#1961 of 11K

H0030

HCPCS Procedure Code

HCPCS code H0030 is the #1,961 most-billed Medicaid procedure code, with $10.9M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $20.62. Costs vary widely — the 90th percentile is $81.44 per claim, 3.9× the median.

Total Paid

$10.9M

0.00% of all spending

Total Claims

1.2M

Providers

105

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for H0030? Based on 79 providers billing this code nationally.

Median

$20.62

Average

$82.46

Std Dev

$243.74

Max

$1,509.58

Percentile Distribution (Cost per Claim)

p10

$0.57

p25

$5.55

Median

$20.62

p75

$26.77

p90

$81.44

p95

$442.14

p99

$1,269.00

50% of providers bill between $5.55 and $26.77 per claim for this code.

90% bill between $0.57 and $81.44.

Top 1% bill above $1,269.00.

About This Procedure

HCPCS code H0030 was billed by 105 providers across 1.2M claims, totaling $10.9M in Medicaid payments from 2018–2024. This code was used for 656K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$20.62

Providers Billing

National Spending

$10.9M

Avg/Median Ratio

4.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for H0030

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1699299404	$2.8M	$202.69	9.8× median	Top 10%
2	Going The Extra Mile Llc Phoenix, AZ · Clinic/Center Mental Health (Including Community Mental Health Center)	$2.1M	$732.27	35.5× median	Top 10%
3	New Life Wellness Center Llc Phoenix, AZ · Public Health or Welfare	$1.9M	$410.29	19.9× median	Top 10%
4	1770794208	$647K	$24.17	1.2× median	Above Median
5	1437883857	$445K	$728.75	35.3× median	Top 10%
6	Artemis Of Arizona Llc Phoenix, AZ · Clinic/Center Mental Health (Including Community Mental Health Center)	$429K	$1,509.58	73.2× median	Top 1%
7	Putting U First Llc Phoenix, AZ · Clinic/Center Mental Health (Including Community Mental Health Center)	$364K	$339.76	16.5× median	Top 10%
8	1578277133	$291K	$1,201.14	58.3× median	Top 10%
9	1417095472	$286K	$7.87	0.4× median	Below Median
10	1831299296	$139K	$26.52	1.3× median	Above Median
11	1194917468	$91K	$23.78	1.2× median	Above Median
12	1902026271	$85K	$31.12	1.5× median	Above 75th
13	1164601852	$85K	$28.85	1.4× median	Above 75th
14	Dane County Human Services Madison, WI · Community/Behavioral Health	$72K	$21.94	1.1× median	Above Median
15	1215077896	$70K	$35.45	1.7× median	Above 75th
16	Upmc Presbyterian Shadyside Pittsburgh, PA · Clinic/Center	$70K	$2.95	0.1× median	Below Median
17	1962550590	$67K	$19.93	1.0× median	Below Median
18	1689715997	$64K	$14.43	0.7× median	Below Median
19	1487614848	$63K	$4.69	0.2× median	Below Median
20	1184781650	$53K	$16.63	0.8× median	Below Median

Showing top 20 of 105 providers billing this code

Related Procedures

H0020Alcohol/drug services; methadone administration$6.25B H0036Community psychiatric supportive treatment, per 15 min$4.54B H0038Self-help/peer services, per 15 minutes$3.12B H0040Assertive community treatment, face-to-face, per 15 minutes$2.57B H0032Mental health service plan development$2.44B

← All procedures Top providers →