| Blood Test - General Health Panel | $217 | 0% | $217 | 
Medium |
| Office Visit - Basic | $160 | 0% | $160 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $332 | 0% | $332 |
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 | $301 | 0% | $301 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $341 | 0% | $341 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $265 | 0% | $265 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $227 | 0% | $227 |
Medium |
| Office Visit - Established Patient, High Complexity | $442 | 0% | $442 |
Medium |
| Office Visit - Established Patient, Low Complexity | $217 | 0% | $217 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $313 | 0% | $313 |
Medium |
| Office Visit - New Patient, Low Complexity | $301 | 0% | $301 |
Medium |
| Strep Test (Streptococcus, group A) | $72 | 0% | $72 |
Medium |
| Urine Test - Automated without Microscope | $29 | 0% | $29 |
Medium |
| Urine Test - Pregnancy | $28 | 0% | $28 |
Medium |
