| Blood Test - Blood Glucose (Sugar) Level | $6 | N/A | $6 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $289 | N/A | $289 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $69 | N/A | $69 |
| Lab Test - Detection test for Hepatitis B Surface Antigen | $32 | N/A | $32 |
| Office Visit - Basic | $80 | N/A | $80 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $234 | N/A | $234 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $270 | N/A | $270 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old | $196 | N/A | $196 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $189 | N/A | $189 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $206 | N/A | $206 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $210 | N/A | $210 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $224 | N/A | $224 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $188 | N/A | $188 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $176 | N/A | $176 |
| Office Visit - Established Patient, High Complexity | $261 | N/A | $261 |
| Office Visit - Established Patient, Low Complexity | $131 | N/A | $131 |
| Office Visit - Established Patient, Moderate Complexity | $194 | N/A | $194 |
| Office Visit - New Patient, Low Complexity | $195 | N/A | $195 |
| Office Visit - New Patient, Minor | $128 | N/A | $128 |
| Office Visit - New Patient, Moderate Complexity | $296 | N/A | $296 |
| Psychiatric Diagnostic Evaluation | $238 | 
Near Average
State Average: 1 | $238 |
| Psychotherapy - 30 Minutes | $116 | 
Above Average
State Average: 1 | $116 |
| Psychotherapy - 45 Minutes | $154 | 
Below Average
State Average: 4 | $154 |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $24 | N/A | $24 |
| Urine Test - Bacterial Culture, Quantitative Colony Count | $37 | N/A | $37 |
| Urine Test - Chlamydia | $60 | N/A | $60 |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $60 | N/A | $60 |
| Urine Test - Urinalysis, Manual Test | $4 | N/A | $4 |
| Vaccine - Pneumococcal Conjugate for Injection into Muscle | $210 | N/A | $210 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $47 | N/A | $47 |
