| Blood Test - Vitamin D-3 Level | $108 | 0% | $108 | 
Medium |
| Mammogram (outpatient) | $741 | 0% | $741 |
Medium |
| Office Visit - Basic | $103 | 0% | $103 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $310 | 0% | $310 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $357 | 0% | $357 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $284 | 0% | $284 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $294 | 0% | $294 |
Medium |
| Office Visit - Established Patient, High Complexity | $326 | 0% | $326 |
Medium |
| Office Visit - Established Patient, Low Complexity | $173 | 0% | $173 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $252 | 0% | $252 |
Medium |
| Office Visit - New Patient, Low Complexity | $247 | 0% | $247 |
Medium |
| Office Visit - New Patient, Minor | $168 | 0% | $168 |
Medium |
| Ultrasound - Pregnancy (outpatient) | $357 | 0% | $357 |
Medium |
| Ultrasound - Pregnancy Follow-Up | $306 | 0% | $306 |
Medium |
| Ultrasound - Transvaginal (non-maternity) | $368 | 0% | $368 |
Medium |
| Urine Test - Automated without Microscope | $8 | 0% | $8 |
Medium |
| Urine Test - Chlamydia | $84 | 0% | $84 |
Medium |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $84 | 0% | $84 |
Medium |
| Urine Test - Pregnancy | $23 | 0% | $23 |
Medium |
