| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $37 | 0% | $37 |
| Blood Test - Cholesterol Test, Lipid Panel | $53 | 0% | $53 |
| Lab Test - Detection test for Influenza Virus | $36 | 0% | $36 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $341 | 0% | $341 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $284 | 0% | $284 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $309 | 0% | $309 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $305 | 0% | $305 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $319 | 0% | $319 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $284 | 0% | $284 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $233 | 0% | $233 |
| Office Visit - Established Patient, High Complexity | $420 | 0% | $420 |
| Office Visit - Established Patient, Low Complexity | $210 | 0% | $210 |
| Office Visit - Established Patient, Moderate Complexity | $301 | 0% | $301 |
| Office Visit - New Patient, Low Complexity | $305 | 0% | $305 |
| Office Visit - New Patient, Minor | $212 | 0% | $212 |
| Strep Test (Streptococcus, group A) | $42 | 0% | $42 |
| Urine Test - Pregnancy | $19 | 0% | $19 |
| Urine Test - Urinalysis, Manual Test | $19 | 0% | $19 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $74 | 0% | $74 |
