| Blood Test - Cholesterol Test, Lipid Panel | $170 | N/A | $170 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $25 | N/A | $25 |
| Office Visit - Basic | $74 | N/A | $74 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $263 | N/A | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $210 | N/A | $210 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $210 | N/A | $210 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $236 | N/A | $236 |
| Office Visit - Established Patient, Low Complexity | $118 | N/A | $118 |
| Office Visit - Established Patient, Moderate Complexity | $189 | N/A | $189 |
| Office Visit - New Patient, Low Complexity | $184 | N/A | $184 |
| Office Visit - New Patient, Minor | $137 | N/A | $137 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $105 | N/A | $105 |
