| Biopsy - Tangential Biopsy of Skin | $914 | N/A | $914 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $35 | N/A | $35 |
| Blood Test - Cholesterol Test, Lipid Panel | $141 | N/A | $141 |
| Blood Test - Clotting Time | $15 | N/A | $15 |
| Blood Test - Comprehensive Metabolic Panel | $94 | N/A | $94 |
| Blood Test - Lead Level | $39 | N/A | $39 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $156 | N/A | $156 |
| Destruction of Lesion (outpatient) | $256 | N/A | $256 |
| Developmental Screening | $26 | N/A | $26 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $301 | N/A | $301 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $42 | N/A | $42 |
| Lab Test - Detection test for Influenza Virus | $32 | N/A | $32 |
| Office Visit - Basic | $76 | N/A | $76 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $266 | N/A | $266 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $266 | N/A | $266 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $289 | N/A | $289 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $219 | N/A | $219 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $198 | N/A | $198 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $217 | N/A | $217 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $219 | N/A | $219 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $237 | N/A | $237 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $198 | N/A | $198 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $191 | N/A | $191 |
| Office Visit - Established Patient, High Complexity | $260 | N/A | $260 |
| Office Visit - Established Patient, Low Complexity | $122 | N/A | $122 |
| Office Visit - Established Patient, Moderate Complexity | $185 | N/A | $185 |
| Office Visit - New Patient, Low Complexity | $188 | N/A | $188 |
| Office Visit - New Patient, Minor | $133 | N/A | $133 |
| Office Visit - New Patient, Moderate Complexity | $277 | N/A | $277 |
| Psychiatric Diagnostic Evaluation | $196 | 
Near Average
State Average: 1 | $196 |
| Psychotherapy - 30 Minutes | $81 | 
Above Average
State Average: 1 | $81 |
| Psychotherapy - 45 Minutes | $104 | 
Below Average
State Average: 4 | $104 |
| Psychotherapy - 60 Minutes | $152 |
Below Average
State Average: 5 | $152 |
| Psychotherapy - Family Session | $135 |
Below Average
State Average: 3 | $135 |
| Urine Test - Pregnancy | $25 | N/A | $25 |
| Urine Test - Urinalysis, Manual Test | $11 | N/A | $11 |
| Vaccine - Influenza for Injection into Muscle | $24 | N/A | $24 |
| Vaccine - Pneumococcal Conjugate for Injection into Muscle | $236 | N/A | $236 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $69 | N/A | $69 |
