| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $79 | 0% | $79 |
| Blood Test - Cholesterol Test, Lipid Panel | $156 | 0% | $156 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $48 | 0% | $48 |
| Blood Test - Comprehensive Metabolic Panel | $58 | 0% | $58 |
| Blood Test - Vitamin D-3 Level | $254 | 0% | $254 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $263 | 0% | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $289 | 0% | $289 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $315 | 0% | $315 |
| Office Visit - Established Patient, Low Complexity | $173 | 0% | $173 |
| Office Visit - Established Patient, Moderate Complexity | $289 | 0% | $289 |
| Strep Test (Streptococcus, group A) | $71 | 0% | $71 |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $26 | 0% | $26 |
| Urine Test - Automated with Microscope Examination | $50 | 0% | $50 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $78 | 0% | $78 |
