29 Grantees
| Diagnostic Category | Applicable ICD - 9 - CM Code | Number of Visits by Primary Diagnosis (a) | Number of Patients with Primary Diagnosis (b) | Visits Per Patient | |
|---|---|---|---|---|---|
| Selected Infectious and Parasitic Diseases | |||||
| 1. | Symptomatic HIV | 042.xx; 079.53 | 1,784 | 482 | 3.70 |
| 2. | Asymptomatic HIV | V08 | 1,004 | 292 | 3.44 |
| 3. | Tuberculosis | 010.xx - 018.xx | 108 | 94 | 1.15 |
| 4. | Syphilis and other veneral Diseases | 090.xx - 099.xx | 2,000 | 1,493 | 1.34 |
| Selected Diseases of the Respiratory System | |||||
| 5. | Asthma | 493.xx | 18,669 | 11,920 | 1.57 |
| 6. | Chronic bronchitis and Emphysema | 490.xx - 492.xx | 18,291 | 11,207 | 1.63 |
| Selected Other Medical Conditions | |||||
| 7. | Abnormal Breast Findings,Female | 174.xx; 198.81; 233.0x; 793.8x | 1,291 | 643 | 2.01 |
| 8. | Abnormal Cervical Findings | 180.xx; 198.82; 233.1x; 795.0x | 5,083 | 3,321 | 1.53 |
| 9. | Diabetes Mellitus | 250.xx; 775.1x; | 81,854 | 28,681 | 2.85 |
| 10. | Heart Disease (selected) | 391.xx - 392.0x 410.xx - 429.xx | 18,670 | 7,618 | 2.45 |
| 11. | Hypertension | 410.xx - 405.xx; | 91,156 | 46,104 | 1.98 |
| 12. | Contact Dermatitis and other Eczema | 692.xx | 11,172 | 9,564 | 1.17 |
| 13. | Dehydration | 276.5x | 628 | 373 | 1.68 |
| 14. | Exposure to Heat or Cold | 991.xx - 992.xx | 81 | 55 | 1.47 |
| Selected Childhood Conditions | |||||
| 15. | Otitis Media and Eustachian Tube Disorders | 381.xx - 382.xx | 26,420 | 18,902 | 1.40 |
| 16. | Selected Perinatal Medical Conditions | 770.xx; 771.xx; 773.xx; 774.xx - 779.xx (Excluding 779.3x) | 1,680 | 1,154 | 1.46 |
| 17. | Lack of Expected Normal Physiological Development (Such as delayed milestone;Failure to gain weight;Failure to thrive)- does not include sexual or mental development;Nutritional Deficiencies | 260.xx - 269.xx; 779.3x; 783.3x - 783.4x; | 3,546 | 1,794 | 1.98 |
| Selected Mental Health and Substance Abuse Conditions | |||||
| 18. | Alcohol Related Disorders | 291.xx, 303.xx; 305.0x; 357.5x | 3,344 | 1,395 | 2.40 |
| 19. | Other Substance Related Disorders (Excluding Tobacco Use Disorders) | 292.1x - 292.8x; 304.xx; 305.2x - 305.9x; 357.6x; 648.3x | 3,328 | 1,362 | 2.44 |
| 20a. | Depression and Other Mood Disorders | 296.xx; 300.4 301.13; 311.xx | 35,335 | 16,221 | 2.18 |
| 20b. | Anxiety Disorders Including PTSD | 300.0x; 300.21; 300.22; 300.23; 300.29; 300.3; 308.3; 309.81 | 15,059 | 8,376 | 1.80 |
| 20c. | Attention Deficit and Disruptive Behavior Disorders | 312.8x; 312.9x; 313.81; 314.xx | 16,776 | 6,929 | 2.42 |
| 20d. | Other Mental Disorders,Excluding Drug or Alcohol Dependence (includes mental retardation) | 290.xx; 293.xx - 302.xx (Excluding 296.xx; 300.0x; 300.21; 300.22; 300.23; 300.29; 300.3; 300.4; 301.13); | 16,430 | 7,700 | 2.13 |
| Selected Diagnostic Tests/Screening/Preventive Services | |||||
| 21. | HIV Test | CPT - 4: 86689; 86701 - 86703; 87390 - 87391 | 12,194 | 11,297 | 1.08 |
| 22. | Mammogram | CPT - 4: 77055 - 77057 OR ICD - 9:V76.11; V76.12 | 9,752 | 8,872 | 1.10 |
| 23. | Pap Test | CPT - 4: 88141 - 88155; 88164 - 88167 OR ICD - 9:V72.3; V72.31; V76.2 | 49,280 | 45,456 | 1.08 |
| 24. | Selected Immunizations (Hepatitis A, Hemophilus Influenza B (HiB), Influenza virus, Pneumococcal Diptheria, Tetanus, Pertussis (DTaP) (DTP) (DT), Mumps, Measles, Rubella, Poliovirus, Varicella, Hepatitis B Child) | CPT - 4: 90633 - 90634, 90645 - 90648; 90657 - 90660; 90669; 90700 - 90702; 90704 - 90716; 90718; 90720 - 90721; 90723; 90743 - 90744; 90748 | 114,910 | 81,283 | 1.41 |
| 25. | Contraceptive Management | ICD - 9: V25.xx | 32,232 | 17,581 | 1.83 |
| 26. | Health Supervision of Infant or Child (ages 0 through 11) | CPT - 4: 99391 - 99393; 99381 - 99383; 99431 - 99433 OR ICD - 9:V20.xx;V29.xx | 98,884 | 60,864 | 1.62 |
| Selected Dental Services | |||||
| 27. | I. Emergency Services | ADA: D9110 | 796 | 721 | 1.10 |
| 28. | II. Oral Exams | ADA: D0120, D0140, D0145, D0150, D0160, D0170, D0180 | 118,957 | 97,551 | 1.22 |
| 29. | Prophylaxis - Adult or Child | ADA: D1110, D1120 | 83,666 | 71,823 | 1.16 |
| 30. | Sealants | ADA: D1351 | 9,866 | 9,151 | 1.08 |
| 31. | Flouride Treatment - adult or child | ADA: D1203, D1204, D1206 | 40,975 | 36,600 | 1.12 |
| 32. | III. Restorative Services | ADA: D21xx, D23xx, D27xx | 61,114 | 36,286 | 1.68 |
| 33. | IV. Oral Surgery (Extractions and other Surgical Procedures) | ADA: D7111, D7140, D7210, D7220, D7230, D7240, D7241, D7250, D7260, D7261, D7270, D7272, D7280 | 39,411 | 31,207 | 1.26 |
| 34. | V. Rehabilitation Services (Endo,Perio,Prostho,Orhto) | ADA: D3xxx, D4xxx, D5xxx, D6xxx, D8xxx | 18,799 | 12,615 | 1.49 |