76815
Ultrasound, pregnant uterus, limited
Ultrasound, pregnant uterus, limited is the #405 most-billed Medicaid procedure code, with $260.8M in payments across 6.2M claims from 2018–2024. The national median cost per claim is $36.79. Costs vary widely — the 90th percentile is $78.21 per claim, 2.1× the median.
Total Paid
$260.8M
0.02% of all spending
Total Claims
6.2M
Providers
5K
Avg Cost/Claim
$42
National Cost Distribution
How much do providers bill per claim for 76815? Based on 5K providers billing this code nationally.
Median
$36.79
Average
$44.91
Std Dev
$31.43
Max
$407.82
Percentile Distribution (Cost per Claim)
50% of providers bill between $24.32 and $60.52 per claim for this code.
90% bill between $16.58 and $78.21.
Top 1% bill above $161.38.
About This Procedure
HCPCS code 76815 (Ultrasound, pregnant uterus, limited) was billed by 5K providers across 6.2M claims, totaling $260.8M in Medicaid payments from 2018–2024. This code was used for 4.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$36.79
Providers Billing
5K
National Spending
$260.8M
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 76815
| # | Provider | Total Paid |
|---|---|---|
| 1 | Harbinder Brar Riverside, CA · Obstetrics & Gynecology Maternal & Fetal Medicine | $7.9M |
| 2 | 1417959701 | $4.9M |
| 3 | 1487608931 | $2.9M |
| 4 | 1184780355 | $2.8M |
| 5 | Tucson Medical Center Tucson, AZ · Clinic/Center, Hearing and Speech | $2.2M |
| 6 | 1093829210 | $2.1M |
| 7 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $2.1M |
| 8 | Sharp Chula Vista Medical Center Chula Vista, CA · General Acute Care Hospital | $1.7M |
| 9 | Ut Physicians Houston, TX · Emergency Medicine | $1.7M |
| 10 | The Lowell General Hospital Lowell, MA · Pharmacy, Institutional Pharmacy | $1.5M |
| 11 | 1205859691 | $1.5M |
| 12 | 1801856786 | $1.5M |
| 13 | Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital | $1.4M |
| 14 | Sharp Memorial Hospital San Diego, CA · General Acute Care Hospital, Women | $1.3M |
| 15 | 1003811381 | $1.3M |
| 16 | County Of Ventura Ventura, CA · Clinic/Center, Emergency Care | $1.3M |
| 17 | 1154371623 | $1.2M |
| 18 | 1639523004 | $1.2M |
| 19 | Tarrant County Hospital District Fort Worth, TX · Clinic/Center, Ambulatory Family Planning Facility | $1.2M |
| 20 | 1902980865 | $1.2M |
Showing top 20 of 5K providers billing this code