| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $275 | 0% | $275 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $200 | 0% | $200 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $239 | 0% | $239 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $240 | 0% | $240 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $263 | 0% | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $195 | 0% | $195 |
| Office Visit - Established Patient, Low Complexity | $153 | 0% | $153 |
| Office Visit - Established Patient, Moderate Complexity | $228 | 0% | $228 |
| Office Visit - New Patient, Low Complexity | $228 | 0% | $228 |
| Office Visit - New Patient, Minor | $159 | 0% | $159 |
| Office Visit - New Patient, Moderate Complexity | $349 | 0% | $349 |
