H0005
Alcohol and/or drug services, group counseling
Alcohol and/or drug services, group counseling is the #147 most-billed Medicaid procedure code, with $1.24B in payments across 23.2M claims from 2018–2024. The national median cost per claim is $47.35.
Total Paid
$1.24B
0.11% of all spending
Total Claims
23.2M
Providers
3K
Avg Cost/Claim
$53
National Cost Distribution
How much do providers bill per claim for H0005? Based on 3K providers billing this code nationally.
Median
$47.35
Average
$49.11
Std Dev
$33.73
Max
$582.90
Percentile Distribution (Cost per Claim)
50% of providers bill between $33.58 and $58.31 per claim for this code.
90% bill between $18.88 and $73.81.
Top 1% bill above $164.52.
About This Procedure
HCPCS code H0005 (Alcohol and/or drug services, group counseling) was billed by 3K providers across 23.2M claims, totaling $1.24B in Medicaid payments from 2018–2024. This code was used for 5.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$47.35
Providers Billing
3K
National Spending
$1.24B
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for H0005
| # | Provider | Total Paid |
|---|---|---|
| 1 | Los Angeles County Department Of Public Health Alhambra, CA · Public Health or Welfare | $108.5M |
| 2 | County Of San Diego San Diego, CA · Public Health or Welfare | $59.9M |
| 3 | Alameda County Behavioral Health Care Oakland, CA · Community/Behavioral Health | $19.3M |
| 4 | State Of Missouri Jefferson City, MO · Counselor, Addiction (Substance Use Disorder) | $18.8M |
| 5 | Department Of Behavioral Health Fresno, CA · Social Worker, Clinical | $12.9M |
| 6 | County Of Riverside Riverside, CA · Community/Behavioral Health | $12.5M |
| 7 | County Of Sacramento Sacramento, CA · Community/Behavioral Health | $11.4M |
| 8 | 1063522530 | $10.8M |
| 9 | County Of Kern Bakersfield, CA · Clinic/Center, Adult Mental Health | $10.6M |
| 10 | Santa Barbara County Auditor Santa Barbara, CA · Psychologist | $10.3M |
| 11 | Brightview Llc Cincinnati, OH · Internal Medicine Addiction Medicine | $9.5M |
| 12 | 1801947668 | $8.9M |
| 13 | 1881733830 | $8.6M |
| 14 | County Of San Bernardino San Bernardino, CA · Clinic/Center Rehabilitation Substance Use Disorder | $8.5M |
| 15 | 1881658276 | $8.1M |
| 16 | 1851740559 | $7.9M |
| 17 | 1427397074 | $7.6M |
| 18 | 1447347778 | $7.5M |
| 19 | 1134593510 | $7.5M |
| 20 | County Of Orange Santa Ana, CA · Clinic/Center Mental Health (Including Community Mental Health Center) | $7.5M |
Showing top 20 of 3K providers billing this code