G0439 — Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

What the market charges

Across 878 negotiated rates, the middle 80% fall between $90 and $290, with a median of $137.

What Medicare pays

Medicare allowed an average of $118 for this code, across 10,108,316 services billed by 110,119 providers. At the median, the market charges 1.2 times what Medicare pays for this code.

Where this is billed, and what it costs there

The states billing G0439 most, by Medicare service volume, each compared against the national average of $118. Each links to the providers Mishe lists there.

  • Florida — 7,493 providers billed it, Medicare allowed $121 — 3% above the national average
  • California — 8,090 providers billed it, Medicare allowed $130 — 10% above the national average
  • Texas — 7,481 providers billed it, Medicare allowed $122 — 3% above the national average
  • New York — 6,440 providers billed it, Medicare allowed $134 — 14% above the national average
  • Pennsylvania — 5,339 providers billed it, Medicare allowed $112 — 5% below the national average
  • Illinois — 4,071 providers billed it, Medicare allowed $130 — 10% above the national average
  • Ohio — 4,956 providers billed it, Medicare allowed $92 — 22% below the national average
  • Virginia — 3,086 providers billed it, Medicare allowed $123 — 4% above the national average

Deploy this for your team

Every figure on this page came from published payer and Medicare data, assembled by Mishe. The same pricing, claim-editing and care-pathway intelligence runs underneath the plans Mishe operates.

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