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TABLE 6: SELECTED DIAGNOSES AND SERVICES RENDERED
State Summary for Maine for 2007
18 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 |
69 |
37 |
1.86 |
| 2. Asymptomatic HIV |
V08 |
2 |
2 |
1.00 |
| 3. Tuberculosis |
010.xx - 018.xx |
10 |
8 |
1.25 |
| 4. Syphilis and other sexually transmitted
diseases |
090.xx - 099.xx |
48 |
40 |
1.20 |
| Selected Diseases
of the Respiratory System |
| 5. Asthma |
493.xx |
5,195 |
3,254 |
1.60 |
| 6. Chronic bronchitis and emphysema |
490.xx - 492.xx |
6,027 |
3,710 |
1.62 |
| Selected Other Medical
Conditions |
| 7. Abnormal breast findings, female |
174.xx; 198.81; 233.0x;
793.8x |
327 |
209 |
1.56 |
| 8. Abnormal cervical findings |
180.xx; 198.82; 233.1x;
795.0x |
725 |
602 |
1.20 |
| 9. Diabetes mellitus |
250.xx; 775.1x |
38,275 |
10,597 |
3.61 |
| 10. Heart disease (selected) |
391.xx - 392.xx;
410.xx - 429.xx |
20,210 |
5,756 |
3.51 |
| 11. Hypertension |
401.xx - 405.xx |
34,163 |
16,550 |
2.06 |
| 12. Contact dermatitis and other eczema |
692.xx |
2,686 |
2,234 |
1.20 |
| 13. Dehydration |
276.5x |
253 |
177 |
1.43 |
| 14. Exposure to heat or cold |
991.xx - 992.xx |
47 |
40 |
1.18 |
| Selected Childhood
Conditions |
| 15. Otitis media and eustachian tube
disorders |
381.xx - 382.xx |
8,123 |
5,496 |
1.48 |
| 16. Selected perinatal medical conditions |
770.xx; 771.xx; 773.xx;
774.xx - 779.xx (excluding 779.3x) |
423 |
258 |
1.64 |
| 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 |
3,003 |
1,284 |
2.34 |
| Selected Mental Health
and Substance Abuse Conditions |
| 18. Alcohol related disorders |
291.xx, 303.xx; 305.0x
357.5x |
3,254 |
861 |
3.78 |
19. Other substance related disorders
(excluding tobacco use disorders)
|
292.1x - 292.8x,
304.xx,
305.2x - 305.9x, 357.6x,
648.3x |
7,791 |
1,137 |
6.85 |
| 20a. Depression and other mood disorders |
296.xx, 300.4
301.13, 311.xx |
26,178 |
7,911 |
3.31 |
| 20b. Anxiety disorders including PTSD |
300.0x, 300.21, 300.22,
300.23, 300.29, 300.3,
308.3, 309.81 |
15,247 |
5,555 |
2.74 |
| 20c. Attention deficit and disruptive
behavior disorders |
312.8x, 312.9x, 313.81,
314.xx |
8,020 |
2,526 |
3.17 |
| 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) |
10,982 |
3,822 |
2.87 |
| Selected Diagnostic
Tests/Screening/Preventive Services |
| 21. HIV Test |
CPT-4: 86689; 86701-86703;
87390-87391 |
230 |
219 |
1.05 |
| 22. Mammogram |
CPT-4: 77055-77057
OR
ICD-9: V76.11, V76.12 |
293 |
283 |
1.04 |
| 23. Pap Test |
CPT-4: 88141-88155;
88164-88167 OR
ICD-9: V72.3; V72.31;
V76.2 |
11,879 |
11,542 |
1.03 |
| 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 |
32,741 |
26,889 |
1.22 |
| 25. Contraceptive management |
ICD-9: V25.xx |
9,502 |
4,905 |
1.94 |
| 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 |
18,166 |
11,595 |
1.57 |
| Selected Dental Services |
| 27. I. Emergency Services |
ADA: D9110 |
561 |
476 |
1.18 |
| 28. II. Oral Exams |
ADA: D0120, D0140,
D0145, D0150, D0160, D0170, D0180 |
24,675 |
18,344 |
1.35 |
| 29. Prophylaxis - adult or child |
ADA: D1110, D1120 |
20,691 |
13,343 |
1.55 |
| 30. Sealants |
ADA: D1351 |
5,412 |
3,640 |
1.49 |
31. Fluoride Treatment - adult or child
|
ADA: D1203,
D1204 |
10,902 |
7,837 |
1.39 |
| 32. III. Restorative Services |
ADA: D21xx, D23xx,
D27xx |
16,968 |
8,434 |
2.01 |
33. IV. Oral Surgery
(extractions and other surgical procedures)
|
ADA: D7111, D7140,
D7210, D7220, D7230, D7240, D7241, D7250,
D7260, D7261, D7270, D7272, D7280 |
7,030 |
4,626 |
1.52 |
34. V. Rehabilitative Services (Endo,
Perio, Prostho, Ortho)
|
ADA: D3xxx, D4xxx,
D5xxx, D6xxx, D8xxx |
3,675 |
2,250 |
1.63 |
data as of: 7/22/2008 3:50:16 * 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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