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
#5,801	Filter by state	Julia T Elpers	1528419306	Louisville, KY	50	50	$158.35	O	1,002
#5,802	Filter by state	Wesley Pace	1548795636	Covington, GA	50	50	$163.81	O	963
#5,803	Filter by state	Jayson D Edwards	1568697464	Saint George, UT	50	50	$159.53	O	2,550
#5,804	Filter by state	Melanie L Mccarty	1578649935	Tucson, AZ	50	50	$163.89	O	3,606
#5,805	Filter by state	Roger A Anderson	1598797979	Tacoma, WA	50	50	$163.77	O	1,846
#5,806	Filter by state	Matthew J Dykhuizen	1609004308	Crestview Hills, KY	50	50	$158.66	O	7,072
#5,807	Filter by state	Magdalena G Krzystolik	1629074752	Providence, RI	50	50	$143.92	O	5,143
#5,808	Filter by state	Dawn Marie K De Castro-Marceau	1629275912	Santee, CA	50	50	$172.11	O	2,930
#5,809	Filter by state	Angela H Kovacik	1649407883	Phoenix, AZ	50	50	$161.13	O	3,641
#5,810	Filter by state	Caesar K Luo	1669684072	Walnut Creek, CA	50	50	$191.74	O	21,987
#5,811	Filter by state	Jason M Young	1679004121	North Canton, OH	50	50	$158.87	O	417
#5,812	Filter by state	Jerry G Ford	1679578363	Tallahassee, FL	50	50	$161.71	O	1,996
#5,813	Filter by state	Giovanni H Greaves	1700206844	Los Angeles, CA	50	50	$179.50	O	638
#5,814	Filter by state	Anthony K Agadzi	1740323559	Vallejo, CA	50	50	$184.27	O	2,755
#5,815	Filter by state	George B Hubbard	1740397520	Atlanta, GA	50	50	$159.07	O	5,070
#5,816	Filter by state	Constance H Smith	1760462584	Blytheville, AR	50	50	$150.13	O	4,215
#5,817	Filter by state	Joseph K Hsu	1760584270	Downey, CA	50	50	$179.58	O	2,377
#5,818	Filter by state	Diana C Salazar Vega	1790307551	Falls Church, VA	50	50	$187.32	O	658
#5,819	Filter by state	Loran T Cook	1801893375	Provo, UT	50	50	$159.54	O	4,829
#5,820	Filter by state	Peter T Filipov	1811990039	Salisbury, MD	50	50	$167.40	O	3,531
#5,821	Filter by state	Peter D Fedor	1821087560	Traverse City, MI	50	50	$159.50	O	1,473
#5,822	Filter by state	Anna H Bordelon	1831356716	Durham, NC	50	50	$158.18	O	2,351
#5,823	Filter by state	Thomas A Bowen	1841268273	Redding, CA	50	50	$169.46	O	2,033
#5,824	Filter by state	Bishoy O Said	1861649238	San Diego, CA	50	50	$177.57	O	604
#5,825	Filter by state	Allen S Greenbaum	1891739728	White Plains, NY	50	50	$198.07	O	4,433

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