| Office Visit - Basic | $88 | 0% | $88 | 
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $189 | 0% | $189 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $294 | 0% | $294 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $340 | 0% | $340 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $328 | 0% | $328 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $210 | 0% | $210 |
Medium |
| Office Visit - Established Patient, High Complexity | $373 | 0% | $373 |
Medium |
| Office Visit - Established Patient, Low Complexity | $124 | 0% | $124 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $290 | 0% | $290 |
Medium |
| Office Visit - New Patient, Low Complexity | $256 | 0% | $256 |
Medium |
| Strep Test (Streptococcus, group A) | $36 | 0% | $36 |
Medium |
| Urine Test - Pregnancy | $21 | 0% | $21 |
Medium |
