108 statistics to know on common ASC, outpatient services

Here are 108 statistics to know on common services performed in ASCs and outpatient settings from a variety of sources in the industry.

The 20 most frequently provided ASC services in 2016 were similar to those provided in 2011, according to a Medicare Payment Advisory Commission analysis of Medicare claims. The ranking changed the most for lesion removal colonoscopy with hot biopsy forceps, which dropped seven spots from 2011 to 2016. The service decreased to .7 percent of volume in 2016 from 1.2 percent of volume in 2011. Here are surgical services ranked by percent of volume in 2011, and how often they were provided in 2016.

Cataract surgery with intraocular lens insert, 1 stage
1. Percent of volume (2011): 18.7
2. Rank (2011): 1
3. Percent of volume (2016): 18.7
4. Rank (2016): 1

Upper GI endoscopy, biopsy
5. Percent of volume (2011): 8.8
6. Rank (2011): 2
7. Percent of volume (2016): 8.2
8. Rank (2016): 2

Colonoscopy and biopsy
9. Percent of volume (2011): 6.3
10. Rank (2011): 3
11. Percent of volume (2016): 6.8
12. Rank (2016): 3

Lesion removal colonoscopy (snare technique)
13. Percent of volume (2011): 4.9
14. Rank (2011): 4
15. Percent of volume (2016): 5.8
16. Rank (2016): 4

Injection foramen epidural: lumbar, sacral
17. Percent of volume (2011): 4.5
18. Rank (2011): 5
19. Percent of volume (2016): 4.7
20. Rank (2016): 5

Diagnostic colonoscopy
21. Percent of volume (2011): 4.3
22. Rank (2011): 6
23. Percent of volume (2016): 4.4
24. Rank (2016): 6

After cataract laser surgery
25. Percent of volume (2011): 3.9
26. Rank (2011): 7
27. Percent of volume (2016): 3.2
28. Rank (2016): 7

Injection spine: lumbar, sacral (caudal)
29. Percent of volume (2011): 3.9
30. Rank (2011): 8
31. Percent of volume (2016): 2.1
32. Rank (2016): 9

Injection paravertebral: lumbar, sacral
33. Percent of volume (2011): 2.5
34. Rank (2011): 9
35. Percent of volume (2016): 3.2
36. Rank (2016): 8

Colorectal screen, high-risk individual
37. Percent of volume (2011): 2
38. Rank (2011): 10
39. Percent of volume (2016): 2
40. Rank (2016): 10

Colorectal screen, not high-risk individual
41. Percent of volume (2011): 1.6
42. Rank (2011): 11
43. Percent of volume (2016): 1.9
44. Rank (2016): 11

Cataract surgery, complex
45. Percent of volume (2011): 1.5
46. Rank (2011): 12
47. Percent of volume (2016): 1.5
48. Rank (2016): 12

Upper GI endoscopy, diagnosis
49. Percent of volume (2011): 1.3
50. Rank (2011): 13
51. Percent of volume (2016): 1
52. Rank (2016): 15

Cystoscopy
53. Percent of volume (2011): 1.2
54. Rank (2011): 14
55. Percent of volume (2016): 1
56. Rank (2016): 17

Lesion removal colonoscopy (hot biopsy forceps)
57. Percent of volume (2011): 1.2
58. Rank (2011): 15
59. Percent of volume (2016): 0.7
60. Rank (2016): 22

Revision of upper eyelid
61. Percent of volume (2011): 1
62. Rank (2011): 16
63. Percent of volume (2016): 0.9
64. Rank (2016): 18

Injection spine, cervical or thoracic
65. Percent of volume (2011): 1
66. Rank (2011): 17
67. Percent of volume (2016): 1
68. Rank (2016): 14

Injection procedure for sacroiliac joint, anesthetic
69. Percent of volume (2011): 1
70. Rank (2011): 18
71. Percent of volume (2016): 1.3
72. Rank (2016): 13

Upper GI endoscopy, insertion of guide wire
73. Percent of volume (2011): 0.8
74. Rank (2011): 19
75. Percent of volume (2016): 0.8
76. Rank (2016): 19

Injection procedure for paravertebral joint, cervical or thoracic
77. Percent of volume (2011): 0.8
78. Rank (2011): 20
79. Percent of volume (2016): 1
80. Rank (2016): 16

Total
81. Percent of volume (2011): 71.2
82. Percent of volume (2016): 70.2

Physicians performed nearly 113 million routine venipunctures in 2016, making that the most popular outpatient procedure that year, according to Definitive Healthcare data from Medicare claims. Routine venipunctures were performed over 47 times more frequently than the next most common outpatient procedure, esophageal biopsy. Physicians provided about three times more outpatient procedures than inpatient procedures in 2016. Here are the top 26 outpatient procedures by volume.

83. Routine venipunctures: More than 113,000,000
84. Esophagogastroduodenoscopy biopsy: 2,442,826
85. Capillary blood draw: 2,338,560
86. Colonoscopy and biopsy: 2,210,609
87. Debridement of subcutaneous tissue 20 sq. cm. or less: 1,924,540
88. Draw blood off venous device: 1,591,989
89. Repair superficial wounds: skin, neck, genitals, trunk (2.5 sq. cm. or less): 1,471,470
90. Colonoscopy with lesion removal: 1,393,577
91. Drain or inject fluid, major joint: 1,263,331
92. Diagnostic colonoscopy: 1,234,234
93. Blood transfusion service: 1,213,099
94. Apply forearm splint: 955,845
95. Cataract surgery with intraocular implant 1 stage: 955,403
96. Repair superficial wounds — face, ears, eyelids, nose, lips, mucus membrane (2.5 sq. cm. or less): 890,188
97. Repair superficial wounds — skin, neck, genitals, trunk (2.6 to 7.5 sq. cm.): 881,517
98. Drainage of skin abscess: 827,510
99. Collect blood from picc: 793,509
100. Injection into lumbar/sacral spine: 765,314
101. Place needle in vein: 718,901
102. Withdrawal of arterial blood: 671,543
103. Application lower leg splint: 592,942
104. Apply multilayer compression system to lower leg: 582,867
105. Insert temporary bladder catheter: 562,176
106. Injection of anesthetic and/or steroid into lumbar/sacral spine: 549,535
107. Diagnostic esophagogastroduodenoscopy via brushing or washing: 469,601
108. Laparoscopic cholecystectomy: 460,025

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