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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.
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|CPT/HCPCS Code||Description||# of Procedures||Avg. Charge/Procedure||Explore This Dataset|
|1.||36415||Routine venipuncture||17,696,972||$14||Explore This Profile|
|2.||20610||Drain/inj joint/bursa w/o us||2,441,477||$240||Explore This Profile|
|3.||17000||Destruct premalg lesion||1,801,010||$129||Explore This Profile|
|4.||11100||Biopsy skin lesion||1,636,620||$187||Explore This Profile|
|5.||36416||Capillary blood draw||1,478,777||$15||Explore This Profile|
|6.||17110||Destruct b9 lesion 1-14||1,437,026||$202||Explore This Profile|
|7.||17003||Destruct premalg les 2-14||1,226,040||$85||Explore This Profile|
|8.||51798||Us urine capacity measure||1,137,877||$69||Explore This Profile|
|9.||67028||Injection eye drug||1,050,105||$479||Explore This Profile|
|10.||11721||Debride nail 6 or more||979,485||$80||Explore This Profile|
|11.||43239||Egd biopsy single/multiple||937,536||$869||Explore This Profile|
|12.||45380||Colonoscopy and biopsy||741,703||$1,105||Explore This Profile|
|13.||69210||Remove impacted ear wax uni||650,046||$120||Explore This Profile|
|14.||59025||Fetal non-stress test||641,278||$131||Explore This Profile|
|15.||66984||XCAPSL CTRC RMVL W/O ECP||566,303||$1,920||Explore This Profile|
|16.||45385||Colonoscopy w/lesion removal||556,031||$1,238||Explore This Profile|
|17.||20550||Inj tendon sheath/ligament||506,748||$178||Explore This Profile|
|18.||45378||Diagnostic colonoscopy||467,421||$943||Explore This Profile|
|19.||11101||Biopsy skin add-on||448,519||$108||Explore This Profile|
|20.||52000||Cystoscopy||432,094||$546||Explore This Profile|
|21.||31231||Nasal endoscopy dx||421,549||$507||Explore This Profile|
|22.||20611||Drain/inj joint/bursa w/us||420,377||$407||Explore This Profile|
|23.||11042||Deb subq tissue 20 sq cm/<||377,712||$244||Explore This Profile|
|24.||64483||Inj foramen epidural l/s||371,624||$1,152||Explore This Profile|
|25.||31575||Diagnostic laryngoscopy||357,601||$336||Explore This Profile|
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.