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TABLE 6: SELECTED DIAGNOSES AND SERVICES RENDERED
State Summary for Pennsylvania for 2007
32 Grantees
| Diagnostic Category |
Applicable
Primary ICD-9-CM or CPT Code (where
applicable) |
Number
of Encounters (a) |
Number
of Patients (b) |
Encounters
Per Patient |
| Selected Infectious
and Parasitic Diseases |
| 1. Symptomatic HIV |
042.xx; 079.53 |
4,852 |
1,905 |
2.55 |
| 2. Asymptomatic HIV |
V08 |
3,850 |
1,682 |
2.29 |
| 3. Tuberculosis |
010.xx - 018.xx |
1,374 |
975 |
1.41 |
| 4. Syphilis and other sexually transmitted
diseases |
090.xx - 099.xx |
5,848 |
4,066 |
1.44 |
| Selected Diseases
of the Respiratory System |
| 5. Asthma |
493.xx |
27,015 |
17,003 |
1.59 |
| 6. Chronic bronchitis and emphysema |
490.xx - 492.xx |
18,111 |
11,232 |
1.61 |
| Selected Other Medical
Conditions |
| 7. Abnormal breast findings, female |
174.xx; 198.81; 233.0x;
793.8x |
1,998 |
1,242 |
1.61 |
| 8. Abnormal cervical findings |
180.xx; 198.82; 233.1x;
795.0x |
7,071 |
4,559 |
1.55 |
| 9. Diabetes mellitus |
250.xx; 775.1x |
75,460 |
27,346 |
2.76 |
| 10. Heart disease (selected) |
391.xx - 392.xx;
410.xx - 429.xx |
26,876 |
12,569 |
2.14 |
| 11. Hypertension |
401.xx - 405.xx |
97,243 |
46,547 |
2.09 |
| 12. Contact dermatitis and other eczema |
692.xx |
12,270 |
10,409 |
1.18 |
| 13. Dehydration |
276.5x |
652 |
394 |
1.65 |
| 14. Exposure to heat or cold |
991.xx - 992.xx |
89 |
62 |
1.44 |
| Selected Childhood
Conditions |
| 15. Otitis media and eustachian tube
disorders |
381.xx - 382.xx |
27,733 |
17,087 |
1.62 |
| 16. Selected perinatal medical conditions |
770.xx; 771.xx; 773.xx;
774.xx - 779.xx (excluding 779.3x) |
1,151 |
665 |
1.73 |
| 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 |
4,151 |
2,020 |
2.05 |
| Selected Mental Health
and Substance Abuse Conditions |
| 18. Alcohol related disorders |
291.xx, 303.xx; 305.0x
357.5x |
9,009 |
3,363 |
2.68 |
19. Other substance related disorders
(excluding tobacco use disorders)
|
292.1x - 292.8x,
304.xx,
305.2x - 305.9x, 357.6x,
648.3x |
8,217 |
3,608 |
2.28 |
| 20a. Depression and other mood disorders |
296.xx, 300.4
301.13, 311.xx |
57,027 |
17,773 |
3.21 |
| 20b. Anxiety disorders including PTSD |
300.0x, 300.21, 300.22,
300.23, 300.29, 300.3,
308.3, 309.81 |
14,323 |
7,085 |
2.02 |
| 20c. Attention deficit and disruptive
behavior disorders |
312.8x, 312.9x, 313.81,
314.xx |
17,954 |
5,504 |
3.26 |
| 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);
306.xx - 319.xx
(excluding 308.3, 309.81,
311.xx, 312.8x,
312.9x, 313.81, 314.xx) |
24,546 |
8,443 |
2.91 |
| Selected Diagnostic
Tests/Screening/Preventive Services |
| 21. HIV Test |
CPT-4: 86689; 86701-86703;
87390-87391 |
17,218 |
15,250 |
1.13 |
| 22. Mammogram |
CPT-4: 77055-77057
OR
ICD-9: V76.11, V76.12 |
11,104 |
10,433 |
1.06 |
| 23. Pap Test |
CPT-4: 88141-88155;
88164-88167 OR
ICD-9: V72.3; V72.31;
V76.2 |
57,319 |
50,984 |
1.12 |
| 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 |
143,278 |
90,187 |
1.59 |
| 25. Contraceptive management |
ICD-9: V25.xx |
68,530 |
35,103 |
1.95 |
| 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 |
108,818 |
62,281 |
1.75 |
| Selected Dental Services |
| 27. I. Emergency Services |
ADA: D9110 |
9,807 |
7,562 |
1.30 |
| 28. II. Oral Exams |
ADA: D0120, D0140,
D0145, D0150, D0160, D0170, D0180 |
76,863 |
55,356 |
1.39 |
| 29. Prophylaxis - adult or child |
ADA: D1110, D1120 |
52,321 |
40,346 |
1.30 |
| 30. Sealants |
ADA: D1351 |
9,478 |
6,454 |
1.47 |
31. Fluoride Treatment - adult or child
|
ADA: D1203,
D1204 |
21,904 |
16,653 |
1.32 |
| 32. III. Restorative Services |
ADA: D21xx, D23xx,
D27xx |
46,271 |
25,634 |
1.81 |
33. IV. Oral Surgery
(extractions and other surgical procedures)
|
ADA: D7111, D7140,
D7210, D7220, D7230, D7240, D7241, D7250,
D7260, D7261, D7270, D7272, D7280 |
15,814 |
10,860 |
1.46 |
34. V. Rehabilitative Services (Endo,
Perio, Prostho, Ortho)
|
ADA: D3xxx, D4xxx,
D5xxx, D6xxx, D8xxx |
12,958 |
7,448 |
1.74 |
data as of: 7/22/2008 4:03:35 * Encounters and patients are reported
by Primary Diagnosis for lines 1-20d.
* Note: x denotes any number including the absence of a number in that
place.
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