Emergency Visit Claims by Recipient Zip Code and Age Group

Archived as of 6/26/2025: The datasets will no longer receive updates but the historical data will continue to be available for download.

This dataset provides information related to emergency visit claims. It contains information about the total number of recipients, total number of claims, and total dollar amount paid, grouped by recipient zip code and age group of recipient

Restricted to claims with service date between 01/2012 to 12/2017. Restricted to top 100 most frequent primary diagnostic codes in ER claims from 2012 - 2017. ER claims are defined as claims with CPT codes 99281, 99282, 99283, 99284, and 99285. Providers are billing providers. If multiple diagnostic codes are attached to a claim, primary diagnosis is used. This data is for research purposes and is not intended to be used for reporting. Due to differences in geographic aggregation, time period considerations, and units of analysis, these numbers may differ from those reported by FSSA.