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.

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National code rank	State code rank	Provider	NPI	Market	Services	Beneficiaries	Average Medicare allowed	Place of service	Provider total services
#2,226	Filter by state	James W Blackstone	1477523090	Sylacauga, AL	131	131	$153.57	O	2,577
#2,227	Filter by state	Renzo A Zaldivar	1548234313	Cary, NC	131	131	$157.61	O	4,093
#2,228	Filter by state	Phelan G Piehota	1548534381	Ladson, SC	131	131	$158.38	O	1,935
#2,229	Filter by state	Shannon L Smith	1598876237	Nacogdoches, TX	131	131	$161.33	O	8,063
#2,230	Filter by state	Srinivas Dutt	1720040454	Brooksville, FL	131	131	$164.63	O	2,380
#2,231	Filter by state	Jason R Mayer	1720374994	Fort Collins, CO	131	131	$168.34	O	2,034
#2,232	Filter by state	Christine V Nguyen	1780017897	Fountain Valley, CA	131	131	$180.31	O	2,755
#2,233	Filter by state	John J Huang	1801822754	Hartford, CT	131	131	$177.75	O	16,061
#2,234	Filter by state	Daryl D Kaswinkel	1831159110	Columbus, OH	131	131	$161.09	O	3,838
#2,235	Filter by state	Anthony J Locastro	1871567552	Cuyahoga Falls, OH	131	131	$157.72	O	3,435
#2,236	Filter by state	Charles P Richards	1952315962	Winston Salem, NC	131	131	$157.13	O	19,909
#2,237	Filter by state	Mhd Abdallah Mahrous	1003298365	New York, NY	130	130	$191.64	O	4,316
#2,238	Filter by state	Timothy D Root	1033322078	Ormond Beach, FL	130	130	$164.45	O	6,675
#2,239	Filter by state	Ann K Williams Md	1043216732	Hammond, IN	130	130	$153.31	O	3,478
#2,240	Filter by state	Stanley J Berke	1053315416	Westbury, NY	130	130	$195.01	O	5,022
#2,241	Filter by state	Tanvi M Shah	1093999328	Baltimore, MD	130	130	$175.68	O	1,584
#2,242	Filter by state	Robin D Ross	1114951506	Scottsdale, AZ	130	130	$163.01	O	13,914
#2,243	Filter by state	Michael Tseng	1124550793	Chicago, IL	130	130	$168.25	O	2,468
#2,244	Filter by state	Matthew S Klocek	1134462161	Sinajana, GU	130	130	$170.51	O	2,918
#2,245	Filter by state	Eric Williams	1205367182	Blue Ash, OH	130	130	$156.66	O	1,250
#2,246	Filter by state	William J Dunn	1225038441	Daytona Beach, FL	130	130	$167.00	O	17,218
#2,247	Filter by state	Lawrence F Brack	1265441315	Lithonia, GA	130	130	$156.34	O	1,355
#2,248	Filter by state	Alexander A Izad	1265591630	Terre Haute, IN	130	130	$157.01	O	73,442
#2,249	Filter by state	Dinesh Bahl	1295837466	El Paso, TX	130	130	$162.22	O	16,165
#2,250	Filter by state	Rory T Allar	1326272691	Spokane, WA	130	130	$166.05	O	3,686

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