76816
Ultrasound, pregnant uterus, follow-up
Ultrasound, pregnant uterus, follow-up is the #203 most-billed Medicaid procedure code, with $780.1M in payments across 12.1M claims from 2018–2024. The national median cost per claim is $58.55.
Total Paid
$780.1M
0.07% of all spending
Total Claims
12.1M
Providers
5K
Avg Cost/Claim
$64
National Cost Distribution
How much do providers bill per claim for 76816? Based on 5K providers billing this code nationally.
Median
$58.55
Average
$62.93
Std Dev
$39.30
Max
$706.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $36.46 and $78.93 per claim for this code.
90% bill between $26.62 and $101.95.
Top 1% bill above $193.13.
About This Procedure
HCPCS code 76816 (Ultrasound, pregnant uterus, follow-up) was billed by 5K providers across 12.1M claims, totaling $780.1M in Medicaid payments from 2018–2024. This code was used for 10.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$58.55
Providers Billing
5K
National Spending
$780.1M
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 76816
| # | Provider | Total Paid |
|---|---|---|
| 1 | North Shore-lij Medical Pc Great Neck, NY · Urology | $8.4M |
| 2 | 1568486264 | $7.6M |
| 3 | 1003811381 | $6.8M |
| 4 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $6.3M |
| 5 | 1508266347 | $5.7M |
| 6 | 1376565952 | $5.3M |
| 7 | 1821229568 | $5.0M |
| 8 | 1104973064 | $5.0M |
| 9 | 1770724676 | $4.9M |
| 10 | 1750494373 | $4.8M |
| 11 | University Hospitals Cleveland Medical Center Cleveland, OH · General Acute Care Hospital | $4.5M |
| 12 | Saint Peter's University Hospital New Brunswick, NJ · General Acute Care Hospital | $4.4M |
| 13 | Montefiore Medical Center Bronx, NY · Anesthesiology | $4.1M |
| 14 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $4.1M |
| 15 | Harbinder Brar Riverside, CA · Obstetrics & Gynecology Maternal & Fetal Medicine | $4.0M |
| 16 | 1497982268 | $3.6M |
| 17 | 1992994214 | $3.5M |
| 18 | 1003887118 | $3.5M |
| 19 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $3.4M |
| 20 | 1366496937 | $3.2M |
Showing top 20 of 5K providers billing this code