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
#3,901	Filter by state	Roger A Goldberg	1184866584	Walnut Creek, CA	83	83	$194.17	O	45,240
#3,902	Filter by state	Nathaniel A Cleaveland	1205122173	Danville, VA	83	83	$156.70	O	1,991
#3,903	Filter by state	Ajit K Tiwari	1205929510	Muncie, IN	83	83	$150.59	O	1,345
#3,904	Filter by state	Marc Dinkin	1215953740	New York, NY	83	83	$192.93	O	2,158
#3,905	Filter by state	Kenneth R Smith	1225152192	Birmingham, AL	83	83	$157.02	O	1,388
#3,906	Filter by state	Marc D Shields	1265435226	Staunton, VA	83	83	$165.64	O	5,357
#3,907	Filter by state	H. M Morris	1275525057	Ocala, FL	83	83	$165.43	O	4,887
#3,908	Filter by state	Donald J Keller	1275570038	Boulder, CO	83	83	$167.55	O	2,765
#3,909	Filter by state	Kenneth Lipstock	1275716847	Richmond, VA	83	83	$155.29	O	2,096
#3,910	Filter by state	Jeremy R Cefalu	1306289186	Tyler, TX	83	83	$162.30	O	3,166
#3,911	Filter by state	Tyler A Hall	1336357284	Birmingham, AL	83	83	$155.80	O	1,280
#3,912	Filter by state	Tory Prestera	1346224557	San Marcos, CA	83	83	$175.93	O	9,017
#3,913	Filter by state	Ervin P Wong	1386674471	San Francisco, CA	83	83	$197.52	O	1,142
#3,914	Filter by state	Meagan O Celmer	1417103862	Canton, OH	83	83	$160.13	O	836
#3,915	Filter by state	Audrey R Talley Rostov	1427057512	Bellevue, WA	83	83	$181.04	O	686
#3,916	Filter by state	Joseph K Davidson	1467487926	Pasadena, CA	83	83	$189.87	O	874
#3,917	Filter by state	Jason P Ruggiero	1467635862	Winchester, VA	83	83	$162.58	O	33,128
#3,918	Filter by state	Abraham K Sleem	1508021494	Brooklyn, NY	83	83	$198.12	O	3,626
#3,919	Filter by state	Raymond Iezzi	1528006699	Rochester, MN	83	83	$163.85	O	1,921
#3,920	Filter by state	John D Pitcher	1538312582	Albuquerque, NM	83	83	$159.33	O	71,431
#3,921	Filter by state	Allison Drummond	1548721277	Stillwater, OK	83	83	$153.53	O	365
#3,922	Filter by state	Daniel A Ewen	1558428359	Winchester, KY	83	83	$155.90	O	1,901
#3,923	Filter by state	Gene Lee	1568646974	Chattanooga, TN	83	83	$156.13	O	1,683
#3,924	Filter by state	Aric M Clegg	1588125694	Florence, SC	83	83	$154.05	O	989
#3,925	Filter by state	Kevin Myers	1588627749	Brooklyn, NY	83	83	$179.17	O	2,282

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