| Arthrocentesis (outpatient) | $230 | 0% | $230 | 
Medium |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $19 | 0% | $19 |
Medium |
| Blood Test - Cholesterol Test, Lipid Panel | $27 | 0% | $27 |
Medium |
| Blood Test - Complete Blood Cell Count and Automated WBC | $33 | 0% | $33 |
Medium |
| Blood Test - Comprehensive Metabolic Panel | $48 | 0% | $48 |
Medium |
| Blood Test - General Health Panel | $190 | 0% | $190 |
Medium |
| Blood Test - Prostate Specific Antigen (PSA) Level | $112 | 0% | $112 |
Medium |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $109 | 0% | $109 |
Medium |
| Office Visit - Basic | $67 | 0% | $67 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $228 | 0% | $228 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $231 | 0% | $231 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $202 | 0% | $202 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $182 | 0% | $182 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $198 | 0% | $198 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $203 | 0% | $203 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $215 | 0% | $215 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $181 | 0% | $181 |
Medium |
| Office Visit - Established Patient, High Complexity | $220 | 0% | $220 |
Medium |
| Office Visit - Established Patient, Low Complexity | $111 | 0% | $111 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $164 | 0% | $164 |
Medium |
| Office Visit - New Patient, Low Complexity | $165 | 0% | $165 |
Medium |
| Office Visit - New Patient, Minor | $114 | 0% | $114 |
Medium |
| Strep Test (Streptococcus, group A) | $26 | 0% | $26 |
Medium |
| Urine Test - Automated without Microscope | $5 | 0% | $5 |
Medium |
