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#607 of 11K

H0014

HCPCS Procedure Code

HCPCS code H0014 is the #607 most-billed Medicaid procedure code, with $127.4M in payments across 618K claims from 2018–2024. The national median cost per claim is $137.81. Costs vary widely — the 90th percentile is $291.87 per claim, 2.1× the median.

Total Paid

$127.4M

0.01% of all spending

Total Claims

618K

Providers

313

Avg Cost/Claim

$206

National Cost Distribution

How much do providers bill per claim for H0014? Based on 288 providers billing this code nationally.

Median

$137.81

Average

$162.80

Std Dev

$115.12

Max

$915.53

Percentile Distribution (Cost per Claim)

p10
$11.14
p25
$92.71
Median
$137.81
p75
$240.35
p90
$291.87
p95
$306.25
p99
$614.24

50% of providers bill between $92.71 and $240.35 per claim for this code.

90% bill between $11.14 and $291.87.

Top 1% bill above $614.24.

About This Procedure

HCPCS code H0014 was billed by 313 providers across 618K claims, totaling $127.4M in Medicaid payments from 2018–2024. This code was used for 279K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$137.81

Providers Billing

288

National Spending

$127.4M

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for H0014

#ProviderTotal Paid
1Brightview Llc

Cincinnati, OH · Internal Medicine Addiction Medicine

$26.7M
2Advanced Human Services Inc

Forest Hills, NY · Case Management

$9.1M
31538628904$6.4M
41346736758$6.2M
51083222640$3.5M
61174725808$3.3M
7City & County Of San Francisco

San Francisco, CA · Case Manager/Care Coordinator

$3.3M
81174132542$2.9M
91477035996$2.7M
101477186336$2.7M
111245375203$2.3M
121801345285$2.2M
131518026905$2.2M
141225260888$2.1M
151629654140$1.9M
161477211423$1.9M
17Community Bridges Inc.

Mesa, AZ · Community/Behavioral Health

$1.7M
181306458039$1.6M
19Team Recovery Ohio, Llc

Toledo, OH · Clinic/Center, Rehabilitation, Substance Use Disorder

$1.6M
201972126837$1.6M

Showing top 20 of 313 providers billing this code