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