Skip to main content

Table 6A: Selected Diagnoses and Services Rendered

Virginia Data

X

26 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 9,982 2,180 4.58
3. Tuberculosis A15- through A19-, O98.0-, Z86.15, Z22.7 OID: 2.16.840.1.113762.1.4.1146.451 813 503 1.62
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 3,375 2,345 1.44
4a. Hepatitis B B16.0 through B16.2, B16.9, B17.0, B18.0, B18.1, B19.1- OID: 2.16.840.1.113883.3.464.1003.110.12.1025 513 247 2.08
4b. Hepatitis C B17.1-, B18.2, B19.2- OID: 2.16.840.1.113762.1.4.1146.153 2,113 1,132 1.87
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 7,530 7,044 1.07
4d. Long COVID U09.9 OID: 2.16.840.1.113762.1.4.1222.1391 453 330 1.37
Selected Diseases of the Respiratory System
5. Asthma J45- OID: 2.16.840.1.113883.3.526.3.362 36,199 21,137 1.71
6. Chronic lower respiratory diseases J40 (count J40 only when code U07.1 is not present), J41- through J44-, J47-, J4A- 32,622 16,287 2.00
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: 2.16.840.1.113762.1.4.1029.374 545 485 1.12
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- 8,863 6,876 1.29
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 4,298 2,605 1.65
9. Diabetes mellitus E08- through E13-, O24- (exclude O24.41-) OID: 2.16.840.1.113762.1.4.1219.35 158,514 54,863 2.89
10. Heart disease (selected) I01-, I02- (exclude I02.9), I20- through I25-, I27-, I28-, I30- through I52-, Q24- 43,331 20,683 2.10
11. Hypertension I10- through I16-, O10-, O11- OID: 2.16.840.1.113762.1.4.1222.1547 (Includes all codes other than O11-) 266,518 110,454 2.41
12. Contact dermatitis and other eczema H01.13-, L20.89, L23- through L25-, L30- (exclude L30.1, L30.3, L30.4, L30.5), L58- 13,557 11,172 1.21
13. Dehydration E86- 672 564 1.19
14. Exposure to heat or cold T33-, T34-, T67-, T68-, T69-, W92-, W93-, X30-, X31-, X32- 83 79 1.05
14a. Overweight and obesity E66-, Z68- (exclude Z68.1, Z68.20 through Z68.24, Z68.51, Z68.52) 174,080 96,223 1.81
Selected Childhood Conditions (limited to ages 0 through 17)
15. Otitis media and Eustachian tube disorders H65- through H69-, H72- 13,535 9,256 1.46
16. Selected perinatal/neonatal medical conditions A33, P19-, P22- through P29- (exclude P29.3-), P35- through P96- (exclude P54-, P91.6-, P92-, P96.81), Q86- 3,068 1,839 1.67
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) 6,859 4,674 1.47
Selected Mental Health Conditions and Substance Use Disorders
18. Alcohol-related disorders F10-, G62.1, K70-, O99.31- 13,754 5,164 2.66
19. Other substance-related disorders (excluding tobacco use disorders) F11- through F19- (exclude F17-), G62.0, O99.32- 33,147 7,192 4.61
19a. Tobacco use disorder F17-, O99.33-, Z72.0 41,571 23,490 1.77
20a. Depression and other mood disorders F30- through F39- 151,148 45,849 3.30
20b. Anxiety disorders, including post-traumatic stress disorder (PTSD) F06.4, F40- through F42-, F43.0, F43.1-, F43.8-, F93.0 172,762 53,338 3.24
20c. Attention deficit and disruptive behavior disorders F90- through F91- 36,268 11,045 3.28
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 76,373 31,344 2.44
20e. Human trafficking T74.5- through T74.6-, T76.5- through T76.6-, Z04.81, Z04.82, Z62.813, Z91.42 - - -
20f. Intimate partner violence T74.11-, T74.21-, T74.31-, Z69.11 125 62 2.02
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 40,661 36,042 1.13
21a. Hepatitis B test CPT-4: 80074, 86704 through 86707, 87340, 87341, 87350, 87912 19,382 18,226 1.06
21b. Hepatitis C test CPT-4: 80074, 86803, 86804, 87520 through 87522, 87902 29,841 27,990 1.07
21c. Novel coronavirus (SARS-CoV-2) diagnostic test CPT-4: 87426, 87428, 87635, 87636, 87637, 87811 HCPCS: U0001, U0002, U0003, U0004, U0005 CPT PLA: 0202U, 0223U, 0225U, 0240U, 0241U 54,382 40,350 1.35
21d. Novel coronavirus (SARS-CoV-2) antibody test ICD-10: Z01.84 CPT-4: 86318, 86328, 86408, 86409, 86413, 86769 CPT PLA: 0224U, 0226U 7,672 5,916 1.30
21e. Pre-Exposure Prophylaxis (PrEP)-associated management of all patients on PrEP ICD-10: Z29.81 163 92 1.77
22. Mammogram ICD-10: Z12.31 CPT-4: 77062, 77063, 77065, 77066, 77067 HCPCS: G0279 30,324 26,936 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, G0146, G0147, G0148, P3000 23,656 22,181 1.07
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, 90644, 90645, 90646, 90647, 90648, 90669, 90670, 90671, 90677, 90696, 90697, 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 74,435 54,654 1.36
24a. Seasonal flu vaccine CPT-4: 90630, 90653 through 90662, 90672, 90673, 90674, 90682, 90685 through 90688, 90694, 90724, 90756 73,470 68,239 1.08
24b. Coronavirus (SARS-CoV-2) vaccine CPT-4: 90480, 91304, 91318, 91319, 91320, 91321, 91322 Codes listed include those available as of the release date of this manual. 12,562 11,677 1.08
25. Contraceptive management ICD-10: Z30- 29,946 17,176 1.74
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 87,313 53,609 1.63
26a. Childhood lead test screening (9 to 72 months) ICD-10: Z13.88, CPT-4: 83655 9,826 8,934 1.10
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409, HCPCS: G0396, G0397, G0443, H0050 2,128 2,084 1.02
26c. Smoke and tobacco use cessation counseling CPT-4: 99406, 99407, HCPCS: S9075 125,890 48,799 2.58
26d. Comprehensive and intermediate eye exams CPT-4: 92002, 92004, 92012, 92014 120 119 1.01
26e. Childhood development screenings and evaluations (limited to patients who are less than 18 years of age) CPT-4: 96110, 96112, 96113, 96127 ICD-10: Z13.4- 27,744 22,059 1.26
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 23,766 20,979 1.13
28. Oral exams CDT: D0120, DO145, D0150, D0160, D0170, D0171, D0180 85,076 62,357 1.36
29. Prophylaxis–adult or child CDT: D1110, D1120 61,839 45,810 1.35
30. Sealants CDT: D1351 6,079 5,224 1.16
31. Fluoride treatment–adult or child CDT: D1206, D1208, CPT-4: 99188 39,496 29,080 1.36
32. Restorative services CDT: D21xx through D29xx 49,181 26,866 1.83
33. Oral surgery (extractions and other surgical procedures) CDT: D7xxx 18,644 13,748 1.36
34. Rehabilitative services (Endo, Perio, Prostho, Ortho) CDT: D3xxx, D4xxx, D5xxx, D6xxx, D8xxx 28,749 14,941 1.92

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

Accessibility Statement:
Persons using assistive technology may not be able to fully access information in these files. For assistance, contact the Health Center Program Support at: 877-464-4772.