#1817 of 11K

H0050

HCPCS Procedure Code

HCPCS code H0050 is the #1,817 most-billed Medicaid procedure code, with $13.4M in payments across 341K claims from 2018–2024. The national median cost per claim is $46.71. Costs vary widely — the 90th percentile is $105.43 per claim, 2.3× the median.

Total Paid

$13.4M

0.00% of all spending

Total Claims

341K

Providers

335

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for H0050? Based on 214 providers billing this code nationally.

Median

$46.71

Average

$55.78

Std Dev

$82.53

Max

$957.14

Percentile Distribution (Cost per Claim)

p10

$4.01

p25

$19.17

Median

$46.71

p75

$60.11

p90

$105.43

p95

$134.41

p99

$275.12

50% of providers bill between $19.17 and $60.11 per claim for this code.

90% bill between $4.01 and $105.43.

Top 1% bill above $275.12.

About This Procedure

HCPCS code H0050 was billed by 335 providers across 341K claims, totaling $13.4M in Medicaid payments from 2018–2024. This code was used for 234K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$46.71

Providers Billing

214

National Spending

$13.4M

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for H0050

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1275646309	$1.2M	$170.92	3.7× median	Top 10%
2	1174601512	$986K	$181.74	3.9× median	Top 10%
3	Los Angeles County Department Of Public Health Alhambra, CA · Public Health or Welfare	$901K	$84.96	1.8× median	Above 75th
4	1679883037	$829K	$53.56	1.1× median	Above Median
5	1407877137	$743K	$52.01	1.1× median	Above Median
6	County Of Riverside Riverside, CA · Community/Behavioral Health	$638K	$99.23	2.1× median	Above 75th
7	1699898635	$545K	$42.56	0.9× median	Below Median
8	1700922069	$466K	$68.75	1.5× median	Above 75th
9	1790727543	$361K	$46.92	1.0× median	Above Median
10	1366438483	$355K	$160.87	3.4× median	Top 10%
11	New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine	$326K	$50.49	1.1× median	Above Median
12	1194035709	$299K	$54.26	1.2× median	Above Median
13	City & County Of San Francisco San Francisco, CA · Community/Behavioral Health	$274K	$61.21	1.3× median	Above 75th
14	1760419691	$233K	$105.62	2.3× median	Top 10%
15	New York City Health And Hospitals Corporation New York, NY · Internal Medicine	$222K	$57.81	1.2× median	Above Median
16	1447796503	$215K	$95.12	2.0× median	Above 75th
17	1619980927	$207K	$105.23	2.3× median	Above 75th
18	1124648316	$190K	$47.18	1.0× median	Above Median
19	1033280763	$163K	$69.72	1.5× median	Above 75th
20	County Of Muskegon Muskegon, MI · Clinic/Center, Mental Health (Including Community Mental Health Center)	$157K	$102.32	2.2× median	Above 75th

Showing top 20 of 335 providers billing this code

Related Procedures

H0044Supported housing, per diem$2.98B H0040Assertive community treatment, face-to-face, per 15 minutes$2.57B H0046Mental health services, not otherwise specified$2.05B H0043Supported housing, per diem$1.89B H0047Alcohol and/or drug abuse, not otherwise specified$494.1M

← All procedures Top providers →