| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $64 | N/A | $64 |
| Blood Test - Cholesterol Test, Lipid Panel | $75 | N/A | $75 |
| Blood Test - Comprehensive Metabolic Panel | $64 | N/A | $64 |
| Blood Test - General Health Panel | $130 | N/A | $130 |
| Blood Test - Hepatic (Liver) Function Panel | $64 | N/A | $64 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $81 | N/A | $81 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $81 | N/A | $81 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $327 | N/A | $327 |
| Office Visit - Basic | $99 | N/A | $99 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $273 | N/A | $273 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $289 | N/A | $289 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $258 | N/A | $258 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $289 | N/A | $289 |
| Office Visit - Established Patient, High Complexity | $234 | N/A | $234 |
| Office Visit - Established Patient, Low Complexity | $127 | N/A | $127 |
| Office Visit - Established Patient, Moderate Complexity | $174 | N/A | $174 |
| Office Visit - New Patient, Low Complexity | $174 | N/A | $174 |
| Office Visit - New Patient, Minor | $133 | N/A | $133 |
| Urine Test - Pregnancy | $41 | N/A | $41 |
| Urine Test - Urinalysis, Manual Test | $41 | N/A | $41 |
| Vaccine - Influenza for Injection into Muscle | $41 | N/A | $41 |
