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Among the five costliest health conditions in both 2002 and 2012 – heart conditions, cancer, trauma-related disorders, mental disorders, and chronic obstructive pulmonary disease and asthma – mental health conditions showed the biggest increase in the number of patients treated. About 45 million Americans received mental health care services totaling $84 billion in 2012, an increase from 2002, when 31 million Americans received services for mental health care totaling $59 billion. Those receiving mental health care paid the highest out-of-pocket share of expenses (roughly 20 percent) while those treated for cancer paid the lowest out-of-pocket share (about 6 percent) in 2002 and 2012.