.67
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 46,307 25,964 1.78
26a. Childhood lead test screening (9 to 72 months) ICD-10: Z13.88, CPT-4: 83655 6,994 6,177 1.13
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409, HCPCS: G0396, G0397, G0443, H0050 15,621 12,354 1.26
26c. Smoke and tobacco use cessation counseling ICD-10: Z71.6 CPT-4: 99406, 99407 HCPCS: G9906 23,870 10,737 2.22
26c2. Tobacco use cessation pharmacotherapies OID: 2.16.840.1.113883.3.526.3.1190 11,709 5,786 2.02
26c3. Medications for opioid use disorder (MOUD) OID: 2.16.840.1.113762.1.4.1046.269 12,971 2,185 5.94
26d. Comprehensive and intermediate eye exams CPT-4: 92002, 92004, 92012, 92014 8,387 8,044 1.04
26e. Childhood development screenings and evaluations ICD-10: Z13.4- CPT-4: 96110, 96112, 96113, 96127 9,979 6,602 1.51
26f. Alzheimer's disease and related dementias (ADRD) screening CPT-4: 99483 OID: 2.16.840.1.113883.3.526.3.1006 433 418 1.04
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 23,408 19,427 1.20
28. Oral exams CDT: D0120, D0145, D0150, D0160, D0170, D0171, D0180 60,740 55,958 1.09
29. Prophylaxis–adult or child CDT: D1110, D1120 72,812 54,002 1.35
30. Sealants CDT: D1351 7,159 6,730 1.06
31. Fluoride treatment–adult or child CDT: D1206, D1208, CPT-4: 99188 36,817 27,628 1.33
32. Restorative services CDT: D21xx through D29xx 45,837 25,841 1.77
33. Oral surgery (extractions and other surgical procedures) CDT: D7xxx 12,885 10,436 1.23
34. Rehabilitative services (Endo, Perio, Prostho, Ortho) CDT: D3xxx, D4xxx, D5xxx, D6xxx, D8xxx 7,311 5,734 1.28

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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