| Blood Test - General Health Panel | $190 | 0% | $190 | 
Medium |
| Blood Test - Prostate Specific Antigen (PSA) Level | $28 | 0% | $28 |
Medium |
| Blood Test - Vitamin D-3 Level | $287 | 0% | $287 |
Medium |
| Destruction of Lesion (outpatient) | $269 | 0% | $269 |
Medium |
| Office Visit - Basic | $71 | 0% | $71 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $226 | 0% | $226 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $226 | 0% | $226 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $289 | 0% | $289 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $200 | 0% | $200 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $200 | 0% | $200 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $257 | 0% | $257 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $179 | 0% | $179 |
Medium |
| Office Visit - Established Patient, Low Complexity | $121 | 0% | $121 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $163 | 0% | $163 |
Medium |
| Office Visit - New Patient, Low Complexity | $173 | 0% | $173 |
Medium |
| Office Visit - New Patient, Minor | $121 | 0% | $121 |
Medium |
