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Table 6A: Selected Diagnoses and Services Rendered

Vermont Data

X

11 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 214 104 2.06
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 573 460 1.25
4a. Hepatitis B ICD-10: B16.0 through B16.2, B16.9, B18.0, B18.1, B19.1- OID: 2.16.840.1.113883.3.67.1.101.1.271 172 112 1.54
4b. Hepatitis C ICD-10: B17.1-, B18.2, B19.2- OID: 2.16.840.1.113762.1.4.1222.30 984 486 2.02
4c. Novel coronavirus (SARS-CoV-2) disease ICD-10: U07.1 OID: 2.16.840.1.113762.1.4.1248.139 1,999 1,737 1.15
4d. Long COVID ICD-10: U09, U09.9 OID: 2.16.840.1.113762.1.4.1178.98 300 178 1.69
Selected Diseases of the Respiratory System
5. Asthma ICD-10: J45- OID: 2.16.840.1.113883.3.526.2.60 16,391 10,515 1.56
6. Chronic lower respiratory diseases J40 (count J40 only when code U07.1 is not present), J41- through J44-, J47-, J4A- 17,171 7,581 2.27
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 21 18 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- 4,051 2,923 1.39
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, R87.820 806 584 1.38
9. Diabetes mellitus ICD-10: E08- through E13-, O24- (exclude O24.4-) OID: 2.16.840.1.113762.1.4.1219.35 57,466 18,696 3.07
10. Heart disease (selected) ICD-10: I01-, I02- (exclude I02.9), I20- through I25-, I27-, I28-, I30- through I52-, Q24- 33,888 15,222 2.23
11. Hypertension I10- through I16-, O10-, O11- OID: 2.16.840.1.113762.1.4.1222.1547 (Includes all codes other than O11-) 105,076 47,070 2.23
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) 5,667 4,745 1.19
13. Dehydration ICD-10: E86- 514 332 1.55
14. Exposure to heat or cold ICD-10: T33-, T34-, T67-, T68-, T69-, W92-, W93-, X30-, X31-, X32- 213 176 1.21
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) 40,681 25,017 1.63
Selected Childhood Conditions (limited to ages 0 through 17)
15. Otitis media and Eustachian tube disorders ICD-10: H65- through H69-, H72- 5,337 3,521 1.52
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- 750 391 1.92
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) 1,627 967 1.68
Selected Mental Health Conditions and Substance Use Disorders
18. Alcohol-related disorders ICD-10: F10-, G62.1, K70-, O99.31- 14,064 4,821 2.92
19. Other substance-related disorders (excluding tobacco use disorders) ICD-10: F11- through F19- (exclude F17-), G62.0, O99.32- 21,759 4,909 4.43
19a. Tobacco use disorder ICD-10: F17-, O99.33-, Z72.0 21,678 11,711 1.85
20a. Depression and other mood disorders ICD-10: F30- through F39- 89,810 22,677 3.96
20b. Anxiety disorders, including post-traumatic stress disorder (PTSD) ICD-10: F06.4, F40- through F42-, F43.0, F43.1-, F43.8-, F93.0 131,154 33,347 3.93
20c. Attention deficit and disruptive behavior disorders ICD-10: F90- through F91- 44,733 11,424 3.92
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 57,021 17,934 3.18
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-, Z69.11 259 237 1.09
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 5,298 5,053 1.05
21a. Hepatitis B test CPT-4: 80074, 86704 through 86707, 87340, 87341, 87350, 87467, 87912 HCPCS: G0499 2,875 2,804 1.03
21b. Hepatitis C test CPT-4: 80074, 86803, 86804, 87520 through 87522, 87902 HCPCS: G0472 7,198 6,999 1.03
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 18,964 17,117 1.11
21d. Novel coronavirus (SARS-CoV-2) antibody test ICD-10: Z01.84 CPT-4: 86318, 86328, 86408, 86409, 86413, 86769 CPT PLA: 0224U, 0226U 349 337 1.04
21e. Pre-Exposure Prophylaxis (PrEP)-associated prescribing and management ICD-10: Z29.81 110 67 1.64
22. Mammogram ICD-10: Z12.31 CPT-4: 77061, 77062, 77063, 77065, 77066, 77067 HCPCS: G0279 14,205 13,953 1.02
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 6,455 6,223 1.04
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 25,222 23,185 1.09
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 31,900 30,998 1.03
24b. Coronavirus (SARS-CoV-2) vaccine CPT-4: 91300 through 91322 12,958 12,540 1.03
25. Contraceptive management ICD-10: Z30- 4,582 3,463 1.32
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 16,914 11,678 1.45
26a. Childhood lead test screening (9 to 72 months) ICD-10: Z13.88, CPT-4: 83655 1,279 1,212 1.06
26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409, HCPCS: G0396, G0397, G0443, H0050 7,097 6,164 1.15
26c. Smoke and tobacco use cessation counseling ICD-10: Z71.6 CPT-4: 99406, 99407 HCPCS: G9906 7,248 5,383 1.35
26c2. Tobacco use cessation pharmacotherapies OID: 2.16.840.1.113883.3.526.3.1190 15,616 10,458 1.49
26c3. Medications for opioid use disorder (MOUD) OID: 2.16.840.1.113762.1.4.1046.269 9,370 2,318 4.04
26d. Comprehensive and intermediate eye exams CPT-4: 92002, 92004, 92012, 92014 3,102 3,083 1.01
26e. Childhood development screenings and evaluations ICD-10: Z13.4- CPT-4: 96110, 96112, 96113, 96127 4,645 3,226 1.44
26f. Alzheimer's disease and related dementias (ADRD) screening CPT-4: 99483 OID: 2.16.840.1.113883.3.526.3.1006 1,835 1,186 1.55
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 11,739 10,071 1.17
28. Oral exams CDT: D0120, D0145, D0150, D0160, D0170, D0171, D0180 45,299 33,509 1.35
29. Prophylaxis–adult or child CDT: D1110, D1120 48,945 32,701 1.50
30. Sealants CDT: D1351 2,978 2,666 1.12
31. Fluoride treatment–adult or child CDT: D1206, D1208, CPT-4: 99188 24,584 17,279 1.42
32. Restorative services CDT: D21xx through D29xx 27,601 15,055 1.83
33. Oral surgery (extractions and other surgical procedures) CDT: D7xxx 6,406 5,499 1.16
34. Rehabilitative services (Endo, Perio, Prostho, Ortho) CDT: D3xxx, D4xxx, D5xxx, D6xxx, D8xxx 12,235 7,974 1.53

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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