# HCPCS G0402: Initial Preventive Physical Examination (Medicare Welcome to Medicare visit)

Medicare HCPCS G0402 pays $174.69 in a non-facility setting and $114.23 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $160.35 in Arkansas to $220.90 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/G0402-hcpcs-fee-schedule
Section: Evaluation and Management

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $174.69 |
| National facility | $114.23 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $220.90 | $156.51 |
| District of Columbia | $194.64 | $123.43 |
| New York | $190.34 | $122.90 |
| California | $190.26 | $118.72 |
| New Jersey | $189.98 | $121.91 |
| Washington | $187.73 | $118.81 |
| Massachusetts | $186.42 | $118.50 |
| Connecticut | $183.94 | $118.83 |
| Hawaii | $183.55 | $114.81 |
| Florida | $180.34 | $119.68 |
| Maryland | $179.75 | $116.72 |
| Colorado | $179.74 | $115.42 |
| Rhode Island | $178.43 | $115.98 |
| Oregon | $178.21 | $114.52 |
| Illinois | $177.39 | $118.98 |
| New Hampshire | $177.35 | $114.41 |
| Puerto Rico | $175.51 | $114.38 |
| Virgin Islands | $175.51 | $114.38 |
| Montana | $174.68 | $114.22 |
| Pennsylvania | $174.18 | $114.96 |
| Nevada | $173.82 | $113.30 |
| Delaware | $173.56 | $113.83 |
| Texas | $173.49 | $113.97 |
| Wyoming | $173.21 | $112.75 |
| Minnesota | $173.07 | $110.86 |
| Georgia | $172.15 | $114.48 |
| Michigan | $171.99 | $115.22 |
| Virginia | $171.62 | $112.19 |
| Arizona | $171.32 | $112.74 |
| North Dakota | $171.31 | $110.86 |
| Vermont | $171.06 | $111.21 |
| South Dakota | $170.92 | $110.46 |
| Utah | $169.18 | $112.35 |
| New Mexico | $169.01 | $113.57 |
| Maine | $168.91 | $111.15 |
| Missouri | $167.83 | $112.36 |
| Louisiana | $167.81 | $112.61 |
| South Carolina | $167.59 | $111.73 |
| Ohio | $167.58 | $112.39 |
| Wisconsin | $167.31 | $109.39 |
| North Carolina | $167.13 | $110.73 |
| West Virginia | $166.37 | $113.83 |
| Indiana | $165.77 | $109.73 |
| Idaho | $165.12 | $109.50 |
| Kentucky | $165.08 | $111.34 |
| Nebraska | $164.83 | $109.03 |
| Oklahoma | $164.63 | $110.64 |
| Tennessee | $164.58 | $109.63 |
| Iowa | $164.28 | $108.96 |
| Kansas | $163.98 | $109.33 |
| Alabama | $161.95 | $109.05 |
| Mississippi | $161.78 | $109.73 |
| Arkansas | $160.35 | $108.42 |

## Related codes

- 99381: Initial preventive medicine visit, new patient, infant (under 1 year) — https://www.med-reveal.com/rates/99381-cpt-fee-schedule
- 99382: Initial preventive medicine visit, new patient, early childhood (1-4 years) — https://www.med-reveal.com/rates/99382-cpt-fee-schedule
- 99383: Initial preventive medicine visit, new patient, late childhood (5-11 years) — https://www.med-reveal.com/rates/99383-cpt-fee-schedule
- 99384: Initial preventive medicine visit, new patient, adolescent (12-17 years) — https://www.med-reveal.com/rates/99384-cpt-fee-schedule
- 99385: Initial preventive medicine visit, new patient, 18-39 years — https://www.med-reveal.com/rates/99385-cpt-fee-schedule
- 99386: Initial preventive medicine visit, new patient, 40-64 years — https://www.med-reveal.com/rates/99386-cpt-fee-schedule
- 99387: Initial preventive medicine visit, new patient, 65 years and older — https://www.med-reveal.com/rates/99387-cpt-fee-schedule
- 99391: Periodic preventive medicine visit, established patient, infant (under 1 year) — https://www.med-reveal.com/rates/99391-cpt-fee-schedule

Commercial negotiated rates for G0402 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules