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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
#2,251Filter by stateJohn Mauro1336315753Smithtown, NY130130$196.03O6,170
#2,252Filter by stateKashyap B Kansupada1386694586Belmont, NC130130$156.53O2,347
#2,253Filter by stateMichael C Eddins1487065868Birmingham, AL130130$153.88O995
#2,254Filter by stateChirag P Shah1487872412Boston, MA130130$180.67O40,048
#2,255Filter by stateRobert D Beitman1538229067Midland, TX130130$156.77O968
#2,256Filter by stateAllister G Gibbons Fell1548524465Naples, FL130130$173.45O2,913
#2,257Filter by stateStephen R Kaufman1568464832Canton, OH130130$156.23O17,560
#2,258Filter by stateRamin Monshizadeh1578566030Rancho Cucamonga, CA130130$173.40O5,842
#2,259Filter by statePatrick A Hageman1629059860Kernersville, NC130130$156.66O1,200
#2,260Filter by stateMajid Roubach1639550130Stockton, CA130130$171.91O842
#2,261Filter by stateKevin Bubel1649665241Arlington, TX130130$164.55O765
#2,262Filter by stateJohn B Allen1689968216Charlotte, NC130130$160.50O50,235
#2,263Filter by stateMathew R Sapp1720023153Birmingham, AL130130$155.17O11,116
#2,264Filter by stateSara Prasertsit1730321423Fremont, CA130130$197.51O2,386
#2,265Filter by stateBryant P Carruth1760645790North Syracuse, NY130130$157.59O7,135
#2,266Filter by stateMarc F Jones1790785772Kent, OH130130$159.53O1,337
#2,267Filter by stateCharles J Kaiser1801859962Miami, FL130130$180.51O1,718
#2,268Filter by stateNorman Saffra1811979735Brooklyn, NY130130$196.89O15,673
#2,269Filter by stateAustin R Fox1851740591Irvine, CA130130$142.57O4,530
#2,270Filter by stateNicholas Engelbrecht1891791844Brentwood, MO130130$163.10O44,803
#2,271Filter by stateChirag R Patel1922269760San Leandro, CA130130$195.94O1,409
#2,272Filter by stateMichael A Hater1982643904Cincinnati, OH130130$161.90O3,968
#2,273Filter by stateThalmon Ruela Campagnoli1073908893Lake Mary, FL129129$126.58O2,188
#2,274Filter by stateRahul Mandiga1083800502Auburn, WA129129$179.55O25,148
#2,275Filter by stateMatthew L Hecht1184783508Lawndale, CA129129$179.79O7,016

Full code-specific utilization ranking

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