HCPCS G0439 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Procedures / Professional Services • Counseling, Screening, and Prevention Services |
| Complexity Level | Low |
National average reimbursement for HCPCS G0439 by major payers:

$157.71

$143.53

$138.69

$139.82
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS G0439 | ||||||
United | G0439 | $448.69 | 1568742054 - AMIRA ZAID | 341996544 | CA | Obstetrics & Gynecology Physician (207V00000X) |
United | G0439 | $157.52 | 1881613701 - SUSAN CHAMBERS | 731493662 | OK | Obstetrics & Gynecology Physician (207V00000X) |
United | G0439 | $188.05 | 1841493459 - YUSIF ADDAE | 650512900 - SMH PHYSICIAN SERVICES INC | FL | Obstetrics & Gynecology Physician (207V00000X) |
United | G0439 | $170.22 | 1356328439 - JOHN SHIE | 272649285 | OH | Obstetrics & Gynecology Physician (207V00000X) |
United | G0439 | $132.36 | 1154703452 - CRISTINA COLON APONTE | 596012065 - NORTH BROWARD HOSPITAL DISTRICT | FL | Obstetrics & Gynecology Physician (207V00000X) |
United | G0439 | $165.69 | 1033670740 - BRITTANY NOVAK | 352594698 | IL | Obstetrics & Gynecology Physician (207V00000X) |
United | G0439 | $171.17 | 1659318772 - INDIAN RIVER HEALTH SERVICES INC | 650029298 - INDIAN RIVER HEALTH SERVICES INC | FL | Obstetrics & Gynecology Physician (207V00000X) |
United | G0439 | $148.97 | 1760774178 - TEUTA SHEMSHEDINI | 824420017 - OBHG PENNSYLVANIA PC | CO | Obstetrics & Gynecology Physician (207V00000X) |
United | G0439 | $198.78 | 1518966639 - SHARON ROSS | 260609255 - FLORIDA WOMAN CARE, LLC | FL | Obstetrics & Gynecology Physician (207V00000X) |
United | G0439 | $421.10 | 1093893828 - CAROL DARWISH | 571205856 | CA | Obstetrics & Gynecology Physician (207V00000X) |
United | G0439 | $242.88 | 1639168560 - HOWARD JOHNSON II | 541581185 - MCV ASSOCIATED PHYSICIANS | FL | Obstetrics & Gynecology Physician (207V00000X) |
United | G0439 | $264.58 | 1942298278 - SUZANNE CLEMONS | 593443182 - WOMENS CARE FLORIDA, LLP | FL | Obstetrics & Gynecology Physician (207V00000X) |
United | G0439 | $173.53 | 1881662153 - LISA JARDINE | 593140335 - BAYCARE MEDICAL GROUP INC | FL | Obstetrics & Gynecology Physician (207V00000X) |
United | G0439 | $143.60 | 1356342596 - JOUHAINA MALEH | 822768899 - BEAUMONT MEDICAL GROUP - HOSPITAL-BASED SERVICES | MI | Obstetrics & Gynecology Physician (207V00000X) |
United | G0439 | $248.10 | 1588637565 - SUSAN FOSNOT | 542129332 - (FL) VITALMD GROUP HOLDING, LLC | FL | Obstetrics & Gynecology Physician (207V00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
HCPCS G0439 vs. Other Counseling, Screening, and Prevention Services Codes
The HCPCS G0439 code is part of the Procedures / Professional Services services used for Counseling, Screening, and Prevention Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS G0439 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| G0438-HCPCS | Moderate | Annual wellness visit; includes a personalized prevention plan of service (PPPS), initial visit |
| G0439-HCPCS | Low | Annual wellness visit, includes a personalized prevention plan of service (PPPS), subsequent visit |
| G0442-HCPCS | Low | Annual alcohol misuse screening, 5 to 15 minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0439. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0439 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS G0439) and we'll show you how you compare in 15 minutes or less.
