76641
Ultrasound imaging of one breast, complete
Ultrasound imaging of one breast, complete is the #503 most-billed Medicaid procedure code, with $181.4M in payments across 2.5M claims from 2018–2024. The national median cost per claim is $49.03. Costs vary widely — the 90th percentile is $108.52 per claim, 2.2× the median.
Total Paid
$181.4M
0.02% of all spending
Total Claims
2.5M
Providers
2K
Avg Cost/Claim
$71
National Cost Distribution
How much do providers bill per claim for 76641? Based on 2K providers billing this code nationally.
Median
$49.03
Average
$58.69
Std Dev
$46.67
Max
$588.01
Percentile Distribution (Cost per Claim)
50% of providers bill between $27.75 and $78.90 per claim for this code.
90% bill between $18.29 and $108.52.
Top 1% bill above $215.45.
About This Procedure
HCPCS code 76641 (Ultrasound imaging of one breast, complete) was billed by 2K providers across 2.5M claims, totaling $181.4M in Medicaid payments from 2018–2024. This code was used for 2.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$49.03
Providers Billing
2K
National Spending
$181.4M
Avg/Median Ratio
1.20×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 76641
| # | Provider | Total Paid |
|---|---|---|
| 1 | Lenox Hill Radiology & Medical Imaging Associates, Pc New York, NY · Radiology, Body Imaging | $14.3M |
| 2 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $8.5M |
| 3 | United Medical Imaging Healthcare, Inc. Los Angeles, CA · Clinic/Center, Radiology | $5.1M |
| 4 | 1942397880 | $4.8M |
| 5 | 1477523413 | $3.2M |
| 6 | 1982700035 | $2.7M |
| 7 | 1033183603 | $2.6M |
| 8 | 1982643003 | $2.6M |
| 9 | 1275596280 | $2.5M |
| 10 | 1780771634 | $2.5M |
| 11 | 1790736551 | $2.4M |
| 12 | 1598852469 | $2.3M |
| 13 | 1558523316 | $1.9M |
| 14 | 1629327887 | $1.8M |
| 15 | 1972004489 | $1.7M |
| 16 | 1104859131 | $1.7M |
| 17 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $1.6M |
| 18 | 1679542393 | $1.5M |
| 19 | 1720023997 | $1.5M |
| 20 | 1366459570 | $1.4M |
Showing top 20 of 2K providers billing this code