HCPCS G0438

Across 410,373 services billed by 15,851 providers to 410,373 beneficiaries, Medicare allowed an average of $151.05 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

• G0439Annual wellness visit$117.95
• G0444Annual depression screening$17.80
• G0471Collection of venous blood by venipuncture or urine sample by catheter$10.56
• G0442Annual alcohol misuse screening$17.96
• G0480Drug test(s), definitive, utilizing (1) drug identification methods ab$110.33
• G0483Drug test(s), definitive, utilizing (1) drug identification methods ab$240.71
• G0482Drug test(s), definitive, utilizing (1) drug identification methods ab$193.45
• G0481Drug test(s), definitive, utilizing (1) drug identification methods ab$152.51
• G0453Continuous intraoperative neurophysiology monitoring$32.00
• G0446Annual, face-to-face intensive behavioral therapy for cardiovascular d$24.56
• G0447Face-to-face behavioral counseling for obesity$24.83
• G0402Initial preventive physical examination; face-to-face visit$158.02

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

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