| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $42 | 0% | $42 |
| Blood Test - Ferritin (Blood Protein) Level | $83 | 0% | $83 |
| 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 |
| Lab Test - Detection test for Influenza Virus | $53 | 0% | $53 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $351 | 0% | $351 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $406 | 0% | $406 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $314 | 0% | $314 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $335 | 0% | $335 |
| Office Visit - Established Patient, High Complexity | $422 | 0% | $422 |
| Office Visit - Established Patient, Low Complexity | $213 | 0% | $213 |
| Office Visit - Established Patient, Moderate Complexity | $315 | 0% | $315 |
| Office Visit - New Patient, Low Complexity | $318 | 0% | $318 |
| Strep Test (Streptococcus, group A) | $58 | 0% | $58 |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $39 | 0% | $39 |
| Urine Test - Microalbumin (Protein) Level | $77 | 0% | $77 |
| Urine Test - Urinalysis, Manual Test | $21 | 0% | $21 |
| Vaccine - Pneumococcal Conjugate for Injection into Muscle | $236 | 0% | $236 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $79 | 0% | $79 |
