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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.