Welcome to Medicare visit: how much does Medicare pay?

Nationally, the Q3 2026 Physician Fee Schedule pays $174.69 in an office (non-facility) setting and $114.23 in a facility setting for G0402. Your local amount differs — the national figure applies geographic index values of 1.000, and Medicare then pays 80% of the allowed amount after the deductible is met.

Procedure · Updated Aug 1, 2026

Welcome to Medicare visit: CPT code and Medicare rate

A one-time preventive visit available during a beneficiary's first 12 months of Medicare Part B enrollment.

Also called: initial preventive physical exam, ippe, medicare initial visit.

Usually billed as

G0402 Welcome to Medicare Preventive Visit

Office (non-facility): $174.69
Facility: $114.23

National amounts for the Q3 2026 release (July 1 – September 30, 2026), using geographic index values of 1.000. Your local rate differs — open the code page for the locality breakdown.

It can only be billed once, and only inside that first-12-months window. After it, the Annual Wellness Visit takes over.

Related codes

Codes worth checking before you settle on G0402.

Code	What it covers	Office	Facility
G0438	Annual Wellness Visit, Initial	$174.35	$174.35
G0439	Annual Wellness Visit, Subsequent	$137.61	$137.61

A dash means the code has no national amount in this release — it may be carrier-priced, bundled, or not separately payable. That is never the same as $0.

Common questions

Welcome to Medicare visit: which code is it?: G0402 — Welcome to Medicare Preventive Visit. A one-time preventive visit available during a beneficiary's first 12 months of Medicare Part B enrollment.
Welcome to Medicare visit: how much does Medicare pay?: Nationally, the Q3 2026 Physician Fee Schedule pays $174.69 in an office (non-facility) setting and $114.23 in a facility setting for G0402. Your local amount differs — the national figure applies geographic index values of 1.000, and Medicare then pays 80% of the allowed amount after the deductible is met.
Welcome to Medicare visit: what else affects the billing?: It can only be billed once, and only inside that first-12-months window. After it, the Annual Wellness Visit takes over.

Need the rate where you practice?

Every code page carries the full locality breakdown, the RVU and GPCI inputs, and the release that answered.

Open the code page

Keep exploring

All procedures How Medicare pays Office vs. facility rates Check a medical bill

This page maps everyday language to the code a claim normally carries. It is general information about how Medicare prices a service, not coding advice for a specific claim — the correct code always depends on what was actually documented and performed.

Did this answer your question about Welcome to Medicare visit?

We're building this out in the open. Tell us what you were actually trying to work out and we'll either answer you directly or build the page that does.