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#293 of 11K

H0006

Alcohol and/or drug services, case management

Alcohol and/or drug services, case management is the #293 most-billed Medicaid procedure code, with $484.5M in payments across 8.3M claims from 2018–2024. The national median cost per claim is $43.10. Costs vary widely — the 90th percentile is $115.99 per claim, 2.7× the median.

Total Paid

$484.5M

0.04% of all spending

Total Claims

8.3M

Providers

1K

Avg Cost/Claim

$58

National Cost Distribution

How much do providers bill per claim for H0006? Based on 1K providers billing this code nationally.

Median

$43.10

Average

$59.86

Std Dev

$59.97

Max

$971.28

Percentile Distribution (Cost per Claim)

p10
$18.11
p25
$26.68
Median
$43.10
p75
$70.44
p90
$115.99
p95
$191.21
p99
$243.00

50% of providers bill between $26.68 and $70.44 per claim for this code.

90% bill between $18.11 and $115.99.

Top 1% bill above $243.00.

About This Procedure

HCPCS code H0006 (Alcohol and/or drug services, case management) was billed by 1K providers across 8.3M claims, totaling $484.5M in Medicaid payments from 2018–2024. This code was used for 3.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$43.10

Providers Billing

1K

National Spending

$484.5M

Avg/Median Ratio

1.39×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for H0006

#ProviderTotal Paid
1Los Angeles County Department Of Public Health

Alhambra, CA · Public Health or Welfare

$88.0M
2County Of San Diego

San Diego, CA · Public Health or Welfare

$24.3M
31952734469$15.7M
41629560230$14.3M
5Scioto County Counseling Center, Inc

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

$12.3M
61518356708$10.7M
71225260888$9.5M
81467652412$9.1M
91215428016$8.6M
10Brightview Llc

Cincinnati, OH · Internal Medicine Addiction Medicine

$6.2M
111548414923$5.0M
121275589178$4.7M
131982266656$4.3M
14Monterey County Behavioral Health Division

Salinas, CA · Community/Behavioral Health

$4.3M
15County Of Orange

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

$4.3M
16Department Of Behavioral Health

Fresno, CA · Social Worker, Clinical

$4.2M
171578937116$4.1M
181871150961$3.9M
19Richmond Behavioral Health Authority

Richmond, VA · Counselor

$3.7M
20San Mateo County

San Mateo, CA · Community/Behavioral Health

$3.2M

Showing top 20 of 1K providers billing this code