| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $78 | N/A | $78 |
| Blood Test - Cholesterol Test, Lipid Panel | $156 | N/A | $156 |
| Blood Test - General Health Panel | $277 | N/A | $277 |
| Lab Test - Detection test for Influenza Virus | $26 | N/A | $26 |
| Office Visit - Basic | $96 | N/A | $96 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $357 | N/A | $357 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $425 | N/A | $425 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $200 | N/A | $200 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $221 | N/A | $221 |
| Office Visit - Established Patient, Low Complexity | $158 | N/A | $158 |
| Office Visit - Established Patient, Moderate Complexity | $231 | N/A | $231 |
| Office Visit - New Patient, Low Complexity | $233 | N/A | $233 |
| Urine Test - Automated with Microscope Examination | $50 | N/A | $50 |
