| Blood Test - General Health Panel | $190 | 0% | $190 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $28 | 0% | $28 |
| Blood Test - Vitamin D-3 Level | $287 | 0% | $287 |
| Office Visit - Basic | $79 | 0% | $79 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $273 | 0% | $273 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $315 | 0% | $315 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $242 | 0% | $242 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $242 | 0% | $242 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $257 | 0% | $257 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $215 | 0% | $215 |
| Office Visit - Established Patient, High Complexity | $242 | 0% | $242 |
| Office Visit - Established Patient, Low Complexity | $121 | 0% | $121 |
| Office Visit - Established Patient, Moderate Complexity | $184 | 0% | $184 |
| Office Visit - New Patient, Low Complexity | $194 | 0% | $194 |
| Office Visit - New Patient, Minor | $128 | 0% | $128 |
| Office Visit - New Patient, Moderate Complexity | $284 | 0% | $284 |
| Urine Test - Urinalysis, Manual Test | $20 | 0% | $20 |
