How the 20 most common ASC services changed from 2011 to 2016

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 top 20 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

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