| Blood Test - Cholesterol Test, Lipid Panel | $118 | 0% | $118 |
| Blood Test - Comprehensive Metabolic Panel | $137 | 0% | $137 |
| Blood Test - General Health Panel | $306 | 0% | $306 |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $100 | 0% | $100 |
| Blood Test - Triiodothyronine (T3) Thyroid Hormone Measurement | $156 | 0% | $156 |
| Electrocardiogram (ECG or EKG) | $284 | 0% | $284 |
| Lab Test - Detection test for Influenza Virus | $40 | 0% | $40 |
| Office Visit - Basic | $105 | 0% | $105 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $158 | 0% | $158 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $363 | 0% | $363 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $396 | 0% | $396 |
| Office Visit - Established Patient, Low Complexity | $131 | 0% | $131 |
| Office Visit - Established Patient, Moderate Complexity | $290 | 0% | $290 |
| Office Visit - New Patient, Low Complexity | $158 | 0% | $158 |
| Psychiatric Diagnostic Evaluation | $259 | 0% | $259 |
| Psychotherapy - 30 Minutes | $126 | 0% | $126 |
| Psychotherapy - 45 Minutes | $167 | 0% | $167 |
| Psychotherapy - Group Session | $53 | 0% | $53 |
| Urine Test - Automated without Microscope | $34 | 0% | $34 |
| Urine Test - Pregnancy | $32 | 0% | $32 |
| Urine Test - Urinalysis, Manual Test | $32 | 0% | $32 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $79 | 0% | $79 |
