HCPCS Code detail

99204

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

Latest data year CY2023

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.

Clear filters

National code rank	State code rank	Provider	NPI	Market	Services	Beneficiaries	Average Medicare allowed	Place of service	Provider total services
#3,576	Filter by state	Bethany C Bray	1831222181	West Columbia, SC	91	91	$154.86	O	1,348
#3,577	Filter by state	William A Pearce	1831457555	Beaumont, TX	91	91	$157.62	O	6,985
#3,578	Filter by state	Peter J Sneed	1902890247	Traverse City, MI	91	91	$159.65	O	2,976
#3,579	Filter by state	Rahul Khurana	1912002106	Mountain View, CA	91	91	$197.74	O	13,555
#3,580	Filter by state	Sunil M Shivaram	1942393566	Claremont, CA	91	91	$180.00	O	6,497
#3,581	Filter by state	Ethnie S Jones	1972611697	Richmond, VA	91	91	$165.63	O	4,279
#3,582	Filter by state	Divya Srikumaran	1992841399	Baltimore, MD	91	91	$174.77	O	1,849
#3,583	Filter by state	Kristin E Nesburn	1003827056	Los Angeles, CA	90	90	$180.13	O	1,795
#3,584	Filter by state	Matthew P Ohr	1023199841	Columbus, OH	90	90	$130.98	O	5,462
#3,585	Filter by state	David Y Badawi	1033133996	Arlington Heights, IL	90	90	$175.57	O	4,582
#3,586	Filter by state	Scott Cherne	1033139688	Eugene, OR	90	90	$164.60	O	1,653
#3,587	Filter by state	Gabriela R De Boer	1033471768	Hickory, NC	90	90	$160.48	O	1,997
#3,588	Filter by state	David Sierpina	1043502347	Loma Linda, CA	90	90	$168.91	O	6,483
#3,589	Filter by state	Alice M Fecko	1053525634	Royal Oak, MI	90	90	$161.31	O	8,397
#3,590	Filter by state	Marc F Comaratta	1053679886	Bozeman, MT	90	90	$167.56	O	15,718
#3,591	Filter by state	Angela F Perry	1063411858	Pasadena, CA	90	90	$160.49	O	889
#3,592	Filter by state	Matthew H Oltmanns	1063603322	Birmingham, AL	90	90	$153.13	O	16,544
#3,593	Filter by state	Thomas J Dingle	1073694915	Columbus, OH	90	90	$159.42	O	2,714
#3,594	Filter by state	Joshua N Carlson	1093943086	St George, UT	90	90	$159.00	O	44,223
#3,595	Filter by state	Stewart A Daniels	1124052428	Walnut Creek, CA	90	90	$194.41	O	13,602
#3,596	Filter by state	Avraham N Cohen	1144269283	Hatboro, PA	90	90	$168.66	O	4,145
#3,597	Filter by state	John W Butler	1174521264	Salisbury, MD	90	90	$169.90	O	39,766
#3,598	Filter by state	Thomas D Bailey	1205815115	Fort Walton Beach, FL	90	90	$163.53	O	1,259
#3,599	Filter by state	Domenic C Izzo	1225028624	Wyomissing, PA	90	90	$162.17	O	4,495
#3,600	Filter by state	John P Rhode	1235126897	Peoria, IL	90	90	$161.85	O	3,050

Full code-specific utilization ranking

Request the full provider utilization export, named peer comparison, and code-specific market scan for this CPT/HCPCS code.

Request full code benchmark