| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $37 | N/A | $37 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $690 | N/A | $690 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $42 | N/A | $42 |
| Lab Test - Detection test for Influenza Virus | $42 | N/A | $42 |
| Office Visit - Basic | $147 | N/A | $147 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $368 | N/A | $368 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $410 | N/A | $410 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $336 | N/A | $336 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $368 | N/A | $368 |
| Office Visit - Established Patient, Moderate Complexity | $310 | N/A | $310 |
| Urine Test - Pregnancy | $21 | N/A | $21 |
| Urine Test - Urinalysis, Manual Test | $8 | N/A | $8 |
| Vaccine - Influenza for Injection into Muscle | $32 | N/A | $32 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $74 | N/A | $74 |
