| Blood Test - Cholesterol Test, Lipid Panel | $156 | N/A | $156 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $48 | N/A | $48 |
| Blood Test - Comprehensive Metabolic Panel | $92 | N/A | $92 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $273 | N/A | $273 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $294 | N/A | $294 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $205 | N/A | $205 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $226 | N/A | $226 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $247 | N/A | $247 |
| Office Visit - Established Patient, High Complexity | $215 | N/A | $215 |
| Office Visit - Established Patient, Low Complexity | $121 | N/A | $121 |
| Office Visit - Established Patient, Moderate Complexity | $163 | N/A | $163 |
| Office Visit - New Patient, Moderate Complexity | $242 | N/A | $242 |
| Urine Test - Urinalysis, Manual Test | $13 | N/A | $13 |
| Vaccine - Influenza for Injection into Muscle | $32 | N/A | $32 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $53 | N/A | $53 |
