| Blood Test - Complete Blood Cell Count (Hemoglobin) | $75 | 0% | $75 | 
Medium |
| Office Visit - Basic | $160 | 0% | $160 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $341 | 0% | $341 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $419 | 0% | $419 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $301 | 0% | $301 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $341 | 0% | $341 |
Medium |
| Office Visit - Established Patient, Low Complexity | $217 | 0% | $217 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $313 | 0% | $313 |
Medium |
| Ultrasound - Pregnancy (outpatient) | $461 | 0% | $461 |
Medium |
| Ultrasound - Pregnancy Follow-Up | $373 | 0% | $373 |
Medium |
| Ultrasound - Transvaginal (non-maternity) | $1,036 | 0% | $1,036 | 
Low |
| Urine Test - Automated without Microscope | $29 | 0% | $29 |
Medium |
| Urine Test - Pregnancy | $29 | 0% | $29 |
Medium |
