| Blood Test - Basic Metabolic Panel | $84 | 0% | $84 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $55 | 0% | $55 |
| Blood Test - Cholesterol Test, Lipid Panel | $152 | 0% | $152 |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $39 | 0% | $39 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $88 | 0% | $88 |
| Blood Test - Comprehensive Metabolic Panel | $147 | 0% | $147 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $201 | 0% | $201 |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $97 | 0% | $97 |
| Office Visit - Basic | $87 | 0% | $87 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $227 | 0% | $227 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $264 | 0% | $264 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $184 | 0% | $184 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $198 | 0% | $198 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $201 | 0% | $201 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $217 | 0% | $217 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $182 | 0% | $182 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $169 | 0% | $169 |
| Office Visit - Established Patient, Low Complexity | $135 | 0% | $135 |
| Office Visit - Established Patient, Moderate Complexity | $198 | 0% | $198 |
| Office Visit - New Patient, Low Complexity | $186 | 0% | $186 |
| Office Visit - New Patient, Minor | $105 | 0% | $105 |
| Office Visit - New Patient, Moderate Complexity | $222 | 0% | $222 |
| Strep Test (Streptococcus, group A) | $51 | 0% | $51 |
| Urine Test - Urinalysis, Manual Test | $20 | 0% | $20 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $79 | 0% | $79 |
