| Arthrocentesis (outpatient) | $463 | 0% | $463 | 
Medium |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $55 | 0% | $55 |
Medium |
| Blood Test - Cholesterol Test, Lipid Panel | $81 | 0% | $81 |
Medium |
| Blood Test - Complete Blood Cell Count and Automated WBC | $33 | 0% | $33 |
Medium |
| Blood Test - Comprehensive Metabolic Panel | $30 | 0% | $30 |
Medium |
| Mammogram (outpatient) | $779 | 0% | $779 |
Medium |
| Office Visit - Basic | $137 | 0% | $137 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $308 | 0% | $308 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $247 | 0% | $247 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $269 | 0% | $269 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $275 | 0% | $275 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $294 | 0% | $294 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $246 | 0% | $246 |
Medium |
| Office Visit - Established Patient, High Complexity | $255 | 0% | $255 |
Medium |
| Office Visit - Established Patient, Low Complexity | $178 | 0% | $178 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $199 | 0% | $199 |
Medium |
| Office Visit - New Patient, Low Complexity | $247 | 0% | $247 |
Medium |
| Office Visit - New Patient, Minor | $180 | 0% | $180 |
Medium |
| Strep Test (Streptococcus, group A) | $28 | 0% | $28 |
Medium |
| Urine Test - Automated without Microscope | $9 | 0% | $9 |
Medium |
| Urine Test - Pregnancy | $28 | 0% | $28 |
Medium |
