| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $69 | 0% | $69 |
| Blood Test - Cholesterol Test, Lipid Panel | $103 | 0% | $103 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $48 | 0% | $48 |
| Blood Test - Comprehensive Metabolic Panel | $68 | 0% | $68 |
| Blood Test - Folic Acid Level | $100 | 0% | $100 |
| Blood Test - General Health Panel | $190 | 0% | $190 |
| Blood Test - Iron Level | $29 | 0% | $29 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $112 | 0% | $112 |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $123 | 0% | $123 |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $111 | 0% | $111 |
| Blood Test - Vitamin D-3 Level | $287 | 0% | $287 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $401 | 0% | $401 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $373 | 0% | $373 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $394 | 0% | $394 |
| Office Visit - Established Patient, High Complexity | $427 | 0% | $427 |
| Office Visit - Established Patient, Moderate Complexity | $346 | 0% | $346 |
| Urine Test - Automated with Microscope Examination | $44 | 0% | $44 |
| Urine Test - Automated without Microscope | $33 | 0% | $33 |
| Urine Test - Microalbumin (Protein) Level | $72 | 0% | $72 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $123 | 0% | $123 |
