H0004
Behavioral health counseling & therapy, per 15 min
Behavioral health counseling & therapy, per 15 min is the #26 most-billed Medicaid procedure code, with $6.55B in payments across 73.3M claims from 2018–2024. The national median cost per claim is $74.63.
Total Paid
$6.55B
0.60% of all spending
Total Claims
73.3M
Providers
9K
Avg Cost/Claim
$89
National Cost Distribution
How much do providers bill per claim for H0004? Based on 8K providers billing this code nationally.
Median
$74.63
Average
$105.19
Std Dev
$286.34
Max
$11,798.98
Percentile Distribution (Cost per Claim)
50% of providers bill between $52.54 and $101.63 per claim for this code.
90% bill between $28.71 and $143.38.
Top 1% bill above $617.08.
About This Procedure
HCPCS code H0004 (Behavioral health counseling & therapy, per 15 min) was billed by 9K providers across 73.3M claims, totaling $6.55B in Medicaid payments from 2018–2024. This code was used for 27.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$74.63
Providers Billing
8K
National Spending
$6.55B
Avg/Median Ratio
1.41×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for H0004
| # | Provider | Total Paid |
|---|---|---|
| 1 | Los Angeles County Department Of Public Health Alhambra, CA · Public Health or Welfare | $188.2M |
| 2 | County Of San Diego San Diego, CA · Public Health or Welfare | $90.9M |
| 3 | Department Of Behavioral Health Fresno, CA · Social Worker, Clinical | $53.0M |
| 4 | County Of Sacramento Sacramento, CA · Community/Behavioral Health | $52.5M |
| 5 | County Of Kern Bakersfield, CA · Clinic/Center, Adult Mental Health | $38.8M |
| 6 | 1538122445 | $37.8M |
| 7 | 1588840045 | $36.3M |
| 8 | Alabama Department Of Mental Health And Mental Retardation Montgomery, AL · Community/Behavioral Health | $35.7M |
| 9 | 1336196401 | $35.2M |
| 10 | 1932413556 | $35.1M |
| 11 | A Better You Wellness Center, Llc Phoenix, AZ · Community/Behavioral Health | $33.0M |
| 12 | Bhpn Llc Walnut Creek, CA · Case Management | $32.3M |
| 13 | 1669897385 | $32.1M |
| 14 | Southwest Behavioral Health Services Inc Phoenix, AZ · Community/Behavioral Health | $30.8M |
| 15 | State Of Missouri Jefferson City, MO · Counselor, Addiction (Substance Use Disorder) | $30.8M |
| 16 | 1073548640 | $30.3M |
| 17 | 1891294021 | $28.8M |
| 18 | 1801072590 | $28.6M |
| 19 | County Of Riverside Riverside, CA · Community/Behavioral Health | $28.4M |
| 20 | 1609300854 | $28.0M |
Showing top 20 of 9K providers billing this code