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 (2022 fee schedule)

101,394
100th percentile among 6,326 codes billed · 2022
$1.11B
100th percentile among 6,326 codes billed · 2022
9.2M
99th percentile among 6,326 codes billed · 2022
59
78th percentile among 6,326 codes billed · 2022
275
73rd percentile among 6,326 codes billed · 2022
-2.7%
Medicare payment on the code vs 2021; billers +4.2% · 2022

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
Florida6,850$92,558,899767,65864384
California7,352$84,351,159629,31153269
Texas6,797$75,446,454601,15657272
New York6,078$67,953,244495,90653246
Illinois3,974$53,225,296399,41767292
Pennsylvania5,180$49,743,679441,96058246
North Carolina3,994$44,424,038361,90660275
Virginia2,809$42,301,588335,34582362
Massachusetts3,185$39,985,185316,23373274
New Jersey3,242$36,396,016304,85363281
Maryland2,236$35,591,044259,86885318
Georgia2,804$35,055,455283,01063311
Ohio4,425$32,864,355342,86156210
Tennessee2,548$29,187,238256,03169284
Arizona2,199$27,338,780221,53857318

Not listed: 8 billers with an armed-forces or unknown state code (AA, AE, AP, XX, ZZ); they are in the national totals.

Not listed: 2 states 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 2022.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ5,894$74,340,453536,18460
Chicago-Naperville-Elgin, IL-IN3,385$47,136,627350,80571
Boston-Cambridge-Newton, MA-NH2,202$26,826,842209,09969
Washington-Arlington-Alexandria, DC-VA-MD-WV1,833$26,513,102187,82572
Los Angeles-Long Beach-Anaheim, CA2,580$26,382,244198,69346
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD2,375$21,960,549218,52961
Dallas-Fort Worth-Arlington, TX1,981$20,457,858162,21655
Miami-Fort Lauderdale-West Palm Beach, FL1,696$19,316,227153,72647
Baltimore-Columbia-Towson, MD1,139$16,793,959123,46579
Atlanta-Sandy Springs-Roswell, GA1,480$16,790,159131,52158
Phoenix-Mesa-Chandler, AZ1,451$16,657,574134,59151
Detroit-Warren-Dearborn, MI1,944$14,548,910133,75051
Houston-Pasadena-The Woodlands, TX1,451$13,988,630107,29649
Seattle-Tacoma-Bellevue, WA1,426$13,365,65797,17949
St. Louis, MO-IL925$11,347,64390,00466

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 2022.

Specialties billing G0439 nationally

Internal Medicine accounts for 44% of payment for G0439 nationally in 2022, across 28 specialties on claims.

observed calculated calculated calculated calculated calculated
Internal Medicine30,96531%$483,259,51544%3,875,115125
Family Practice40,80140%$456,016,69741%3,783,01593
Nurse Practitioner18,88919%$97,814,7988.8%943,53550
Physician Assistant6,9996.9%$34,898,0283.2%336,01248
General Practice9100.90%$9,213,4630.83%71,27578
Geriatric Medicine5150.51%$5,894,3240.53%47,79793
Cardiology2250.22%$2,847,7940.26%19,69988
Pediatric Medicine2670.26%$2,418,4560.22%20,09175
Emergency Medicine2310.23%$2,195,6320.20%17,78977
Hospitalist2400.24%$2,132,3270.19%17,28072
Obstetrics & Gynecology3860.38%$2,028,0500.18%15,14039
Nephrology1390.14%$1,493,1880.13%10,93679
Pulmonary Disease1320.13%$1,301,2010.12%9,73874
Gastroenterology860.08%$806,2440.07%5,49064
Infectious Disease850.08%$750,7920.07%5,86169

Not listed: 31 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 2022.

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