HCPCS G0439

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (CMS descriptor)

Other services Work RVU per service 1.92 (2024 fee schedule)

110,126
100th percentile among 6,471 codes billed · 2024
$1.19B
100th percentile among 6,471 codes billed · 2024
10.1M
99th percentile among 6,471 codes billed · 2024
59
76th percentile among 6,471 codes billed · 2024
277
72nd percentile among 6,471 codes billed · 2024
+4.1%
Medicare payment on the code vs 2023; billers +4.0% · 2024

Trend

Medicare payment on the code

$0$500M$1.00B2020: $918M paid20202021: $1.14B paid20212022: $1.11B paid20222023: $1.15B paid20232024: $1.19B paid2024$1.19B$0$500M$1.00B2020: $918M paid20202021: $1.14B paid20212022: $1.11B paid20222023: $1.15B paid20232024: $1.19B paid2024$1.19B$0$500M$1.00B2020: $918M paid20202021: $1.14B paid20212022: $1.11B paid20222023: $1.15B paid20232024: $1.19B paid2024$1.19B$0$500M$1.00B2020: $918M paid20202021: $1.14B paid20212022: $1.11B paid20222023: $1.15B paid20232024: $1.19B paid2024$1.19B

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

050K100K2020: 92K providers20202021: 97K providers20212022: 101K providers20222023: 106K providers20232024: 110K providers2024110K050K100K2020: 92K providers20202021: 97K providers20212022: 101K providers20222023: 106K providers20232024: 110K providers2024110K050K100K2020: 92K providers20202021: 97K providers20212022: 101K providers20222023: 106K providers20232024: 110K providers2024110K050K100K2020: 92K providers20202021: 97K providers20212022: 101K providers20222023: 106K providers20232024: 110K providers2024110K

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
2024110,126$1,192,324,330+4%10,108,463592771.92
2023105,855$1,145,168,374+3%9,739,340602781.92
2022101,394$1,107,411,151-3%9,213,052592751.92
202197,284$1,137,586,032+24%8,795,150582731.92
202091,502$917,643,170first year in data7,968,825552661.50

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
Florida7,514$101,761,447840,25164371
California8,098$97,049,891745,52657286
Texas7,486$77,928,535637,23154263
New York6,483$72,958,835546,33654263
Illinois4,091$55,808,828429,24870305
Pennsylvania5,364$53,054,889474,49160254
Virginia3,090$45,401,591368,72381357
North Carolina4,326$42,831,376362,59555261
New Jersey3,471$41,552,690350,99868305
Massachusetts3,401$40,849,052338,33972276
Maryland2,441$38,564,929294,14586352
Georgia3,030$37,546,285309,85666322
Ohio4,968$36,846,294399,84660214
Tennessee2,791$30,563,486271,28767274
Arizona2,437$30,090,011249,41662316

Not listed: 12 billers with an armed-forces or unknown state code (AE, AP, XX, ZZ); they are in the national totals.

Not listed: 1 state with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2024.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ6,267$80,926,775605,00461
Chicago-Naperville-Elgin, IL-IN3,504$50,453,513384,92375
Los Angeles-Long Beach-Anaheim, CA2,866$29,273,105230,55946
Washington-Arlington-Alexandria, DC-VA-MD-WV2,032$28,319,559209,61271
Boston-Cambridge-Newton, MA-NH2,383$27,333,023223,05668
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD2,622$27,161,185257,32666
Dallas-Fort Worth-Arlington, TX2,218$21,152,815173,26349
Miami-Fort Lauderdale-West Palm Beach, FL1,749$19,545,454156,49444
Baltimore-Columbia-Towson, MD1,255$18,703,946142,86180
Phoenix-Mesa-Chandler, AZ1,681$18,622,448154,62954
Atlanta-Sandy Springs-Roswell, GA1,621$18,610,426148,86961
Houston-Pasadena-The Woodlands, TX1,599$15,197,966120,40349
Detroit-Warren-Dearborn, MI2,049$14,715,386139,53649
Seattle-Tacoma-Bellevue, WA1,487$13,024,82896,88948
San Francisco-Oakland-Fremont, CA977$12,602,20093,01566

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 100 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2024.

Specialties billing G0439 nationally

Family Practice accounts for 42% of payment for G0439 nationally in 2024, across 30 specialties on claims.

observed calculated calculated calculated calculated calculated
Family Practice42,75439%$496,327,40042%4,168,51197
Internal Medicine31,38729%$491,268,16741%4,005,229128
Nurse Practitioner23,75922%$125,427,04211%1,224,57952
Physician Assistant8,4587.7%$42,956,0263.6%420,79750
General Practice9130.83%$9,551,3200.80%75,26282
Geriatric Medicine5570.51%$6,595,6790.55%54,53198
Hospitalist3260.30%$2,908,5960.24%24,29675
Cardiology2180.20%$2,702,9050.23%19,20888
Pediatric Medicine2740.25%$2,479,6480.21%20,83276
Emergency Medicine2550.23%$2,206,6410.19%17,84170
Nephrology1330.12%$1,550,7360.13%11,51087
Obstetrics & Gynecology2920.27%$1,431,9980.12%10,80437
Pulmonary Disease1320.12%$1,317,7670.11%9,91375
Osteopathic Manipulative Medicine890.08%$778,7880.07%6,37972
Infectious Disease900.08%$688,5260.06%5,50261

Not listed: 24 specialties with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2024.

Top billers of G0439 nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations