| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $79 | N/A | $79 |
| Blood Test - Cholesterol Test, Lipid Panel | $156 | N/A | $156 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $48 | N/A | $48 |
| Blood Test - Comprehensive Metabolic Panel | $58 | N/A | $58 |
| Blood Test - Vitamin D-3 Level | $254 | N/A | $254 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $71 | N/A | $71 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $263 | N/A | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $289 | N/A | $289 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $315 | N/A | $315 |
| Office Visit - Established Patient, Low Complexity | $210 | N/A | $210 |
| Office Visit - Established Patient, Moderate Complexity | $289 | N/A | $289 |
| Urine Test - Automated with Microscope Examination | $50 | N/A | $50 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $78 | N/A | $78 |
