How much does Medicare pay for HCPCS G0447?

Medicare allowed an average of $24.83 per service and paid $24.83 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $59.38, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code G0447?

Face-to-face behavioral counseling for obesity, 15 minutes. It was billed 275,157 times to 151,704 Medicare beneficiaries by 3,529 providers in 2024.

Does G0447 pay differently in an office than a hospital?

Yes. The allowed amount averaged $24.84 in an office setting and $21.22 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills G0447 most?

Internal Medicine, with 130,726 services from 1,437 clinicians. Next are Family Practice, Nurse Practitioner, Physician Assistant.

HCPCS G0447

Face-to-face behavioral counseling for obesity, 15 minutes

$24.83Medicare-allowed amount per service, averaged across 275,157 services

Providers submitted

$59.38

Asking price, not received

Medicare allowed

$24.83

The fee schedule figure

Medicare paid

$24.83

Balance is patient coinsurance

Providers submitted an average of $59.38 for this code and Medicare allowed $24.83 — 2.4× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $24.83 (100%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $24.84
Hospital / facility: $21.22

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 273,715 services were billed in an office setting and 1,442 in a facility.

Services: 275,157
Beneficiaries: 151,704
Providers billing it: 3,529
Total allowed: $6,832,148

What Medicare pays for HCPCS G0447

Across 275,157 services billed by 3,529 providers to 151,704 beneficiaries, Medicare allowed an average of $24.83 per service. That is 1.8 services per beneficiary, so this is a code patients typically receive more than once. 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.

Who bills G0447

Specialty	Services	Beneficiaries	Avg allowed	Providers
Internal Medicine	130,726	69,057	$25.75	1,437
Family Practice	81,257	48,597	$25.15	1,128
Nurse Practitioner	35,554	18,771	$20.96	610
Physician Assistant	8,608	5,193	$20.90	178
General Practice	5,211	2,954	$25.43	55
Cardiology	4,417	2,350	$26.76	27
Endocrinology	2,727	1,410	$26.82	20
Rheumatology	1,649	581	$25.19	4
Pulmonary Disease	960	399	$27.50	11
Emergency Medicine	799	342	$27.11	7
Geriatric Medicine	770	483	$25.81	9
Obstetrics & Gynecology	654	490	$25.54	12
Gastroenterology	461	313	$26.36	4
Nephrology	372	224	$27.78	5
Anesthesiology	212	140	$26.69	1

G0447 reimbursement by state

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.

State	Services	Allowed	Standardized pmt	Providers
New York	44,750	$27.97	$24.55	457
California	37,556	$25.89	$24.46	396
Florida	23,701	$24.51	$24.31	306
Texas	17,696	$23.45	$24.04	258
North Carolina	16,927	$23.33	$24.37	153
Arizona	16,071	$22.30	$22.74	235
New Jersey	15,110	$26.69	$24.54	165
Illinois	11,636	$25.28	$24.27	118
Maryland	8,241	$24.71	$23.37	101
Georgia	7,885	$23.72	$24.57	103
Alabama	7,128	$21.89	$23.80	113
Pennsylvania	7,066	$24.61	$24.26	95
Massachusetts	6,222	$25.51	$24.02	126
Michigan	5,809	$24.96	$24.57	97
South Carolina	5,174	$23.45	$23.94	72
Delaware	4,816	$21.75	$21.89	17
Virginia	4,084	$23.95	$23.11	72
Tennessee	3,987	$21.03	$22.65	73
Ohio	3,127	$22.95	$23.72	79
Washington	2,962	$25.23	$24.17	49
Louisiana	2,890	$23.30	$24.61	28
Nevada	2,597	$23.65	$23.76	44
Missouri	1,960	$23.00	$23.97	39
Indiana	1,651	$21.83	$22.79	30
Mississippi	1,591	$21.55	$22.87	28
Arkansas	1,407	$22.14	$23.70	23
Oklahoma	1,274	$22.84	$23.78	29
Wisconsin	1,192	$22.70	$23.73	30
Kentucky	1,151	$22.48	$23.44	27
West Virginia	1,072	$21.16	$22.11	15
Kansas	1,031	$23.25	$24.07	18
Colorado	965	$23.76	$23.91	23
Minnesota	951	$23.88	$24.62	10
Oregon	909	$24.25	$24.66	13
Connecticut	753	$25.72	$24.14	17
Nebraska	650	$23.60	$24.25	12
Iowa	574	$21.77	$23.05	9
District of Columbia	418	$27.25	$24.30	5
Rhode Island	394	$25.24	$24.17	10
North Dakota	319	$21.60	$22.00	3
Utah	295	$23.91	$24.41	7
New Hampshire	268	$24.58	$24.72	3
XX	262	$24.83	$24.71	1
Idaho	239	$22.82	$23.17	6
Montana	166	$24.30	$24.32	5
New Mexico	97	$20.51	$21.06	3
Maine	79	$22.22	$22.42	3
Hawaii	29	$25.65	$24.72	1
Alaska	25	$25.50	$24.58	2

Related codes

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
G0438Annual wellness visit; includes a personalized prevention plan of serv$151.05
G0453Continuous intraoperative neurophysiology monitoring$32.00
G0446Annual, face-to-face intensive behavioral therapy for cardiovascular d$24.56
G0402Initial preventive physical examination; face-to-face visit$158.02

Billing this code is not the same as earning it

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.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.