| Electrocardiogram (ECG or EKG), with Report and Interpretation | $425 | N/A | $425 |
| Office Visit - Basic | $93 | N/A | $93 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $402 | N/A | $402 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $446 | N/A | $446 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $316 | N/A | $316 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $332 | N/A | $332 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $361 | N/A | $361 |
| Office Visit - Established Patient, Low Complexity | $176 | N/A | $176 |
| Office Visit - Established Patient, Moderate Complexity | $146 | N/A | $146 |
| Office Visit - New Patient, Low Complexity | $146 | N/A | $146 |
| Office Visit - New Patient, Minor | $104 | N/A | $104 |
| Office Visit - New Patient, Moderate Complexity | $534 | N/A | $534 |
| Vaccine - Influenza for Injection into Muscle | $25 | N/A | $25 |
