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#488 of 11K

H0033

Oral medication administration, direct observation

Oral medication administration, direct observation is the #488 most-billed Medicaid procedure code, with $190.8M in payments across 5.6M claims from 2018–2024. The national median cost per claim is $31.37. Costs vary widely — the 90th percentile is $188.11 per claim, 6.0× the median.

Total Paid

$190.8M

0.02% of all spending

Total Claims

5.6M

Providers

681

Avg Cost/Claim

$34

National Cost Distribution

How much do providers bill per claim for H0033? Based on 530 providers billing this code nationally.

Median

$31.37

Average

$82.13

Std Dev

$110.39

Max

$1,273.74

Percentile Distribution (Cost per Claim)

p10
$0.97
p25
$12.77
Median
$31.37
p75
$138.72
p90
$188.11
p95
$224.69
p99
$383.93

50% of providers bill between $12.77 and $138.72 per claim for this code.

90% bill between $0.97 and $188.11.

Top 1% bill above $383.93.

About This Procedure

HCPCS code H0033 (Oral medication administration, direct observation) was billed by 681 providers across 5.6M claims, totaling $190.8M in Medicaid payments from 2018–2024. This code was used for 811K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$31.37

Providers Billing

530

National Spending

$190.8M

Avg/Median Ratio

2.62×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for H0033

#ProviderTotal Paid
11609998137$18.7M
21932244712$14.7M
31659722114$12.4M
4Alabama Department Of Mental Health And Mental Retardation

Montgomery, AL · Community/Behavioral Health

$9.3M
51437213865$8.9M
61013483486$8.1M
71538628904$5.9M
81376712786$5.3M
91891246658$5.0M
101922056415$5.0M
111720126626$4.3M
121679926745$4.1M
131144897372$4.1M
14Los Angeles County Department Of Mental Health

Los Angeles, CA · Clinic/Center, Mental Health (Including Community Mental Health Center)

$3.4M
151801345285$3.1M
161154637429$3.0M
17Alabama Department Of Youth Services

Mount Meigs, AL · Community/Behavioral Health

$2.4M
181598256117$2.4M
191881713261$2.1M
20County Of Santa Clara

San Jose, CA · Community/Behavioral Health

$1.7M

Showing top 20 of 681 providers billing this code