| Blood Test - Cholesterol Test, Lipid Panel | $103 | 0% | $103 |
| Blood Test - Clotting Time | $8 | 0% | $8 |
| Blood Test - Comprehensive Metabolic Panel | $48 | 0% | $48 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $175 | 0% | $175 |
| Blood Test - Vitamin D-3 Level | $287 | 0% | $287 |
| Lab Test - Detection test for Influenza Virus | $23 | 0% | $23 |
| Office Visit - Basic | $70 | 0% | $70 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $231 | 0% | $231 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $275 | 0% | $275 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $197 | 0% | $197 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $214 | 0% | $214 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $219 | 0% | $219 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $230 | 0% | $230 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $197 | 0% | $197 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $185 | 0% | $185 |
| Office Visit - Established Patient, Low Complexity | $116 | 0% | $116 |
| Office Visit - Established Patient, Moderate Complexity | $170 | 0% | $170 |
| Office Visit - New Patient, Low Complexity | $163 | 0% | $163 |
| Strep Test (Streptococcus, group A) | $24 | 0% | $24 |
| Urine Test - Urinalysis, Manual Test | $6 | 0% | $6 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $57 | 0% | $57 |
