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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
#1,001Filter by stateRobert Lee1962401869South Bend, IN200200$154.14O8,200
#1,002Filter by stateKerry E Hunt1972598522Raleigh, NC200200$159.68O1,985
#1,003Filter by stateRohan Jalalizadeh1972957538Saint Louis, MO200200$163.52O28,375
#1,004Filter by stateRaza Shah1205098910Olney, MD199199$185.81O6,868
#1,005Filter by stateDavid Kilpatrick1225449317Denham Springs, LA199199$158.76O3,393
#1,006Filter by stateJacqueline R Carrasco1336148410Wynnewood, PA199199$175.83O9,359
#1,007Filter by stateMichael W Salter1376833905Huntsville, AL199199$155.31O6,022
#1,008Filter by stateDamien C Macaluso1396782116Asheville, NC199199$159.92O2,375
#1,009Filter by stateKlaus Freeland1407161771Fort Riley, KS199199$171.57O4,775
#1,010Filter by stateDavid Kay1487067484Mesa, AZ199199$162.05O2,516
#1,011Filter by stateLinda R Brown1629015789Anacortes, WA199199$167.37O12,760
#1,012Filter by stateRyan Drumright1689938060Murfreesboro, TN199199$153.15O2,694
#1,013Filter by stateFrank Chin1760831150Huntingdon Valley, PA199199$176.11O4,386
#1,014Filter by stateMatthew J Duggan1780063842Hendersonville, NC199199$156.65O3,904
#1,015Filter by stateDaniel B Connors1821357435Northfield, NJ199199$178.78O14,367
#1,016Filter by stateDavid J Spinak1942232913Silverdale, WA199199$166.11O49,333
#1,017Filter by stateJohn G Tew1174593354Hemet, CA198198$175.49O3,241
#1,018Filter by stateAmit Todani1295969848North Attleboro, MA198198$184.07O2,696
#1,019Filter by stateDavid Tom1437184298Hamden, CT198198$177.75O15,212
#1,020Filter by stateMatthew T Clary1538345004Columbia, SC198198$154.58O4,145
#1,021Filter by stateJason P Ludlow1588051791Charleston, WV198198$158.27O2,303
#1,022Filter by stateStephen Hinton1891922472Sunnyvale, TX198198$156.09O5,164
#1,023Filter by stateMrinali P Gupta1902037047New York, NY198198$182.82O8,840
#1,024Filter by stateAmjad Z Ahmad1952375800Lisle, IL198198$170.56O6,267
#1,025Filter by stateJames P Berg1982015921Nacogdoches, TX198198$161.69O5,511

Full code-specific utilization ranking

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