| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $263 | 0% | $263 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $299 | 0% | $299 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $299 | 0% | $299 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $263 | 0% | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $278 | 0% | $278 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $326 | 0% | $326 |
| Office Visit - Established Patient, High Complexity | $352 | 0% | $352 |
| Office Visit - Established Patient, Low Complexity | $221 | 0% | $221 |
| Office Visit - Established Patient, Moderate Complexity | $263 | 0% | $263 |
| Office Visit - New Patient, Low Complexity | $268 | 0% | $268 |
| Office Visit - New Patient, Minor | $205 | 0% | $205 |
| Strep Test (Streptococcus, group A) | $42 | 0% | $42 |
| Urine Test - Pregnancy | $37 | 0% | $37 |
| Urine Test - Urinalysis, Manual Test | $16 | 0% | $16 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $53 | 0% | $53 |
