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#174 of 11K

H0034

Medication training and management, per 15 min

Medication training and management, per 15 min is the #174 most-billed Medicaid procedure code, with $972.1M in payments across 8.1M claims from 2018–2024. The national median cost per claim is $56.90. Costs vary widely — the 90th percentile is $258.11 per claim, 4.5× the median.

Total Paid

$972.1M

0.09% of all spending

Total Claims

8.1M

Providers

1K

Avg Cost/Claim

$120

National Cost Distribution

How much do providers bill per claim for H0034? Based on 1K providers billing this code nationally.

Median

$56.90

Average

$107.37

Std Dev

$147.39

Max

$1,475.92

Percentile Distribution (Cost per Claim)

p10
$9.01
p25
$23.10
Median
$56.90
p75
$136.35
p90
$258.11
p95
$361.19
p99
$672.62

50% of providers bill between $23.10 and $136.35 per claim for this code.

90% bill between $9.01 and $258.11.

Top 1% bill above $672.62.

About This Procedure

HCPCS code H0034 (Medication training and management, per 15 min) was billed by 1K providers across 8.1M claims, totaling $972.1M in Medicaid payments from 2018–2024. This code was used for 4.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$56.90

Providers Billing

1K

National Spending

$972.1M

Avg/Median Ratio

1.89×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for H0034

#ProviderTotal Paid
1County Of Riverside

Riverside, CA · Community/Behavioral Health

$225.5M
2City & County Of San Francisco

San Francisco, CA · Community/Behavioral Health

$141.7M
3County Of Ventura

Oxnard, CA · Community/Behavioral Health

$44.8M
4Los Angeles County Department Of Mental Health

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

$33.1M
5County Of Fresno

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

$27.6M
61710908272$14.5M
71497978860$12.0M
8San Mateo County

Redwood City, CA · Community/Behavioral Health

$11.9M
9County Of Santa Clara

San Jose, CA · Community/Behavioral Health

$11.9M
10Santa Barbara County Department Of Behavioral Wellness

Santa Maria, CA · Clinic/Center Adult Mental Health

$11.1M
11Alabama Department Of Mental Health And Mental Retardation

Montgomery, AL · Community/Behavioral Health

$10.6M
121053367854$9.2M
13Alameda County Behavioral Health Care

Oakland, CA · Community/Behavioral Health

$9.2M
14County Of San Bernardino

San Bernardino, CA · Clinic/Center Rehabilitation Substance Use Disorder

$9.0M
151366939225$8.8M
161598882136$8.5M
171053514133$7.4M
18Health Solutions

Pueblo, CO · Clinic/Center Mental Health (Including Community Mental Health Center)

$6.5M
19County Of Kern

Bakersfield, CA · Clinic/Center, Adult Mental Health

$6.4M
201164576922$6.3M

Showing top 20 of 1K providers billing this code