| Office Visit - Basic | $86 | 0% | $86 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $263 | 0% | $263 |
| 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 | $194 | 0% | $194 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $236 | 0% | $236 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $257 | 0% | $257 |
| 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 | $194 | 0% | $194 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $184 | 0% | $184 |
| Office Visit - Established Patient, High Complexity | $236 | 0% | $236 |
| Office Visit - Established Patient, Low Complexity | $125 | 0% | $125 |
| Office Visit - Established Patient, Moderate Complexity | $184 | 0% | $184 |
| Office Visit - New Patient, Low Complexity | $194 | 0% | $194 |
| Office Visit - New Patient, Minor | $147 | 0% | $147 |
| Office Visit - New Patient, Moderate Complexity | $263 | 0% | $263 |
