Top billers · Codes · G0439

Who bills G0439?

G0439 is the HCPCS code for: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. In 2024, 110,126 providers billed G0439 10,108,463 times, with an estimated $1.2B paid by Medicare.

$137.61
2026 PFS national rate (office)
110,126
Providers billing it (2024)
10,108,463
Services billed
$1.2B
Est. Medicare paid
The fee

What does Medicare pay for G0439?

Medicare's 2026 Physician Fee Schedule national rate for G0439 is $137.61 in the office setting. National amounts before geographic adjustment — your locality's rate differs slightly.

Office (non-facility) rate$137.61
Facility rateNo separate facility rate
Fee schedule2026 Medicare Physician Fee Schedule

What Medicare actually paid per service in 2024, on average: $117.95 (observed payment across all settings and modifiers — not a fee-schedule rate).

The list

Who bills G0439 the most.

The top 5 billers nationally, ranked by 2024 Medicare service volume.

#ProviderSpecialtyLocationServicesEst. Medicare paid
1Rashid Awan, MDGeneral PracticeRiverside, CA1,708$233K
2Pete Coury, MDFamily PracticeMesa, AZ1,534$192K
3Stephen Luther, M.D.Internal MedicineHilton Head Island, SC1,527$191K
4Alex Dickert, M.D.Family PracticeCrystal River, FL1,434$180K
5Gautham Reddy, M.D.Family PracticeHenderson, NV1,394$178K

110,121 more providers billed G0439 in 2024. The full ranked list — filtered to your exact territory, with phone numbers and year-over-year history — is one search in Prospect 811.

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The breakdown

Where G0439 gets billed.

Top states by volume

Florida840,251 services
California745,526 services
Texas637,231 services
New York546,336 services
Pennsylvania474,491 services
Illinois429,248 services
Ohio399,846 services
Virginia368,723 services

About this code

CMS descriptionAnnual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Code typeHCPCS Level II
Providers billing it (2024)110,126
Services billed (2024)10,108,463
Avg. Medicare payment per service (2024)$117.95
Where these numbers come from. Rates are CMS's own public fee-schedule files — the Physician Fee Schedule, Clinical Laboratory Fee Schedule, ASP drug pricing, DMEPOS, and the OPPS/ASC addenda — each labeled with its file year on this page; national amounts are shown before geographic adjustment. Codes with no separate rate render the fee schedule's own status in words, never a fake $0. Utilization comes from CMS's public Medicare Provider Utilization & Payment data for 2024, the most recent year released. It covers traditional Medicare fee-for-service only (no commercial insurance, no Medicare Advantage), and CMS suppresses any provider-and-code line with fewer than 11 beneficiaries before publishing, so low-volume billers don't appear at all. "Est. Medicare paid" is each billing line's average Medicare payment times its service count, summed — actual per-claim payment varies by setting and modifiers. For drug and supply codes, a "service" is a billed unit (a milligram, a milliliter, a square centimeter), not a patient visit. Code descriptions are CMS's own, from the utilization files. Prospect 811 organizes public data; it doesn't add to or alter it. Not affiliated with or endorsed by CMS. Full detail on the data page.

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