H0046
Mental health services, not otherwise specified
Mental health services, not otherwise specified is the #96 most-billed Medicaid procedure code, with $2.05B in payments across 18.7M claims from 2018–2024. The national median cost per claim is $85.02. Costs vary widely — the 90th percentile is $308.69 per claim, 3.6× the median.
Total Paid
$2.05B
0.19% of all spending
Total Claims
18.7M
Providers
2K
Avg Cost/Claim
$110
National Cost Distribution
How much do providers bill per claim for H0046? Based on 2K providers billing this code nationally.
Median
$85.02
Average
$149.18
Std Dev
$370.01
Max
$8,830.81
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.71 and $172.81 per claim for this code.
90% bill between $8.05 and $308.69.
Top 1% bill above $1,089.14.
About This Procedure
HCPCS code H0046 (Mental health services, not otherwise specified) was billed by 2K providers across 18.7M claims, totaling $2.05B in Medicaid payments from 2018–2024. This code was used for 4.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$85.02
Providers Billing
2K
National Spending
$2.05B
Avg/Median Ratio
1.75×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for H0046
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1497885107 | $28.2M |
| 2 | 1700150166 | $26.6M |
| 3 | 1417072687 | $25.6M |
| 4 | 1760734503 | $25.0M |
| 5 | 1700297447 | $23.8M |
| 6 | 1477963056 | $22.8M |
| 7 | 1770852436 | $20.2M |
| 8 | 1003939364 | $20.2M |
| 9 | 1659652295 | $19.4M |
| 10 | 1366770158 | $18.5M |
| 11 | 1821436338 | $18.1M |
| 12 | 1497279434 | $17.8M |
| 13 | 1902049042 | $17.6M |
| 14 | 1710070545 | $17.2M |
| 15 | 1275565673 | $17.0M |
| 16 | 1902949373 | $15.6M |
| 17 | 1063077451 | $15.5M |
| 18 | 1083876403 | $14.3M |
| 19 | 1194996280 | $14.2M |
| 20 | 1881987048 | $14.0M |
Showing top 20 of 2K providers billing this code