| Detection test for Human Papillomavirus (HPV) | $183 | 0% | $183 |
| Lab Test - Detection test for Influenza Virus | $26 | 0% | $26 |
| Office Visit - Basic | $84 | 0% | $84 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $252 | 0% | $252 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $273 | 0% | $273 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $189 | 0% | $189 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $221 | 0% | $221 |
| 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 | $263 | 0% | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $205 | 0% | $205 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $247 | 0% | $247 |
| Office Visit - Established Patient, High Complexity | $236 | 0% | $236 |
| Office Visit - Established Patient, Low Complexity | $131 | 0% | $131 |
| Office Visit - Established Patient, Moderate Complexity | $173 | 0% | $173 |
| Office Visit - New Patient, Low Complexity | $267 | 0% | $267 |
| Office Visit - New Patient, Minor | $186 | 0% | $186 |
| Office Visit - New Patient, Moderate Complexity | $315 | 0% | $315 |
| Pap Test | $130 | 0% | $130 |
| Strep Test (Streptococcus, group A) | $29 | 0% | $29 |
| Urine Test - Chlamydia | $133 | 0% | $133 |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $133 | 0% | $133 |
| Urine Test - Pregnancy | $23 | 0% | $23 |
| Urine Test - Urinalysis, Manual Test | $9 | 0% | $9 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $71 | 0% | $71 |
