| Electrocardiogram (ECG or EKG), with Report and Interpretation | $509 | N/A | $509 |
| Lab Test - Detection test for Human Papillomavirus (HPV) | $183 | N/A | $183 |
| Office Visit - Basic | $84 | N/A | $84 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $252 | N/A | $252 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $273 | N/A | $273 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $189 | N/A | $189 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $221 | N/A | $221 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $242 | N/A | $242 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $263 | N/A | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $205 | N/A | $205 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $247 | N/A | $247 |
| Office Visit - Established Patient, High Complexity | $236 | N/A | $236 |
| Office Visit - Established Patient, Low Complexity | $131 | N/A | $131 |
| Office Visit - Established Patient, Moderate Complexity | $173 | N/A | $173 |
| Office Visit - New Patient, Low Complexity | $267 | N/A | $267 |
| Office Visit - New Patient, Minor | $186 | N/A | $186 |
| Office Visit - New Patient, Moderate Complexity | $205 | N/A | $205 |
| Pap Test, automated screening and manual rescreening | $130 | N/A | $130 |
| Pap Test, manual screening | $77 | N/A | $77 |
| Urine Test - Bacterial Culture, Quantitative Colony Count | $89 | N/A | $89 |
| Urine Test - Chlamydia | $133 | N/A | $133 |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $133 | N/A | $133 |
| Urine Test - Pregnancy | $19 | N/A | $19 |
| Urine Test - Urinalysis, Manual Test | $6 | N/A | $6 |
| Vaccine - Influenza for Injection into Muscle | $41 | N/A | $41 |
