| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $21 | 0% | $21 |
| Blood Test - Cholesterol Test, Lipid Panel | $37 | 0% | $37 |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $83 | 0% | $83 |
| Blood Test - Comprehensive Metabolic Panel | $159 | 0% | $159 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $175 | 0% | $175 |
| Blood Test - Vitamin D-3 Level | $86 | 0% | $86 |
| Lab Test - Detection test for Influenza Virus | $32 | 0% | $32 |
| Office Visit - Basic | $110 | 0% | $110 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $289 | 0% | $289 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $315 | 0% | $315 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $226 | 0% | $226 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $247 | 0% | $247 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $278 | 0% | $278 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $299 | 0% | $299 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $242 | 0% | $242 |
| Office Visit - Established Patient, High Complexity | $341 | 0% | $341 |
| Office Visit - Established Patient, Low Complexity | $184 | 0% | $184 |
| Office Visit - Established Patient, Moderate Complexity | $257 | 0% | $257 |
| Office Visit - New Patient, Low Complexity | $263 | 0% | $263 |
| Office Visit - New Patient, Minor | $173 | 0% | $173 |
| Office Visit - New Patient, Moderate Complexity | $347 | 0% | $347 |
| Psychotherapy - 45 Minutes | $158 | 0% | $158 |
| Strep Test (Streptococcus, group A) | $32 | 0% | $32 |
| Urine Test - Automated without Microscope | $13 | 0% | $13 |
| Urine Test - Chlamydia | $185 | 0% | $185 |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $185 | 0% | $185 |
| Urine Test - Microalbumin (Protein) Level | $26 | 0% | $26 |
| Urine Test - Pregnancy | $37 | 0% | $37 |
| Vaccine - Pneumococcal Conjugate for Injection into Muscle | $221 | 0% | $221 |
