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HCPCS Code detail

99204

New patient office or other outpatient visit, 45-59 minutes

Latest data year CY2023

Methodology
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.

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National code rankState code rankProviderNPIMarketServicesBeneficiariesAverage Medicare allowedPlace of serviceProvider total services
#2,126Filter by stateNicholas F Hrisomalos1568452340Indianapolis, IN135135$154.62O5,077
#2,127Filter by stateMark A Kroll1568494136Glasgow, KY135135$156.93O3,243
#2,128Filter by stateNeal Kansara1619409380Hershey, PA135135$163.71O3,384
#2,129Filter by stateDavid J Smits1639597354Boston, MA135135$165.22O7,880
#2,130Filter by stateJohn R Hazelton1659394146Murrells Inlet, SC135135$158.19O4,425
#2,131Filter by stateMark L Nelson1689647109Tacoma, WA135135$167.27O84,905
#2,132Filter by stateJane Y Cho1710248190Tucson, AZ135135$161.40O14,225
#2,133Filter by statePedro Cervantes Fanning1760633812Charlotte, NC135135$158.96O4,152
#2,134Filter by stateBeau Froebel1780115493Warren, PA135135$162.23O4,194
#2,135Filter by stateTimothy R Harrison1811991300Lexington, VA135135$196.12O1,819
#2,136Filter by stateVinay N Desai1881668119Rockville, MD135135$185.01O19,861
#2,137Filter by stateAndrew F Perin1912266404Durham, NC135135$149.92O5,486
#2,138Filter by stateJonathan P Greenberg1992189500Wayne, NJ135135$181.07O26,206
#2,139Filter by stateMichael D Ober1003976416Southfield, MI134134$171.43O18,056
#2,140Filter by stateHugo M Linares1013143726Philadelphia, PA134134$175.49O6,979
#2,141Filter by statePaul J Lama1033130315Rochelle Park, NJ134134$185.99O5,870
#2,142Filter by stateNicholas A Ramey1104008226Roanoke, VA134134$165.64O22,282.3
#2,143Filter by stateDaniel J Hu1205916442Boston, MA134134$170.41O5,776
#2,144Filter by stateKamal Kishore1215059977Peru, IL134134$160.70O10,319
#2,145Filter by stateRonald Sachs1336254416Cedar Knolls, NJ134134$183.44O16,935
#2,146Filter by stateGregory E Cox1386607844Hamilton, NJ134134$177.26O2,507
#2,147Filter by stateJohn Mackovjak1386932945Mt Pleasant, MI134134$160.28O2,059
#2,148Filter by stateMichael K Gray1457322877Florence, AL134134$153.87O3,641
#2,149Filter by stateSivashakthi K Maeder1508175605Lebanon, NH134134$133.92F1,372
#2,150Filter by stateErol E Verter1548610454Hamden, CT134134$175.28O13,829

Full code-specific utilization ranking

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