| Office Visit - Basic | $128 | 0% | $128 | 
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $336 | 0% | $336 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $389 | 0% | $389 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $299 | 0% | $299 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $342 | 0% | $342 |
Medium |
| Office Visit - Established Patient, High Complexity | $414 | 0% | $414 |
Medium |
| Office Visit - Established Patient, Low Complexity | $209 | 0% | $209 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $308 | 0% | $308 |
Medium |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $30 | 0% | $30 |
Medium |
| Ultrasound - Pelvic (outpatient) | $537 | 0% | $537 |
Medium |
| Ultrasound - Pregnancy (outpatient) | $418 | 0% | $418 |
Medium |
| Ultrasound - Pregnancy Follow-Up | $341 | 0% | $341 |
Medium |
| Ultrasound - Transvaginal (non-maternity) | $566 | 0% | $566 |
Medium |
| Urine Test - Bacterial Culture | $76 | 0% | $76 |
Medium |
| Urine Test - Pregnancy | $26 | 0% | $26 |
Medium |
