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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.

National code rankState code rankProviderNPIMarketServicesBeneficiariesAverage Medicare allowedPlace of serviceProvider total services
#4,526Filter by stateShahzad I Mian1285643239Ann Arbor, MI7171$136.66O1,232
#4,527Filter by stateAlan V Spigelman1366433229Bloomfield Hills, MI7171$169.53O3,438
#4,528Filter by stateArchana T Seethala1376772665Taunton, MA7171$175.64O3,784
#4,529Filter by stateJohn M Gooch1417935511The Villages, FL7171$162.49O9,648
#4,530Filter by stateHerbert J Ingraham1427017128Danville, PA7171$128.35O816
#4,531Filter by stateMei L Mellott1427095470Braintree, MA7171$181.94O1,118
#4,532Filter by stateWilliam S Goldstein1437159738Shelby Township, MI7171$169.56O3,914
#4,533Filter by stateAndrew S Barloon1457350670Bellevue, WA7171$174.17O19,378
#4,534Filter by stateKenton S Sorensen1467531459Bremerton, WA7171$165.56O4,207
#4,535Filter by stateEric J Weinlander1487017836Madison, WI7171$150.42O971
#4,536Filter by stateClyde K Price1518903608Warner Robins, GA7171$159.31O1,185
#4,537Filter by stateKeith A Walter1518940220Winston Salem, NC7171$125.83F563
#4,538Filter by stateByron L Lam1518982727Miami, FL7171$146.43F1,229
#4,539Filter by stateDerek W Delmonte1528225471Greensboro, NC7171$160.51O474
#4,540Filter by stateJustin M Shaw1528387438Lancaster, PA7171$159.65O2,086
#4,541Filter by stateMark W Scroggs1538112875Chapel Hill, NC7171$159.96O1,471
#4,542Filter by stateKaren S Morgan1598795056Los Angeles, CA7171$141.54O1,669
#4,543Filter by stateJames Chong1619225976Houston, TX7171$169.60O505
#4,544Filter by stateAndrew J Ollerton1619233806Sioux Falls, SD7171$125.91O980
#4,545Filter by stateMichael S Bloom1639128689Dayton, OH7171$159.50O603
#4,546Filter by stateBarry D Milder1659453637Saint Louis, MO7171$158.95O1,713
#4,547Filter by stateDwayne B Baharozian1669477477Westford, MA7171$181.78O5,205
#4,548Filter by stateStephen R Franklin1669556262Powell, TN7171$153.06O2,080
#4,549Filter by stateMichael J Flohr1669564720Hastings, MI7171$159.36O1,423
#4,550Filter by stateKarim J Samara1700844420Jacksonville, FL7171$166.94O5,239

Full code-specific utilization ranking

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