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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
#101Filter by statePaul F Cacchillo1902848765Indianapolis, IN418418$156.96O4,362
#102Filter by stateZane P Lazer1740258904Parkersburg, WV417417$158.78O4,489
#103Filter by stateJames A Fox1295997351Grand Junction, CO416416$167.26O3,755
#104Filter by stateMaria Kirzhner1871702340Charlottesville, VA416416$165.69O4,196
#105Filter by stateElia C Mavrofrides1396745105Orlando, FL413413$166.08O66,858
#106Filter by stateThomas Falkenberg1275537649Fredericksburg, VA412412$162.10O5,338
#107Filter by stateAli Torab Parhiz1295050110Boise, ID412412$152.83O86,578
#108Filter by stateNathaniel J Ruttig1295710127Niceville, FL411411$165.66O9,325
#109Filter by stateAlan W Brown1649278433Wilmington, NC410410$157.45O3,072
#110Filter by stateAustin R Henkel1184966699Destin, FL409409$164.16O5,397
#111Filter by stateChristopher M Debacker1316905839San Antonio, TX409409$161.05O10,489
#112Filter by stateDaryl R Pfister1801868088Tempe, AZ409409$163.60O2,411
#113Filter by stateDarwin B Wooten1275557613Corinth, MS406406$152.54O7,590
#114Filter by stateEric L Fry1538373485Garden City, KS403403$153.52O10,586
#115Filter by stateSteven F Lee1134118482Saint Louis, MO402402$161.03O2,163
#116Filter by stateKenneth R Grossman1184684672Merced, CA401401$169.84O16,826
#117Filter by stateMichael A Sumsion1699725507Redding, CA401401$171.52O22,646
#118Filter by stateWright B Lauten1174781231Hattiesburg, MS400400$151.12O88,012
#119Filter by stateNeda Shamie1396837282Los Angeles, CA400400$177.02O1,978
#120Filter by stateMatthew W Margolis1972569036Jonesboro, AR400400$152.47O4,740
#121Filter by stateThomas G Ward1609892595Brooksville, FL399399$166.98O21,904
#122Filter by stateMichael B Mizoguchi1861418808Eureka, CA398398$169.24O12,691
#123Filter by stateHaresh Ailani1992964837Springfield, VA398398$172.91O6,335
#124Filter by stateThomas M Brosnan1083670269Asheville, NC397397$160.09O3,154
#125Filter by stateJohn C Hummel1609860873Oklahoma City, OK395395$153.65O2,690

Full code-specific utilization ranking

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