| Office Visit - Basic | $121 | 0% | $121 | 
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $273 | 0% | $273 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $273 | 0% | $273 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $294 | 0% | $294 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $221 | 0% | $221 |
Medium |
| Office Visit - Established Patient, High Complexity | $326 | 0% | $326 |
Medium |
| Office Visit - Established Patient, Low Complexity | $194 | 0% | $194 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $210 | 0% | $210 |
Medium |
| Office Visit - New Patient, Minor | $221 | 0% | $221 |
Medium |
| Psychiatric Diagnostic Evaluation | $184 | 0% | $184 |
Medium |
| Psychotherapy - 60 Minutes | $158 | 0% | $158 |
Medium |
| Strep Test (Streptococcus, group A) | $42 | 0% | $42 |
Medium |
| Urine Test - Pregnancy | $26 | 0% | $26 |
Medium |
