| Blood Test - Basic Metabolic Panel | $42 | 0% | $42 |
| Blood Test - Cholesterol Test, Lipid Panel | $42 | 0% | $42 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $37 | 0% | $37 |
| Blood Test - Comprehensive Metabolic Panel | $53 | 0% | $53 |
| Blood Test - Ferritin (Blood Protein) Level | $29 | 0% | $29 |
| Blood Test - General Health Panel | $137 | 0% | $137 |
| Blood Test - Hepatic (Liver) Function Panel | $42 | 0% | $42 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $58 | 0% | $58 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $47 | 0% | $47 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $315 | 0% | $315 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $341 | 0% | $341 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $378 | 0% | $378 |
| Office Visit - Established Patient, Low Complexity | $184 | 0% | $184 |
| Office Visit - Established Patient, Moderate Complexity | $290 | 0% | $290 |
| Strep Test (Streptococcus, group A) | $32 | 0% | $32 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $68 | 0% | $68 |
