H0023
Behavioral health outreach service, per 15 minutes
Behavioral health outreach service, per 15 minutes is the #152 most-billed Medicaid procedure code, with $1.23B in payments across 9.5M claims from 2018–2024. The national median cost per claim is $53.97. Costs vary widely — the 90th percentile is $316.98 per claim, 5.9× the median.
Total Paid
$1.23B
0.11% of all spending
Total Claims
9.5M
Providers
616
Avg Cost/Claim
$130
National Cost Distribution
How much do providers bill per claim for H0023? Based on 534 providers billing this code nationally.
Median
$53.97
Average
$125.41
Std Dev
$335.36
Max
$5,450.95
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.45 and $112.69 per claim for this code.
90% bill between $8.74 and $316.98.
Top 1% bill above $958.48.
About This Procedure
HCPCS code H0023 (Behavioral health outreach service, per 15 minutes) was billed by 616 providers across 9.5M claims, totaling $1.23B in Medicaid payments from 2018–2024. This code was used for 3.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$53.97
Providers Billing
534
National Spending
$1.23B
Avg/Median Ratio
2.32×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for H0023
| # | Provider | Total Paid |
|---|---|---|
| 1 | New River Valley Community Services Blacksburg, VA · Clinic/Center Mental Health (Including Community Mental Health Center) | $67.7M |
| 2 | Horizon Behavioral Health Lynchburg, VA · Community/Behavioral Health | $63.7M |
| 3 | Mount Rogers Community Services Wytheville, VA · Clinic/Center Mental Health (Including Community Mental Health Center) | $55.6M |
| 4 | Justice Resource Institute Inc Acton, MA · Clinic/Center Mental Health (Including Community Mental Health Center) | $40.9M |
| 5 | 1396774147 | $39.7M |
| 6 | Howard Center Inc Burlington, VT · Clinic/Center, Adolescent and Children Mental Health | $39.4M |
| 7 | Richmond Behavioral Health Authority Richmond, VA · Counselor | $39.0M |
| 8 | Hampton Newport News Community Services Board Hampton, VA · Community/Behavioral Health | $34.8M |
| 9 | 1699754010 | $32.7M |
| 10 | Children's Services Of Roxbury Inc. Roxbury, MA · Community/Behavioral Health | $31.1M |
| 11 | 1689615296 | $29.4M |
| 12 | 1235125055 | $28.7M |
| 13 | Fairfax County Virginia Fairfax, VA · Clinic/Center Mental Health (Including Community Mental Health Center) | $28.1M |
| 14 | 1942270699 | $26.2M |
| 15 | Community Healthlink Inc Worcester, MA · Clinic/Center Mental Health (Including Community Mental Health Center) | $24.9M |
| 16 | 1215930573 | $23.7M |
| 17 | 1528091063 | $22.7M |
| 18 | 1164588570 | $21.5M |
| 19 | 1437137734 | $19.6M |
| 20 | 1497717615 | $19.3M |
Showing top 20 of 616 providers billing this code