TABLE 5.
Mean and median expenditure and range in 2016 dollars by claim service category for infants enrolled in Medicaid with either select brain anomalies with or without microcephaly or with select eye abnormalities only,a North Carolina, 2011–2016
Claim service category | Infants with select brain anomalies with or without microcephaly (n = 442) |
Infants with select eye abnormalities only (n = 109) |
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---|---|---|---|---|---|---|
Mean (SD) | Median (IQR) | Range | Mean (SD) | Median (IQR) | Range | |
<365 days | ||||||
Total paid | 74,875 (144,639) | 32,109 (66,237) | 177–2,107,324 | 46,412 (76,520) | 16,375 (39,173) | 21–412,923 |
Inpatient facility | 43,657 (117,501) | 15,533 (33,748) | 0–1,925,587 | 20,907 (37,281) | 4,131 (24,823) | 0–195,193 |
Outpatient facility | 3,184 (4,059) | 1,788 (3,696) | 0–26,637 | 3,327 (3,862) | 2,187 (4,346) | 0–17,385 |
Professional/physician | 13,867 (21,717) | 7,459 (11,965) | 0–188,971 | 9,140 (11,817) | 4,722 (9,402) | 0–70,886 |
Drug/pharmacy | 5,637 (26,379) | 242 (1,610) | 0–294,689 | 3,247 (11,362) | 272 (1,090) | 0–111,542 |
Expenditures by mutually exclusive defect categories: (a) select brain anomalies (defined by CDC/BPA codes 742.200–742.250, 742.280–742.290, 742.300–742.387, 742.389–742.390, 742.410–742.480, 742.486, and 742.900) with or without microcephaly (defined by CDC/BPA code 742.100 with head circumference at delivery <3rd percentile for sex and gestational age), and (b) select eye abnormalities without mention of a brain abnormality (eye abnormalities defined by CDC/BPA codes 743.000–743.104, 743.320–743.326, 743.340–743.344, 743.430–743.434, 743.480–743.494, 743.510–743.527, and 743.529–743.594).