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 (2023 fee schedule)

105,855
100th percentile among 6,405 codes billed · 2023
$1.15B
100th percentile among 6,405 codes billed · 2023
9.7M
99th percentile among 6,405 codes billed · 2023
60
78th percentile among 6,405 codes billed · 2023
278
72nd percentile among 6,405 codes billed · 2023
+3.4%
Medicare payment on the code vs 2022; billers +4.4% · 2023

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
Florida7,207$96,319,523812,20964385
California7,798$92,762,146707,77657280
Texas7,114$75,498,969616,79956265
New York6,290$70,245,226522,18454254
Illinois4,033$54,824,875421,13871309
Pennsylvania5,246$50,094,294461,55561251
North Carolina4,156$43,588,795366,58958271
Virginia2,957$43,485,758353,46381364
Massachusetts3,345$39,854,510327,12869272
New Jersey3,374$38,731,626330,62366290
Maryland2,316$37,167,106279,53488331
Georgia2,895$35,975,793296,25865320
Ohio4,716$34,853,969367,37556209
Tennessee2,653$29,728,852264,68468276
Arizona2,360$28,961,478240,26859317

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 2023.

Top metro areas

observed calculated calculated calculated calculated
New York-Newark-Jersey City, NY-NJ6,062$76,925,600570,68662
Chicago-Naperville-Elgin, IL-IN3,481$49,512,364377,53575
Los Angeles-Long Beach-Anaheim, CA2,733$27,886,925216,74347
Washington-Arlington-Alexandria, DC-VA-MD-WV1,938$27,167,995198,48171
Boston-Cambridge-Newton, MA-NH2,295$26,380,881213,52366
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD2,529$23,632,979242,06264
Dallas-Fort Worth-Arlington, TX2,100$20,443,154166,87151
Miami-Fort Lauderdale-West Palm Beach, FL1,726$19,074,739156,63346
Baltimore-Columbia-Towson, MD1,194$18,050,770136,38483
Phoenix-Mesa-Chandler, AZ1,602$17,765,622147,35951
Atlanta-Sandy Springs-Roswell, GA1,549$17,563,536141,01660
Detroit-Warren-Dearborn, MI1,999$14,706,068139,66051
Houston-Pasadena-The Woodlands, TX1,520$14,441,019114,07650
Seattle-Tacoma-Bellevue, WA1,432$13,479,648100,30752
San Francisco-Oakland-Fremont, CA955$12,016,63788,88466

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 2023.

Specialties billing G0439 nationally

Internal Medicine accounts for 42% of payment for G0439 nationally in 2023, across 28 specialties on claims.

observed calculated calculated calculated calculated calculated
Internal Medicine31,15029%$486,041,50542%3,978,766128
Family Practice41,79439%$474,433,90541%4,010,96496
Nurse Practitioner21,41720%$110,277,4199.6%1,083,50551
Physician Assistant7,7657.3%$38,905,3363.4%382,89149
General Practice8920.84%$9,429,8410.82%74,21083
Geriatric Medicine5330.50%$6,142,0250.54%51,41996
Cardiology2140.20%$2,606,3590.23%18,41386
Pediatric Medicine2780.26%$2,515,1680.22%21,29977
Hospitalist3010.28%$2,483,6040.22%20,91269
Emergency Medicine2550.24%$2,061,8340.18%17,15667
Obstetrics & Gynecology3210.30%$1,644,5140.14%12,42039
Nephrology1330.13%$1,568,4020.14%11,60487
Pulmonary Disease1270.12%$1,300,0450.11%9,76277
Osteopathic Manipulative Medicine880.08%$803,5520.07%6,50874
Infectious Disease940.09%$747,8980.07%5,92963

Not listed: 29 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 2023.

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