| Blood Test - Clotting Time | $50 | N/A | $50 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $114 | N/A | $114 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $448 | N/A | $448 |
| Office Visit - Basic | $179 | N/A | $179 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $373 | N/A | $373 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $373 | N/A | $373 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $294 | N/A | $294 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $320 | N/A | $320 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $320 | N/A | $320 |
| Office Visit - Established Patient, Low Complexity | $221 | N/A | $221 |
| Office Visit - Established Patient, Moderate Complexity | $305 | N/A | $305 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $89 | N/A | $89 |
