| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $42 | 0% | $42 |
| Blood Test - General Health Panel | $243 | 0% | $243 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $156 | 0% | $156 |
| Blood Test - Vitamin D-3 Level | $254 | 0% | $254 |
| Office Visit - Basic | $131 | 0% | $131 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $368 | 0% | $368 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $315 | 0% | $315 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $315 | 0% | $315 |
| Office Visit - Established Patient, Low Complexity | $179 | 0% | $179 |
| Office Visit - Established Patient, Moderate Complexity | $242 | 0% | $242 |
| Office Visit - New Patient, Low Complexity | $315 | 0% | $315 |
| Urine Test - Automated with Microscope Examination | $50 | 0% | $50 |
| Urine Test - Bacterial Culture, Quantitative Colony Count | $27 | 0% | $27 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $84 | 0% | $84 |
