G0402
Initial preventive physical exam (Welcome to Medicare)
Initial preventive physical exam (Welcome to Medicare) is the #5,104 most-billed Medicaid procedure code, with $289K in payments across 17K claims from 2018–2024. The national median cost per claim is $22.62. Costs vary widely — the 90th percentile is $50.52 per claim, 2.2× the median.
Total Paid
$289K
0.00% of all spending
Total Claims
17K
Providers
96
Avg Cost/Claim
$17
National Cost Distribution
How much do providers bill per claim for G0402? Based on 55 providers billing this code nationally.
Median
$22.62
Average
$30.32
Std Dev
$32.67
Max
$163.93
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.94 and $23.99 per claim for this code.
90% bill between $6.50 and $50.52.
Top 1% bill above $141.31.
About This Procedure
HCPCS code G0402 (Initial preventive physical exam (Welcome to Medicare)) was billed by 96 providers across 17K claims, totaling $289K in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$22.62
Providers Billing
55
National Spending
$289K
Avg/Median Ratio
1.34×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for G0402
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1841579851 | $75K |
| 2 | Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty | $36K |
| 3 | Topcare Medical Group Inc Dallas, TX · Pediatrics | $26K |
| 4 | 1700991247 | $15K |
| 5 | 1053645747 | $13K |
| 6 | 1023237518 | $11K |
| 7 | 1295127520 | $11K |
| 8 | 1114998051 | $8K |
| 9 | 1790083012 | $7K |
| 10 | 1447789250 | $7K |
| 11 | 1356358121 | $6K |
| 12 | 1144630682 | $6K |
| 13 | 1366752354 | $6K |
| 14 | 1265708580 | $5K |
| 15 | 1730596057 | $5K |
| 16 | 1578615704 | $5K |
| 17 | 1629040621 | $4K |
| 18 | 1295163244 | $3K |
| 19 | 1386642528 | $3K |
| 20 | 1396080867 | $3K |
Showing top 20 of 96 providers billing this code