H0025
Behavioral health prevention education, per session
Behavioral health prevention education, per session is the #422 most-billed Medicaid procedure code, with $245.8M in payments across 4.1M claims from 2018–2024. The national median cost per claim is $36.25. Costs vary widely — the 90th percentile is $162.49 per claim, 4.5× the median.
Total Paid
$245.8M
0.02% of all spending
Total Claims
4.1M
Providers
601
Avg Cost/Claim
$60
National Cost Distribution
How much do providers bill per claim for H0025? Based on 520 providers billing this code nationally.
Median
$36.25
Average
$82.62
Std Dev
$217.60
Max
$4,394.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.22 and $94.35 per claim for this code.
90% bill between $5.71 and $162.49.
Top 1% bill above $479.22.
About This Procedure
HCPCS code H0025 (Behavioral health prevention education, per session) was billed by 601 providers across 4.1M claims, totaling $245.8M in Medicaid payments from 2018–2024. This code was used for 1.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$36.25
Providers Billing
520
National Spending
$245.8M
Avg/Median Ratio
2.28×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for H0025
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1700012101 | $24.1M |
| 2 | New Freedom Ops Llc Phoenix, AZ · Community/Behavioral Health | $12.9M |
| 3 | 1396778361 | $12.5M |
| 4 | Psi Services Iii Inc Washington, DC · Clinic/Center Mental Health (Including Community Mental Health Center) | $10.5M |
| 5 | 1366527111 | $10.4M |
| 6 | Mbi Health Services Llc Washington, DC · Case Management | $10.1M |
| 7 | 1235787599 | $7.8M |
| 8 | State Of Missouri Jefferson City, MO · Counselor, Addiction (Substance Use Disorder) | $7.7M |
| 9 | Southwest Behavioral Health Services Inc Phoenix, AZ · Community/Behavioral Health | $7.7M |
| 10 | 1386839009 | $7.5M |
| 11 | County Of Riverside Riverside, CA · Community/Behavioral Health | $7.3M |
| 12 | 1316092125 | $6.2M |
| 13 | 1275914095 | $6.1M |
| 14 | Preventive Measure Of Washington Dc, Llc Washington, DC · Community/Behavioral Health | $5.3M |
| 15 | 1831265131 | $5.1M |
| 16 | 1851441588 | $5.1M |
| 17 | 1063581205 | $5.0M |
| 18 | A Path Of Resilience - Aprbhs - Rose House - Llc Phoenix, AZ · Clinic/Center, Adult Mental Health | $4.1M |
| 19 | 1700099959 | $3.7M |
| 20 | 1932385242 | $3.3M |
Showing top 20 of 601 providers billing this code