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G0384
Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)
Medicaid paid $19.67M on code G0384 from 2018 through 2024, to 35 providers — the #1,545 code in the file by dollars. 92% of it was billed in Connecticut.
28Total paid$19.67M
24GClaims44,872
Paid per claim line$438.25
33Providers billing it35
Box 32 · Location
Where G0384 is billed
The largest of 15 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
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