99283
Emergency dept visit, moderate complexity
Emergency dept visit, moderate complexity is the #9 most-billed Medicaid procedure code, with $16.87B in payments across 157.9M claims from 2018–2024. The national median cost per claim is $42.48. Costs vary widely — the 90th percentile is $140.72 per claim, 3.3× the median.
Total Paid
$16.87B
1.54% of all spending
Total Claims
157.9M
Providers
20K
Avg Cost/Claim
$107
National Cost Distribution
How much do providers bill per claim for 99283? Based on 20K providers billing this code nationally.
Median
$42.48
Average
$66.01
Std Dev
$74.85
Max
$1,135.20
Percentile Distribution (Cost per Claim)
50% of providers bill between $33.78 and $62.00 per claim for this code.
90% bill between $25.80 and $140.72.
Top 1% bill above $365.61.
About This Procedure
HCPCS code 99283 (Emergency dept visit, moderate complexity) was billed by 20K providers across 157.9M claims, totaling $16.87B in Medicaid payments from 2018–2024. This code was used for 144.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$42.48
Providers Billing
20K
National Spending
$16.87B
Avg/Median Ratio
1.55×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 99283
| # | Provider | Total Paid |
|---|---|---|
| 1 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $63.2M |
| 2 | Loma Linda University Children's Hospital Loma Linda, CA · General Acute Care Hospital Children | $57.6M |
| 3 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $56.3M |
| 4 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $54.8M |
| 5 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $53.9M |
| 6 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $53.8M |
| 7 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $53.6M |
| 8 | Children's Hospital New Orleans, LA · General Acute Care Hospital Children | $51.3M |
| 9 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $50.6M |
| 10 | Atlanticare Regional Medical Center Pomona, NJ · General Acute Care Hospital | $48.5M |
| 11 | Cook Children's Medical Center Fort Worth, TX · General Acute Care Hospital Children | $46.5M |
| 12 | Virtua - West Jersey Health System Inc. Voorhees, NJ · General Acute Care Hospital | $46.2M |
| 13 | Our Lady Of The Lake Hospital Inc. Baton Rouge, LA · General Acute Care Hospital | $45.9M |
| 14 | Maricopa County Special Health Care District Phoenix, AZ · General Acute Care Hospital | $45.6M |
| 15 | Bakersfield Memorial Hospital Bakersfield, CA · General Acute Care Hospital | $45.5M |
| 16 | University Hospital Newark, NJ · General Acute Care Hospital | $42.8M |
| 17 | 1043263080 | $42.2M |
| 18 | Children's Hospital Washington, DC · General Acute Care Hospital Children | $41.1M |
| 19 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $40.5M |
| 20 | Inspira Medical Centers Inc. Vineland, NJ · General Acute Care Hospital | $39.9M |
Showing top 20 of 20K providers billing this code