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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
#5,126Filter by statePaul D Rastrelli1366492480Colorado Springs, CO6060$170.13O3,095
#5,127Filter by stateTodd R Klesert1386706174Bellevue, WA6060$172.65O18,028
#5,128Filter by stateHenry Holt1417237884Wilmington, NC6060$160.54O33,132
#5,129Filter by stateJoseph Caprioli1417979584Los Angeles, CA6060$182.81O6,194
#5,130Filter by statePamela P Cheung1427074764Silver Spring, MD6060$186.96O2,529
#5,131Filter by stateAnne S Krafsig1447690896Fort Wayne, IN6060$153.75O1,292
#5,132Filter by stateMichael H Scott1457306995La Crosse, WI6060$125.35F6,339
#5,133Filter by stateJoshua Brozek1467806513Mesa, AZ6060$156.67O687
#5,134Filter by stateCharlotte R Thompson1487691796Columbia, SC6060$156.54O1,298
#5,135Filter by stateEric P Shakin1548373855Great Neck, NY6060$198.11O25,522
#5,136Filter by stateRobert C Wang1568447175Dallas, TX6060$163.18O75,281
#5,137Filter by stateEkta Patel1568992477Vineland, NJ6060$177.19O2,035
#5,138Filter by stateEugene E Protzko1588666713Havre De Grace, MD6060$173.66O4,123
#5,139Filter by stateAsra S Firozvi1609931617Durham, NC6060$158.01O2,328
#5,140Filter by stateFrancis A Larosa1619085214Richmond, VA6060$165.63O5,288
#5,141Filter by stateCamille M Hylton1629019732Tempe, AZ6060$161.77O3,270
#5,142Filter by stateJing G Wang1629333018Bronx, NY6060$198.09O3,405
#5,143Filter by stateDouglas W Stokes1639127046Greenville, SC6060$156.90O5,119
#5,144Filter by stateJason Bacharach1639160112Petaluma, CA6060$182.33O7,038
#5,145Filter by stateDonald R Whaley1689662355Lumberton, NC6060$156.81O798
#5,146Filter by stateJohn C Choi1699765230Warrenville, IL6060$173.53O1,630.5
#5,147Filter by stateTom Obertynski1710109939Pleasant Ridge, MI6060$167.24O4,085
#5,148Filter by stateVasavi Malineni1720037229Houston, TX6060$169.86O3,459
#5,149Filter by stateDavid Litoff1720165939Denver, CO6060$167.65O631
#5,150Filter by stateJay L Schwartz1730134867Scottsdale, AZ6060$161.08O1,416

Full code-specific utilization ranking

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