H2026
HCPCS Procedure Code
HCPCS code H2026 is the #920 most-billed Medicaid procedure code, with $58.5M in payments across 771K claims from 2018–2024. The national median cost per claim is $76.18. Costs vary widely — the 90th percentile is $259.75 per claim, 3.4× the median.
Total Paid
$58.5M
0.01% of all spending
Total Claims
771K
Providers
116
Avg Cost/Claim
$76
National Cost Distribution
How much do providers bill per claim for H2026? Based on 108 providers billing this code nationally.
Median
$76.18
Average
$235.46
Std Dev
$768.57
Max
$5,888.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $56.05 and $122.94 per claim for this code.
90% bill between $41.07 and $259.75.
Top 1% bill above $4,974.70.
About This Procedure
HCPCS code H2026 was billed by 116 providers across 771K claims, totaling $58.5M in Medicaid payments from 2018–2024. This code was used for 80K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$76.18
Providers Billing
108
National Spending
$58.5M
Avg/Median Ratio
3.09×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for H2026
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1487778858 | $3.2M |
| 2 | 1063845881 | $2.6M |
| 3 | Babcock Center, Inc. West Columbia, SC · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $2.5M |
| 4 | 1588695191 | $2.4M |
| 5 | Tri-development Center Of Aiken County, Inc. Aiken, SC · Psychologist, Adult Development & Aging | $2.3M |
| 6 | Clarendon County Dsn Board Manning, SC · Early Intervention Provider Agency | $2.2M |
| 7 | The Charles Lea Center Inc. Spartanburg, SC · In Home Supportive Care | $2.1M |
| 8 | Fard Health Services Llc Phoenix, AZ · Clinic/Center, Mental Health (Including Community Mental Health Center) | $1.9M |
| 9 | 1881718500 | $1.7M |
| 10 | 1629408455 | $1.5M |
| 11 | 1144366790 | $1.5M |
| 12 | Chesco Services Chesterfield, SC · Early Intervention Provider Agency | $1.5M |
| 13 | Orangeburg Co. Dsn Board Orangeburg, SC · Public Health or Welfare | $1.5M |
| 14 | 1710188396 | $1.4M |
| 15 | Greenville County Disabilities And Special Needs Board Greenville, SC · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $1.3M |
| 16 | 1902434236 | $1.2M |
| 17 | Fairfield County Disabilities And Special Needs Board Winnsboro, SC · Day Training, Developmentally Disabled Services | $1.1M |
| 18 | 1063750941 | $1.0M |
| 19 | 1992267066 | $986K |
| 20 | 1235353210 | $978K |
Showing top 20 of 116 providers billing this code