Data Heading Definitions



Total visits – All EPSDT/PPHSD visits 


Total screens – All 96110 claims billed


Screens w/ visits – The number of 96110 claims submitted on the same date of service as 
an EPSDT/PPHSD visit.  This number is a subset of ‘Total Screens.’


% Visits w/ screen – ‘Screens w/ visit’ divided by ‘Total visits.’  The percentage 
represents the total number of EPSDT/PPHSD claims that included a behavioral health 
screen. 


% Screen w/ visit – ‘Screens w/ visit’ divided by ‘Total screens.’  Of all behavioral 
health screens claimed, this percentage represents those that were administered at an 
EPSDT/PPHSD visit.  Therefore, if the ‘% Screens w/ visit’ is 97%, the outstanding 3% 
are those behavioral health screens that occurred outside of an EPSDT/PPHSD visit, i.e. a 
sick visit or other follow up visit.


Total screens w/ modifier – Represents the subsection of ‘Total screens’ that included a 
modifier.  96110 claims that did not include a modifier were not included in this number.


% BH need identified – The number of 96110 claims that included an even ‘U-modifier’ 
divided by the total number of screens that included a modifier.  96110 claims submitted 
without a modifier are not included in the ‘% BH need identified’ calculation.


% w/o modifier – Of the total number of 96110 claims, the percent of those claims 
submitted without a modifier is reflected.