| Bacterial Culture - Swab | $71 | 0% | $71 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $45 | 0% | $45 |
| Lab Test - Detection test for Influenza Virus | $51 | 0% | $51 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $389 | 0% | $389 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $449 | 0% | $449 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $286 | 0% | $286 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $296 | 0% | $296 |
| 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 | $326 | 0% | $326 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $290 | 0% | $290 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $254 | 0% | $254 |
| Office Visit - Established Patient, Low Complexity | $210 | 0% | $210 |
| Office Visit - Established Patient, Moderate Complexity | $305 | 0% | $305 |
| Office Visit - New Patient, Low Complexity | $303 | 0% | $303 |
| Office Visit - New Patient, Moderate Complexity | $420 | 0% | $420 |
| Strep Test (Streptococcus, group A) | $51 | 0% | $51 |
| Urine Test - Pregnancy | $27 | 0% | $27 |
| Urine Test - Urinalysis, Manual Test | $24 | 0% | $24 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $91 | 0% | $91 |
