99282
Emergency dept visit, low complexity
Emergency dept visit, low complexity is the #77 most-billed Medicaid procedure code, with $2.53B in payments across 24.2M claims from 2018–2024. The national median cost per claim is $37.72. Costs vary widely — the 90th percentile is $147.28 per claim, 3.9× the median.
Total Paid
$2.53B
0.23% of all spending
Total Claims
24.2M
Providers
8K
Avg Cost/Claim
$104
National Cost Distribution
How much do providers bill per claim for 99282? Based on 8K providers billing this code nationally.
Median
$37.72
Average
$66.01
Std Dev
$62.73
Max
$797.54
Percentile Distribution (Cost per Claim)
50% of providers bill between $25.04 and $90.45 per claim for this code.
90% bill between $20.17 and $147.28.
Top 1% bill above $277.11.
About This Procedure
HCPCS code 99282 (Emergency dept visit, low complexity) was billed by 8K providers across 24.2M claims, totaling $2.53B in Medicaid payments from 2018–2024. This code was used for 22.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$37.72
Providers Billing
8K
National Spending
$2.53B
Avg/Median Ratio
1.75×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 99282
| # | Provider | Total Paid |
|---|---|---|
| 1 | Cook Children's Medical Center Fort Worth, TX · General Acute Care Hospital Children | $30.8M |
| 2 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $29.2M |
| 3 | Maricopa County Special Health Care District Phoenix, AZ · General Acute Care Hospital | $18.6M |
| 4 | Saint Peter's University Hospital New Brunswick, NJ · General Acute Care Hospital | $14.6M |
| 5 | The Health And Hospital Corporation Of Marion County Indianapolis, IN · Psychiatric Unit | $13.1M |
| 6 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $11.5M |
| 7 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $11.4M |
| 8 | Jamaica Hospital Richmond Hill, NY · General Acute Care Hospital | $11.0M |
| 9 | 1336245828 | $10.7M |
| 10 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $10.6M |
| 11 | The Brookdale Hospital Medical Center Brooklyn, NY · General Acute Care Hospital | $10.5M |
| 12 | Kaiser Foundation Hospitals Sacramento, CA · General Acute Care Hospital | $10.4M |
| 13 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $10.3M |
| 14 | 1043263080 | $9.9M |
| 15 | Kennedy University Hospital Inc. Stratford, NJ · General Acute Care Hospital | $9.8M |
| 16 | New York City Health And Hospitals Corporation Elmhurst, NY · Internal Medicine | $9.7M |
| 17 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $9.7M |
| 18 | The Nemours Foundation Orlando, FL · General Acute Care Hospital Children | $9.3M |
| 19 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $9.1M |
| 20 | Lee Memorial Health System Ft Myers, FL · General Acute Care Hospital | $9.0M |
Showing top 20 of 8K providers billing this code