| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $32 | N/A | $32 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $669 | N/A | $669 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $26 | N/A | $26 |
| Lab Test - Detection test for Influenza Virus | $37 | N/A | $37 |
| Lab Test - Smear for Microorganism | $21 | N/A | $21 |
| Office Visit - Basic | $89 | N/A | $89 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $341 | N/A | $341 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $368 | N/A | $368 |
| Office Visit - Established Patient, High Complexity | $394 | N/A | $394 |
| Office Visit - Established Patient, Low Complexity | $221 | N/A | $221 |
| Office Visit - Established Patient, Moderate Complexity | $305 | N/A | $305 |
| Office Visit - New Patient, Low Complexity | $263 | N/A | $263 |
| Vaccine - Influenza for Injection into Muscle | $47 | N/A | $47 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $84 | N/A | $84 |
