Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#629 of 11K

H0048

HCPCS Procedure Code

HCPCS code H0048 is the #629 most-billed Medicaid procedure code, with $121.6M in payments across 9.0M claims from 2018–2024. The national median cost per claim is $13.25.

Total Paid

$121.6M

0.01% of all spending

Total Claims

9.0M

Providers

1K

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for H0048? Based on 1K providers billing this code nationally.

Median

$13.25

Average

$12.39

Std Dev

$14.52

Max

$384.88

Percentile Distribution (Cost per Claim)

p10
$2.50
p25
$8.33
Median
$13.25
p75
$14.26
p90
$16.08
p95
$20.29
p99
$43.10

50% of providers bill between $8.33 and $14.26 per claim for this code.

90% bill between $2.50 and $16.08.

Top 1% bill above $43.10.

About This Procedure

HCPCS code H0048 was billed by 1K providers across 9.0M claims, totaling $121.6M in Medicaid payments from 2018–2024. This code was used for 4.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.25

Providers Billing

1K

National Spending

$121.6M

Avg/Median Ratio

0.94×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for H0048

#ProviderTotal Paid
11437213865$5.1M
2Scioto County Counseling Center, Inc

Portsmouth, OH · Counselor, Addiction (Substance Use Disorder)

$4.4M
3Sunrise Treatment Center, Llc

Cincinnati, OH · Clinic/Center, Adult Mental Health

$3.6M
41558412320$3.5M
51801947668$3.4M
61629560230$3.2M
71649631086$3.1M
81558459164$2.7M
91407115298$2.4M
101346748563$2.3M
111780712851$1.6M
121427397074$1.6M
131477004810$1.6M
141588929376$1.4M
151093257859$1.4M
161376611418$1.2M
17Great Lakes Recovery Center Llc

Fremont, OH · Substance Abuse Rehabilitation Facility

$1.2M
181932250719$1.2M
191942566468$1.2M
201205188588$1.2M

Showing top 20 of 1K providers billing this code