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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
#2,376Filter by stateEzra Maguen1518989938Los Angeles, CA126126$180.00O2,480
#2,377Filter by stateSidney A Schechet1659714707Baltimore, MD126126$176.29O85,605
#2,378Filter by stateMichael R George1699966218Irving, TX126126$166.95O2,643
#2,379Filter by stateDavid G Buerger1730160631Pittsburgh, PA126126$158.82O2,837
#2,380Filter by statePeter J Krall1780818005Oceanside, CA126126$175.40O1,486
#2,381Filter by stateHarold L Brooks1831157890Tallahassee, FL126126$161.53O43,679
#2,382Filter by stateAustin R Fox1851740591Irvine, CA126126$142.57F4,530
#2,383Filter by stateRichard R Burns1902856818San Diego, CA126126$171.94O1,050
#2,384Filter by stateStefanie D Sherman1912385154Clarkston, MI126126$170.12O1,098
#2,385Filter by stateJohn W Yang1942315312Chicago, IL126126$175.66O4,068
#2,386Filter by stateKristie K Shappell1013911981La Crosse, WI125125$125.88F4,613
#2,387Filter by stateMichele R Piccone1023028396Wayne, PA125125$175.30O1,669
#2,388Filter by stateSang H Kim1033119417Indianapolis, IN125125$155.11O7,591
#2,389Filter by statePatrick D Schumacher1215905849Circleville, OH125125$159.56O1,838
#2,390Filter by stateReno L Alessio1255390712Strongsville, OH125125$159.56O4,606
#2,391Filter by stateThomas D Fitzsimmons1275581365Bend, OR125125$161.09O2,278
#2,392Filter by stateWhitney Whitfield1285168773Tallahassee, FL125125$165.48O2,389
#2,393Filter by stateRobert C Sergott1285634105Philadelphia, PA125125$174.74O3,633
#2,394Filter by stateNoel M Castillo1316404999Olympia, WA125125$167.02O2,015
#2,395Filter by stateAndrew S Edwards1326261629Walla Walla, WA125125$164.60O9,496.3
#2,396Filter by stateDaniel Polla1326402561Bronx, NY125125$195.03O2,346
#2,397Filter by stateRichard W Yemm1326498593Bettendorf, IA125125$158.51O29,928
#2,398Filter by stateDarrell J Pickard1336118769Midwest City, OK125125$155.68O3,504
#2,399Filter by stateMarisa Lau1396180170Aurora, CO125125$184.72O14,972
#2,400Filter by stateTrevor J Kerr1396919361Stephenville, TX125125$162.26O2,935

Full code-specific utilization ranking

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