H0012
HCPCS Procedure Code
HCPCS code H0012 is the #542 most-billed Medicaid procedure code, with $156.8M in payments across 588K claims from 2018–2024. The national median cost per claim is $295.95. Costs vary widely — the 90th percentile is $621.79 per claim, 2.1× the median.
Total Paid
$156.8M
0.01% of all spending
Total Claims
588K
Providers
100
Avg Cost/Claim
$267
National Cost Distribution
How much do providers bill per claim for H0012? Based on 98 providers billing this code nationally.
Median
$295.95
Average
$345.15
Std Dev
$312.24
Max
$2,192.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $162.30 and $384.05 per claim for this code.
90% bill between $117.30 and $621.79.
Top 1% bill above $1,858.97.
About This Procedure
HCPCS code H0012 was billed by 100 providers across 588K claims, totaling $156.8M in Medicaid payments from 2018–2024. This code was used for 133K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$295.95
Providers Billing
98
National Spending
$156.8M
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for H0012
| # | Provider | Total Paid |
|---|---|---|
| 1 | Los Angeles County Department Of Public Health Alhambra, CA · Public Health or Welfare | $35.1M |
| 2 | 1548367881 | $15.7M |
| 3 | County Of San Diego San Diego, CA · Public Health or Welfare | $14.5M |
| 4 | City & County Of San Francisco San Francisco, CA · Community/Behavioral Health | $9.2M |
| 5 | County Of Riverside Riverside, CA · Community/Behavioral Health | $8.8M |
| 6 | County Of Orange Santa Ana, CA · Clinic/Center Mental Health (Including Community Mental Health Center) | $5.6M |
| 7 | 1821126004 | $5.1M |
| 8 | County Of Santa Clara San Jose, CA · Clinic/Center Methadone Clinic | $4.4M |
| 9 | 1922368166 | $4.4M |
| 10 | County Of San Bernardino San Bernardino, CA · Clinic/Center Rehabilitation Substance Use Disorder | $4.3M |
| 11 | 1881658276 | $4.1M |
| 12 | 1912116252 | $3.7M |
| 13 | County Of Santa Cruz Santa Cruz, CA · Clinic/Center | $3.7M |
| 14 | Contra Costa County Martinez, CA · General Acute Care Hospital | $3.0M |
| 15 | Alameda County Behavioral Health Care Oakland, CA · Community/Behavioral Health | $3.0M |
| 16 | County Of Ventura Oxnard, CA · Community/Behavioral Health | $2.8M |
| 17 | 1205022159 | $2.7M |
| 18 | 1336370196 | $2.4M |
| 19 | 1306862461 | $1.7M |
| 20 | San Mateo County San Mateo, CA · Community/Behavioral Health | $1.6M |
Showing top 20 of 100 providers billing this code