| Blood Test - Cholesterol Test, Lipid Panel | $103 | 0% | $103 |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $33 | 0% | $33 |
| Blood Test - Comprehensive Metabolic Panel | $48 | 0% | $48 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $112 | 0% | $112 |
| Office Visit - Basic | $79 | 0% | $79 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $242 | 0% | $242 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $263 | 0% | $263 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $205 | 0% | $205 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $189 | 0% | $189 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $205 | 0% | $205 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $210 | 0% | $210 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $221 | 0% | $221 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $200 | 0% | $200 |
| Office Visit - Established Patient, High Complexity | $215 | 0% | $215 |
| Office Visit - Established Patient, Low Complexity | $116 | 0% | $116 |
| Office Visit - Established Patient, Moderate Complexity | $163 | 0% | $163 |
| Office Visit - New Patient, Low Complexity | $158 | 0% | $158 |
| Office Visit - New Patient, Minor | $131 | 0% | $131 |
| Office Visit - New Patient, Moderate Complexity | $247 | 0% | $247 |
| Strep Test (Streptococcus, group A) | $32 | 0% | $32 |
| Urine Test - Urinalysis, Manual Test | $11 | 0% | $11 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $68 | 0% | $68 |
