| Office Visit - Basic | $160 | 0% | $160 | 
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $341 | 0% | $341 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $419 | 0% | $419 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $265 | 0% | $265 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $301 | 0% | $301 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $311 | 0% | $311 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $352 | 0% | $352 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $273 | 0% | $273 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $233 | 0% | $233 |
Medium |
| Office Visit - Established Patient, High Complexity | $420 | 0% | $420 |
Medium |
| Office Visit - Established Patient, Low Complexity | $212 | 0% | $212 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $315 | 0% | $315 |
Medium |
| Office Visit - New Patient, Low Complexity | $301 | 0% | $301 |
Medium |
| Office Visit - New Patient, Minor | $139 | 0% | $139 |
Medium |
| Physical Therapy - Application of Mechanical Traction | $53 | 0% | $53 |
Medium |
| Physical Therapy - Electrical Stimulation Therapy | $53 | 0% | $53 |
Medium |
| Physical Therapy - Low Complexity Evaluation | $126 | 0% | $126 |
Medium |
| Physical Therapy - Manual Therapy | $80 | 0% | $80 |
Medium |
| Physical Therapy - Moderate Complexity Evaluation | $179 | 0% | $179 |
Medium |
| Physical Therapy - Neuromuscular Reeducation | $80 | 0% | $80 |
Medium |
| Physical Therapy - Therapeutic Activities | $80 | 0% | $80 |
Medium |
| Physical Therapy - Therapeutic Exercises | $80 | 0% | $80 |
Medium |
| Physical Therapy - Ultrasound Therapy | $53 | 0% | $53 |
Medium |
