| Bacterial Culture - Swab | $48 | 0% | $48 |
| Blood Test - Basic Metabolic Panel | $89 | 0% | $89 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $63 | 0% | $63 |
| Blood Test - Cholesterol Test, Lipid Panel | $89 | 0% | $89 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $37 | 0% | $37 |
| Blood Test - Folic Acid Level | $63 | 0% | $63 |
| Blood Test - Hepatic (Liver) Function Panel | $63 | 0% | $63 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $89 | 0% | $89 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $81 | 0% | $81 |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $54 | 0% | $54 |
| Lab Test - Detection test for Influenza Virus | $37 | 0% | $37 |
| Office Visit - Basic | $126 | 0% | $126 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $315 | 0% | $315 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $368 | 0% | $368 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $273 | 0% | $273 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $284 | 0% | $284 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $315 | 0% | $315 |
| Office Visit - Established Patient, Low Complexity | $200 | 0% | $200 |
| Office Visit - Established Patient, Moderate Complexity | $294 | 0% | $294 |
| Office Visit - New Patient, Low Complexity | $210 | 0% | $210 |
| Strep Test (Streptococcus, group A) | $37 | 0% | $37 |
| Urine Test - Bacterial Culture | $26 | 0% | $26 |
| Urine Test - Bacterial Culture, Quantitative Colony Count | $42 | 0% | $42 |
| Urine Test - Pregnancy | $42 | 0% | $42 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $84 | 0% | $84 |
