| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $23 | N/A | $23 |
| Blood Test - Cholesterol Test, Lipid Panel | $103 | N/A | $103 |
| Blood Test - Clotting Time | $9 | N/A | $9 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $33 | N/A | $33 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $403 | N/A | $403 |
| Lab Test - Detection test for Influenza Virus | $30 | N/A | $30 |
| Office Visit - Basic | $109 | N/A | $109 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $326 | N/A | $326 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $355 | N/A | $355 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $294 | N/A | $294 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $313 | N/A | $313 |
| Office Visit - Established Patient, Low Complexity | $183 | N/A | $183 |
| Office Visit - Established Patient, Moderate Complexity | $268 | N/A | $268 |
| Office Visit - New Patient, Low Complexity | $268 | N/A | $268 |
| Urine Test - Pregnancy | $16 | N/A | $16 |
| Urine Test - Urinalysis, Manual Test | $7 | N/A | $7 |
| Vaccine - Influenza for Injection into Muscle | $41 | N/A | $41 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $70 | N/A | $70 |
