| Arthrocentesis (outpatient) | $329 | 0% | $329 | 
Medium |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $22 | 0% | $22 |
Medium |
| Blood Test - Clotting Time | $9 | 0% | $9 |
Medium |
| Blood Test - General Health Panel | $276 | 0% | $276 |
Medium |
| Blood Test - Prostate Specific Antigen (PSA) Level | $131 | 0% | $131 |
Medium |
| Destruction of Lesion (outpatient) | $362 | 0% | $362 |
Medium |
| Office Visit - Basic | $68 | 0% | $68 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $261 | 0% | $261 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $206 | 0% | $206 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $182 | 0% | $182 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $200 | 0% | $200 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $203 | 0% | $203 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $216 | 0% | $216 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $182 | 0% | $182 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $171 | 0% | $171 |
Medium |
| Office Visit - Established Patient, High Complexity | $226 | 0% | $226 |
Medium |
| Office Visit - Established Patient, Low Complexity | $126 | 0% | $126 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $173 | 0% | $173 |
Medium |
| Office Visit - New Patient, Low Complexity | $169 | 0% | $169 |
Medium |
| Office Visit - New Patient, Minor | $117 | 0% | $117 |
Medium |
| Strep Test (Streptococcus, group A) | $26 | 0% | $26 |
Medium |
| Urine Test - Pregnancy | $15 | 0% | $15 |
Medium |
