| Blood Test - Basic Metabolic Panel | $44 | 0% | $44 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $69 | 0% | $69 |
| Blood Test - Cholesterol Test, Lipid Panel | $103 | 0% | $103 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $33 | 0% | $33 |
| Blood Test - General Health Panel | $223 | 0% | $223 |
| Blood Test - Hepatic (Liver) Function Panel | $43 | 0% | $43 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $112 | 0% | $112 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $109 | 0% | $109 |
| Blood Test - Vitamin D-3 Level | $287 | 0% | $287 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $223 | 0% | $223 |
| Office Visit - Established Patient, High Complexity | $263 | 0% | $263 |
| Office Visit - Established Patient, Low Complexity | $121 | 0% | $121 |
| Office Visit - Established Patient, Moderate Complexity | $184 | 0% | $184 |
| Urine Test - Urinalysis, Manual Test | $16 | 0% | $16 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $58 | 0% | $58 |
