| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $362 | N/A | $362 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $432 | N/A | $432 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $273 | N/A | $273 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $311 | N/A | $311 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $311 | N/A | $311 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $362 | N/A | $362 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $273 | N/A | $273 |
| Office Visit - Established Patient, Low Complexity | $225 | N/A | $225 |
| Office Visit - Established Patient, Moderate Complexity | $322 | N/A | $322 |
| Office Visit - New Patient, Low Complexity | $318 | N/A | $318 |
| Vaccine - Influenza for Injection into Muscle | $67 | N/A | $67 |
