| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $32 | N/A | $32 |
| Blood Test - Cholesterol Test, Lipid Panel | $103 | N/A | $103 |
| Blood Test - Comprehensive Metabolic Panel | $48 | N/A | $48 |
| Blood Test - Folic Acid Level | $104 | N/A | $104 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $109 | N/A | $109 |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $107 | N/A | $107 |
| Destruction of Lesion (outpatient) | $379 | N/A | $379 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $294 | N/A | $294 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $32 | N/A | $32 |
| Lab Test - Detection test for Influenza Virus | $32 | N/A | $32 |
| Office Visit - Basic | $105 | N/A | $105 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $294 | N/A | $294 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $294 | N/A | $294 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $315 | N/A | $315 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $294 | N/A | $294 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $294 | N/A | $294 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $294 | N/A | $294 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $315 | N/A | $315 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $294 | N/A | $294 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $294 | N/A | $294 |
| Office Visit - Established Patient, High Complexity | $336 | N/A | $336 |
| Office Visit - Established Patient, Low Complexity | $168 | N/A | $168 |
| Office Visit - Established Patient, Moderate Complexity | $252 | N/A | $252 |
| Office Visit - New Patient, Low Complexity | $252 | N/A | $252 |
| Office Visit - New Patient, Moderate Complexity | $336 | N/A | $336 |
| Psychiatric Diagnostic Evaluation | $116 | 
Near Average
State Average: 1 | $116 |
| Psychotherapy - Group Session | $131 | 
Below Average
State Average: 5 | $131 |
| Urine Test - Pregnancy | $21 | N/A | $21 |
| Urine Test - Urinalysis, Manual Test | $21 | N/A | $21 |
| Vaccine - Influenza for Injection into Muscle | $42 | N/A | $42 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $105 | N/A | $105 |
