Emergency Visit Claims by Diagnosis Code and Recipient 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 patients, total number of claims, and dollar amount paid, grouped by the diagnosis codes and recipient age group.

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 for each age group. ER claims are defined as claims with CPT codes 99281, 99282, 99283, 99284, and 99285. ICD -9 and ICD -10 standard codes are reported. If multiple diagnostic codes are attached to a claim, primary diagnosis is used. Providers are billing providers. 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.