| Blood Test - Basic Metabolic Panel | $74 | 0% | $74 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $37 | 0% | $37 |
| Blood Test - Cholesterol Test, Lipid Panel | $156 | 0% | $156 |
| Lab Test - Detection test for Influenza Virus | $32 | 0% | $32 |
| Office Visit - Basic | $147 | 0% | $147 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $368 | 0% | $368 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $399 | 0% | $399 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $336 | 0% | $336 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $368 | 0% | $368 |
| Office Visit - Established Patient, Low Complexity | $210 | 0% | $210 |
| Office Visit - Established Patient, Moderate Complexity | $310 | 0% | $310 |
| Office Visit - New Patient, Low Complexity | $341 | 0% | $341 |
| Strep Test (Streptococcus, group A) | $42 | 0% | $42 |
| Urine Test - Pregnancy | $21 | 0% | $21 |
| Urine Test - Urinalysis, Manual Test | $8 | 0% | $8 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $74 | 0% | $74 |
