The 20 surgical services performed the most in ambulatory surgery centers for Medicare patients based on data from the MedPAC analysis of claims filed in 2011.

1. Cataract surgery with IOL insert, 1 stage: 17 percent
2. Upper GI endoscopy, biopsy: 8 percent
3. Colonoscopy and biopsy: 5.7 percent
4. Lesion removal colonoscopy, snare technique: 4.4 percent
5. Injection foramen epidural: lumbar, sacra: 4.1 percent
6. After cataract laser surgery: 3.9 percent
7. Injection spine: lumbar, sacral (caudal): 3.6 percent
8. Diagnostic colonoscopy: 3.6 percent
9. Injection paravertebral: lumbar, sacral: 2.2 percent
10. Injection foramen epidural add on: 2.1 percent
11. Injection paravertebral: lumbar, sacral add on: 1.9 percent
12. Colorectal screen, high risk individual: 1.8 percent
13. Destruction paravertebral nerve, add on: 1.6 percent
14. Colon cancer screen, not high-risk individual: 1.4 percent
15. Cataract surgery, complex: 1.3 percent
16. Upper GI endoscopy, diagnosis: 1.2 percent
17. Cystoscopy: 1.1 percent
18. Lesion removal colonoscopy, biopsy forceps or biopolar cautery: 1 percent
19. Revision of upper eyelid: 0.9 percent
20. Injection spine: cervical or thoracic: 0.9 percent

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