| Blood Test - Basic Metabolic Panel | $26 | 0% | $26 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $29 | 0% | $29 |
| Blood Test - Cholesterol Test, Lipid Panel | $40 | 0% | $40 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $33 | 0% | $33 |
| Blood Test - Comprehensive Metabolic Panel | $63 | 0% | $63 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $112 | 0% | $112 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $263 | 0% | $263 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $263 | 0% | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $263 | 0% | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $263 | 0% | $263 |
| Office Visit - Established Patient, High Complexity | $268 | 0% | $268 |
| Office Visit - Established Patient, Low Complexity | $137 | 0% | $137 |
| Office Visit - Established Patient, Moderate Complexity | $205 | 0% | $205 |
| Office Visit - New Patient, Low Complexity | $200 | 0% | $200 |
| Urine Test - Microalbumin (Protein) Level | $53 | 0% | $53 |
| Vaccine - Pneumococcal Conjugate for Injection into Muscle | $210 | 0% | $210 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $63 | 0% | $63 |
