Code: G0402

Description:
Description: Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
HCPCS Category: Temporary procedures and professional services
Other Descriptions:
HC INIT PREV PE LTD NEW BENEF DUR 1ST 12 MOS MCR
INIT PREV PE LTD NEW BENEF DUR 1ST 12 MOS MCR
INITIAL PREVENTIVE EXAM
ISM CHARGE 1230
INITIAL PREVENTIVE PHYS EXAM
FP INIT PHY EXAM MCARE RES
Init Preventive Exam New
Related codes:
Code: G0400
HST TYPE4 UNATT >=3 CHNL
Code: G0403
Description: Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report
HCPCS Category: Temporary procedures and professional services
Code: G0404
EKG TRACING PREVENT EXAM
Code: G0405
Description: Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination
HCPCS Category: Temporary procedures and professional services
Code: G0406
Description: Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth
HCPCS Category: Temporary procedures and professional services
Code: G0407
Description: Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth
HCPCS Category: Temporary procedures and professional services
Code: G0408
Description: Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth
HCPCS Category: Temporary procedures and professional services
Code: G0409
Description: Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a corf-qualified social worker or psychologist in a corf)
HCPCS Category: Temporary procedures and professional services
Michigan
Hospital Address Code Price Last Updated
Mclaren Port Huron 1221 Pine Grove Ave, Port Huron G0402 $54 [source] 4 years ago
Mclaren Oakland 50 N Perry St, Pontiac G0402 $105 [source] 4 years ago
Mclaren Lapeer Region 1375 N Main St, Lapeer G0402 $105 [source] 4 years ago
Mclaren Bay Region 1900 Columbus Ave, Bay City G0402 $111 [source] 4 years ago
Mclaren Greater Lansing 401 W Greenlawn Ave, Lansing G0402 $111 [source] 4 years ago
Mclaren Bay Special Care Hospital 3250 E Midland Rd Suite 1, Bay City G0402 $111 [source] 4 years ago
Mclaren Northern Michigan 416 Connable Ave, Petoskey G0402 $113 [source] 4 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens G0402 $134 [source] 4 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint G0402 $168 [source] 4 years ago
Mclaren Caro Region 401 N Hooper St, Caro G0402 $190 [source] 4 years ago
Up Health System – Marquette 580 West College Avenue, Marquette G0402 $228 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak G0402 $231 [source] 4 years ago
Aspirus Iron River Hospital 1400 W Ice Lake Rd, Iron River G0402 $261 [source] 4 years ago
Aspirus Keweenaw Hospital 205 Osceola Street, Calumet G0402 $261 [source] 4 years ago
Aspirus Ironwood Hospital N10565 Grandview Ln, Ironwood G0402 $261 [source] 4 years ago
Aspirus Ontonagon Hospital 601 S Seventh St, Ontonagon G0402 $261 [source] 4 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant G0402 $343 [source] 4 years ago
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe G0402 $1,909 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak G0402 $2,257 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy G0402 $2,257 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, G0402 $2,257 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak G0402 $2,257 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy G0402 $2,257 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak G0402 $2,257 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn G0402 $2,257 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak G0402 $2,257 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak G0402 $2,257 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington G0402 $2,257 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn G0402 $2,257 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn G0402 $2,257 [source] 4 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne G0402 $2,257 [source] 4 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington G0402 $2,257 [source] 4 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton G0402 $2,257 [source] 4 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor G0402 $2,257 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak G0402 $2,257 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak G0402 $2,257 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy G0402 $2,257 [source] 4 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak G0402 $2,257 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR §180.