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
#5,101	Filter by state	Federico G Velez	1831128362	Los Angeles, CA	61	61	$176.27	O	877
#5,102	Filter by state	Claire B Price	1841262730	Fort Smith, AR	61	61	$153.26	O	6,411
#5,103	Filter by state	Gary Belen	1841274933	Denver, CO	61	61	$168.07	O	1,563
#5,104	Filter by state	Keith A Skolnick	1851393581	Plantation, FL	61	61	$172.54	O	3,099
#5,105	Filter by state	Eduardo P Macias	1871539130	Fontana, CA	61	61	$163.78	O	961
#5,106	Filter by state	Dan Siapco	1881631273	Sedro Woolley, WA	61	61	$168.13	O	3,053
#5,107	Filter by state	Willard L Mccloud	1891831905	Roanoke Rapids, NC	61	61	$161.02	O	1,736
#5,108	Filter by state	Alfred A White	1952627796	Wesley Chapel, FL	61	61	$166.94	O	22,539
#5,109	Filter by state	David I Malitz	1982671194	Evansville, IN	61	61	$158.94	O	2,325
#5,110	Filter by state	Anna L Di Lorenzo	1982689170	Troy, MI	61	61	$167.72	O	3,822
#5,111	Filter by state	Grace Sun	1134387756	New York, NY	60	60	$192.88	O	1,397
#5,112	Filter by state	Michael S Wehmann	1154632875	Newport, KY	60	60	$157.56	O	2,094
#5,113	Filter by state	Sarah J Michelson	1154784817	Philadelphia, PA	60	60	$173.32	O	1,820
#5,114	Filter by state	Michael D Eichler	1164462081	Wyoming, MN	60	60	$161.42	O	819
#5,115	Filter by state	Ling Bei	1164740460	Pasadena, CA	60	60	$180.17	O	1,823
#5,116	Filter by state	Vivek R Patel	1174604292	Irvine, CA	60	60	$142.58	O	1,958
#5,117	Filter by state	Michael J Scanameo	1205819331	Muncie, IN	60	60	$159.62	O	1,135
#5,118	Filter by state	Chirag V Patel	1205940392	Princeton, NJ	60	60	$179.98	O	10,456
#5,119	Filter by state	Pradeep Mettu	1215236419	Raleigh, NC	60	60	$157.73	O	696
#5,120	Filter by state	Ali Mokhtarzadeh	1225299647	Minneapolis, MN	60	60	$160.83	O	1,726
#5,121	Filter by state	Alan E Solinsky	1235103904	West Hartford, CT	60	60	$177.55	O	2,462
#5,122	Filter by state	Jesse S Swift	1235491994	Ogden, UT	60	60	$159.35	O	6,694
#5,123	Filter by state	Benjamin Nicholas	1336631381	West Reading, PA	60	60	$159.72	O	1,105
#5,124	Filter by state	Agnieszka G Cantre	1356463897	Oak Lawn, IL	60	60	$173.50	O	968
#5,125	Filter by state	Jasmina Bajric	1356638027	Grand Rapids, MI	60	60	$157.06	O	825

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