IPPE - G0402

Initial Preventive
Physical Examination

  • Medicare pays for one per lifetime
  • Must be done in first 12 mos.
    of Part B coverage
  • Also known as “Welcome to Medicare Visit”
$168 Reimbursed to the Doctor per patient (Nat Avg)
Initial

Initial Annual AWV-G0438
Wellness Visit

  • Applies the first-time a beneficiary
    receives AWV
  • Done after first 12 mos. of Part B coverage
  • No IPPE or AWV within the past 12 months
$172 Reimbursed to the Doctor per patient (Nat Avg)
Subsequent AWV- G0439

Subsequent Annual
Wellness Visit

  • Applies the first-time a beneficiary
    receives AWV
  • No IPPE or AWV within the past 12 months
$117 Reimbursed to the Doctor per patient (Nat Avg)