| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $69 | 0% | $69 | 
Medium |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $33 | 0% | $33 |
Medium |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $166 | 0% | $166 |
Medium |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $89 | 0% | $89 |
Medium |
| Office Visit - Basic | $128 | 0% | $128 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $404 | 0% | $404 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $462 | 0% | $462 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $362 | 0% | $362 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $383 | 0% | $383 |
Medium |
| Office Visit - Established Patient, High Complexity | $420 | 0% | $420 |
Medium |
| Office Visit - Established Patient, Low Complexity | $211 | 0% | $211 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $312 | 0% | $312 |
Medium |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $30 | 0% | $30 |
Medium |
| Ultrasound - Pelvic (outpatient) | $326 | 0% | $326 | 
High |
| Ultrasound - Pregnancy (outpatient) | $421 | 0% | $421 |
Medium |
| Ultrasound - Pregnancy Follow-Up | $341 | 0% | $341 |
Medium |
| Ultrasound - Transvaginal (non-maternity) | $572 | 0% | $572 |
Medium |
| Urine Test - Bacterial Culture, Quantitative Colony Count | $76 | 0% | $76 |
Medium |
| Urine Test - Pregnancy | $28 | 0% | $28 |
Medium |
