| Basic Office Visit | $89 | 0% | $89 | 
Medium |
| Office Visit, Established Pt | $145 | 0% | $145 |
Medium |
| Office Visit of Moderate Complexity | $187 | 0% | $187 |
Medium |
| Office Visit of Moderate to High Complexity | $263 | 0% | $263 |
Medium |
| Office Visit, New Pt, Minor | $142 | 0% | $142 |
Medium |
| Office Visit, New Pt, Low | $205 | 0% | $205 |
Medium |
| Comp Preventive Medicine younger than 1 yrs old | $184 | 0% | $184 |
Medium |
| Comp Preventive Medicine 1-4 yrs old | $194 | 0% | $194 |
Medium |
| Comp Preventive Medicine 5-11 yrs old | $200 | 0% | $200 |
Medium |
| Comp Preventive Medicine 12-17 yrs old | $215 | 0% | $215 |
Medium |
| Comp Preventive Medicine 18-39 yrs old | $231 | 0% | $231 |
Medium |
| Comp Preventive Medicine 40-64 yrs old | $247 | 0% | $247 |
Medium |
| New Patient, Comp Prevent Medicine younger than 1 yrs old | $205 | 0% | $205 |
Medium |
| New Patient, Comp Prevent Medicine 1-4 yrs old | $215 | 0% | $215 |
Medium |
| New Patient, Comp Prevent Medicine 12-17 yrs old | $236 | 0% | $236 |
Medium |
| New Patient, Comp Prevent Medicine 18-39 yrs old | $263 | 0% | $263 |
Medium |
| New Patient, Comp Prevent Medicine 40-64 yrs old | $294 | 0% | $294 |
Medium |
