| Blood Test - Complete Blood Cell Count and Automated WBC | $37 | 0% | $37 | 
Medium |
| Office Visit - Basic | $98 | 0% | $98 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $354 | 0% | $354 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $313 | 0% | $313 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $357 | 0% | $357 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $210 | 0% | $210 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $221 | 0% | $221 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $220 | 0% | $220 |
Medium |
| Office Visit - Established Patient, Low Complexity | $163 | 0% | $163 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $238 | 0% | $238 |
Medium |
| Office Visit - New Patient, Low Complexity | $240 | 0% | $240 |
Medium |
| Office Visit - New Patient, Minor | $155 | 0% | $155 |
Medium |
