| Blood Test - Cholesterol Test, Lipid Panel | $156 | 0% | $156 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $48 | 0% | $48 |
| Blood Test - Comprehensive Metabolic Panel | $92 | 0% | $92 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $273 | 0% | $273 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $294 | 0% | $294 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $205 | 0% | $205 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $226 | 0% | $226 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $247 | 0% | $247 |
| Office Visit - Established Patient, High Complexity | $215 | 0% | $215 |
| Office Visit - Established Patient, Low Complexity | $121 | 0% | $121 |
| Office Visit - Established Patient, Moderate Complexity | $163 | 0% | $163 |
| Office Visit - New Patient, Moderate Complexity | $242 | 0% | $242 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $53 | 0% | $53 |
