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HCPCS Code detail

99204

New patient office or other outpatient visit, 45-59 minutes

Latest data year CY2023

Methodology
Ranking basis

Providers are ordered to identify the highest Medicare FFS volume for this code. Higher volume is a utilization signal only and is not presented as a quality, outcomes, or appropriateness measure.

Providers billing code9,852Distinct nationwide ophthalmology providers in Medicare FFS
Services for code907,582Total selected-code Medicare FFS services
Beneficiaries907,532Beneficiaries tied to selected-code rows
Average allowedBy providerDisplayed per row from Medicare allowed amount

Code-specific provider rankings

Filter by state or city, then sort providers by selected-code utilization, beneficiaries, average allowed amount, or overall Medicare FFS footprint.

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National code rankState code rankProviderNPIMarketServicesBeneficiariesAverage Medicare allowedPlace of serviceProvider total services
#2,651Filter by stateDerek Y Kunimoto1558329847Mesa, AZ116116$162.03O19,869
#2,652Filter by stateAnuja Bhandari1609987163Everett, WA116116$166.97O3,512
#2,653Filter by stateKevin Lowder1619330586Forest, VA116116$164.62O3,257
#2,654Filter by stateHeather M Tamez1639597347Baltimore, MD116116$165.55O6,829
#2,655Filter by stateRobert A Tester1689783268Federal Way, WA116116$182.46O8,643
#2,656Filter by stateJohn P Brach1699907469Durango, CO116116$166.84O3,208
#2,657Filter by stateAshton J Kalhorn1740784081Wenatchee, WA116116$131.13F3,244
#2,658Filter by stateMohit Nanda1750363396Charlottesville, VA116116$161.98O46,141
#2,659Filter by stateJohn D Phillips1770559403Jacksonville, AR116116$150.91O5,218
#2,660Filter by stateNikolas Raufi1851755995Providence, RI116116$169.60O2,556
#2,661Filter by stateJames C Lai1871606186Aiea, HI116116$175.48O21,649
#2,662Filter by stateSara Bozorg1891959037Manchester, NH116116$161.82O5,845
#2,663Filter by stateDavid C Metrikin1902809262El Paso, TX116116$160.32O10,929
#2,664Filter by stateRobert T King1952340408Savannah, GA116116$154.71O22,152
#2,665Filter by stateIsa S Mohammed1952833246Baltimore, MD116116$169.62O580
#2,666Filter by stateMarlene R Moster1962475806Sunrise, FL116116$175.82O3,106
#2,667Filter by stateElizabeth D Mabry1992702021Chattanooga, TN116116$154.50O2,366
#2,668Filter by stateJessica E Van Looveren1033433925Springfield, VA115115$179.49O2,905
#2,669Filter by stateTiffany C Ho1053856963Saint Louis, MO115115$164.71O894
#2,670Filter by stateVincent A Deramo1073626388Great Neck, NY115115$195.42O32,822
#2,671Filter by stateLisa D Garbutt1083755060Newport Beach, CA115115$179.98O2,180
#2,672Filter by stateAnita Campbell1104141159Wichita, KS115115$156.17O2,485
#2,673Filter by stateGregory P Vanstavern1134166051Saint Louis, MO115115$162.65O1,579
#2,674Filter by stateTerrence J Doherty1144255324Goodlettsville, TN115115$156.36O2,728
#2,675Filter by stateMatthew Trese1174973416Royal Oak, MI115115$166.57O9,811

Full code-specific utilization ranking

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