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The following table lists the top 25 surgical procedures performed at physician groups. Of all the surgical procedures performed at physician groups in 2018, the top 25 made up more than 60 percent. The most common procedure by far is “routine venipuncture” (CPT code 36415), which accounted for just over 26 percent of all physician group procedures. The second most common procedure by volume is “draining or injection of a major joint” (CPT code 20610), which comprised only 3 percent of all surgical procedures by volume.

Combined charges for the top 25 procedures by volume total more than $7 billion, with an overall average cost of $452 per procedure. 

Top 25 Surgical Procedures at Physician Groups

 

CPT/HCPCS Code

Description

# of Procedures

Avg. Charge/Procedure

1.

36415

Routine venipuncture

17,696,972

$14

2.

20610

Drain/inj joint/bursa w/o us

2,441,477

$240

3.

17000

Destruct premalg lesion

1,801,010

$129

4.

11100

Biopsy skin lesion

1,636,620

$187

5.

36416

Capillary blood draw

1,478,777

$15

6.

17110

Destruct b9 lesion 1-14

1,437,026

$202

7.

17003

Destruct premalg les 2-14

1,226,040

$85

8.

51798

Us urine capacity measure

1,137,877

$69

9.

67028

Injection eye drug

1,050,105

$479

10.

11721

Debride nail 6 or more

979,485

$80

11.

43239

Egd biopsy single/multiple

937,536

$869

12.

45380

Colonoscopy and biopsy

741,703

$1,105

13.

69210

Remove impacted ear wax uni

650,046

$120

14.

59025

Fetal non-stress test

641,278

$131

15.

66984

XCAPSL CTRC RMVL W/O ECP

566,303

$1,920

16.

45385

Colonoscopy w/lesion removal

556,031

$1,238

17.

20550

Inj tendon sheath/ligament

506,748

$178

18.

45378

Diagnostic colonoscopy

467,421

$943

19.

11101

Biopsy skin add-on

448,519

$108

20.

52000

Cystoscopy

432,094

$546

21.

31231

Nasal endoscopy dx

421,549

$507

22.

20611

Drain/inj joint/bursa w/us

420,377

$407

23.

11042

Deb subq tissue 20 sq cm/<

377,712

$244

24.

64483

Inj foramen epidural l/s

371,624

$1,152

25.

31575

Diagnostic laryngoscopy

357,601

$336

Fig 1. Data from Definitive Healthcare based on 2018 commercial claims data. Commercial claims data is sourced from multiple medical claims clearinghouses in the United States. Data is updated monthly.