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Nevada Medicaid and Nevada Check Up Paid Claims for Members with a Gender Identity ICD-10
Code and Gender Related Care from January 1, 2015 to June 16, 2023

Nevada Medicaid and Nevada Check Up Paid Claims for Members with a Gender Identity ICD-10
Code and a Procedure Code Attributed to Gender Related Care from January 1, 2015 to June 16,
2023
Calendar Year Unique Members Paid Amount
2015 2 $1,334.22
2016 0 $0.00
2017 3 $2,969.37
2018 8 $27,566.65
2019 49 $142,245.68
2020 72 $255,335.40
2021 98 $307,038.95
2022 33 $85,366.63
2023 26 $97,808.44

Nevada Medicaid and Nevada Check Up Paid Claims for Members with a Gender Identity ICD-10
Code and a National Drug Code Attributed to Gender Related Care from January 1, 2015 to June
16, 2023
Calendar Year Unique Members Paid Amount
2015 106 $12,192.49
2016 211 $55,656.07
2017 363 $135,479.93
2018 517 $184,612.36
2019 615 $296,734.94
2020 755 $384,001.57
2021 927 $404,108.01
2022 1,054 $440,119.19
2023 808 $148,132.69

Nevada Medicaid and Nevada Check Up Paid Claims for Members with a Gender Identity ICD-10
Code and a Procedure Code Attributed to Counseling Services from January 1, 2015 to June 16,
2023
Calendar Year Unique Members Paid Amount
2015 32 $17,422.41
2016 92 $102,440.65
2017 115 $121,787.79
2018 160 $156,279.90
2019 283 $188,479.13
2020 343 $244,578.37
2021 414 $338,226.84
2022 442 $350,375.11
2023 300 $151,422.15

NV Medicaid Data Warehouse DDM BV

Provided by IK on June 2023
 Department of Health and Human Services Page 2 of 3
Office of Analytics

Nevada Medicaid and Nevada Check Up Paid Claims for Members with a Gender Identity ICD-10
Code and Gender Related Care from January 1, 2015 to June 16, 2023

Nevada Medicaid and Nevada Check Up Paid Claims for Members with a Gender Identity ICD-10
Code and a Procedure Code Attributed to Speech Therapy from January 1, 2015 to June 16, 2023
Calendar Year Unique Members Paid Amount
2015 0 $0.00
2016 1 $680.72
2017 1 $66.16
2018 1 $1,038.40
2019 2 $331.01
2020 0 $0.00
2021 0 $0.00
2022 0 $0.00
2023 0 $0.00

Nevada Medicaid and Nevada Check Up Paid Claims for Members with a Gender Identity ICD-10
Code and a National Drug Code Attributed to Gender Related Care or a Procedure Code Attributed
to Gender Related Care, Infertility, Counseling Services, or Speech Therapy from January 1, 2015 to
May 31, 2023
Calendar Year Unique Members Paid Amount
2015 465 $514,548.37
2016 681 $819,639.20
2017 936 $1,142,131.68
2018 1,163 $1,328,909.01
2019 1,359 $1,638,391.69
2020 1,538 $2,091,597.81
2021 1,751 $2,244,951.91
2022 1,825 $1,954,736.36
2023 1,353 $838,068.77

Nevada Medicaid and Nevada Check Up Paid Claims for Members aged 18 and Under with a
Gender Identity ICD-10 Code and a National Drug Code Attributed to Gender Related Care or a
Procedure Code Attributed to Gender Related Care, Infertility, Counseling Services, or Speech
Therapy from January 1, 2015 to May 31, 2023
Calendar Year Unique Members Paid Amount
2015 223 $291,428.90
2016 279 $409,089.05
2017 335 $488,383.61
2018 385 $475,293.83
2019 410 $582,181.05
2020 451 $755,182.89
2021 507 $714,795.56
2022 489 $568,779.72
2023 278 $180,619.47

NV Medicaid Data Warehouse DDM BV

Provided by IK on June 2023
 Department of Health and Human Services Page 3 of 3
Office of Analytics

Nevada Medicaid and Nevada Check Up Paid Claims for Members with a Gender Identity ICD-10 Code and Gender Related Care from January 1, 2015 to June 16, 2023
Report and Location
DW \Ian Knight\Tickets\Ticket#2023030300001721 — Gender Affirming Services
Timeframe
Data are for paid claims from January 1, 2015 to June 16, 2023

Date that Data was Captured

June 20, 2023

Disclaimer and Confidentiality Notice

This report is provided for the use of the intended audience only. If you are not an intended recipient, please notify sender immediately by e-mail and delete the report.

Medicaid Data
The Division of Health Care Financing and Policy (DHCFP) data warehouse is comprised of claims data submitted by over 35,000 Medicaid providers from within Nevada and across the
country. While DHCFP staff conscientiously make every effort to validate these data through continuous provider education and the use of highly experienced audit staff, the Division relies
heavily on providers to submit accurate and complete information on Medicaid patients. It should therefore be understood by the users of DHCFP reports on disease morbidity and patient
health that the data source for these reports are based solely on patient claims data and may not be a complete and comprehensive health record.

Due to claims lag, the data for 2023 are preliminary and subject to change.
Nevada Medicaid does not cover infertility treatments.
Parameters
Member counts are based on paid claims. Years are in calendar years. Members are grouped by the first date of service on a paid claim. Member counts are unique for each year.

CPT HCPCS Procedure Codes Attributed to Gender Related Cares: 14000, 14001, 15200, 15201, 19303, 19304, 19316, 19318, 19324, 19325, 19340, 19342, 19350, 53415, 53420, 53430,
54120, 54125, 54520, 54522, 54530, 54535, 54550, 54560, 54600, 54640, 54650, 54660, 54670, 54680, 54690, 55175, 55180, 55866, 56620, 56625, 56800, 56805, 56810, 57106, 57107,
57109, 57110, 57111, 57291, 57292, 57295, 57296, 57335, 57426, 58150, 58152, 58180, 58260, 58262, 58275, 58280, 58285, 58290, 58291, 58541, 58542, 58543, 58544, 58550, 58552,
58553, 58554, 58570, 58571, 58572, 58573, 58660, 58661, 58720, 58940

CPT HCPCS Procedure Codes Attributed to Counseling Services: 90785, 90832, 90833, 90834, 90836, 90837, 90838, 90839, 90840, 90845, 90846, 90847, 90849, 90853, 90863, 90875,
90876, 90880, 90882, 90887, 90889, 90899, 90901, 90911, 96101, 96102, 96103, 96105, 96110, 96111, 96116, 96118, 96119, 96120, 96125, 96127, 96130, 96131, 96132, 96133, 96136,
96137, 96138, 96139, 96146, 96150, 96151, 96152, 96153, 96154, 96156, 96158, 96159, 96160, 96161

CPT HCPCS Procedure Codes Attributed to Speech Therapy: 92524, 92507

Gender Identity ICD-10 Diagnosis Codes: F64, F640, F6400, F641, F642, F645, F648, F649, F649D, Z87890, Z907

National Drug Codes Attributed to Gender Related Care: 00074366303, 00574082701, 00143965901, 00574082001, 69238101302, 00378464026, 00555088602, 00555088702,
62756001540, 00409656201, 00591321630, 70700016301, 00517042001, 00555088704, 00832112035, 59651015201, 69543037410, 00591321730, 64380015202, 00143929001,
00051845030, 00023599230, 68180094111, 00051846233, 59762005601, 00009027101, 69097080232, 51862033401, 16714096701, 00023599060, 62756001640, 65162080710,
00143929101, 00517044001, 00781716783, 00409655701, 54436027504, 70700016201, 42806008801, 42806008901, 00574082010, 00574082710, 00378335016, 69097080237,
54436020004, 00143972601, 00074377903, 70121116901

NV Medicaid Data Warehouse DDM BV

Provided by IK June 2023