G0439
Annual wellness visit, subsequent visit
Annual wellness visit, subsequent visit is the #1,246 most-billed Medicaid procedure code, with $31.5M in payments across 1.6M claims from 2018–2024. The national median cost per claim is $5.42. Costs vary widely — the 90th percentile is $60.55 per claim, 11.2× the median.
Total Paid
$31.5M
0.00% of all spending
Total Claims
1.6M
Providers
4K
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for G0439? Based on 2K providers billing this code nationally.
Median
$5.42
Average
$18.94
Std Dev
$31.68
Max
$302.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.33 and $19.97 per claim for this code.
90% bill between $0.27 and $60.55.
Top 1% bill above $141.62.
About This Procedure
HCPCS code G0439 (Annual wellness visit, subsequent visit) was billed by 4K providers across 1.6M claims, totaling $31.5M in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.42
Providers Billing
2K
National Spending
$31.5M
Avg/Median Ratio
3.49×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for G0439
| # | Provider | Total Paid |
|---|---|---|
| 1 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $10.5M |
| 2 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $2.8M |
| 3 | 1003849621 | $744K |
| 4 | 1700886322 | $628K |
| 5 | Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty | $623K |
| 6 | 1972523348 | $507K |
| 7 | Park Nicollet Clinic St Louis Park, MN · Obstetrics & Gynecology | $465K |
| 8 | 1578595971 | $433K |
| 9 | 1356839872 | $429K |
| 10 | 1437398138 | $404K |
| 11 | 1396749941 | $403K |
| 12 | 1457671414 | $379K |
| 13 | 1750766762 | $369K |
| 14 | 1205265279 | $352K |
| 15 | 1366739088 | $316K |
| 16 | 1598802092 | $308K |
| 17 | 1366495517 | $302K |
| 18 | 1558394312 | $293K |
| 19 | 1750606703 | $291K |
| 20 | 1760434013 | $284K |
Showing top 20 of 4K providers billing this code