| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $28 | 0% | $28 |
| Blood Test - Cholesterol Test, Lipid Panel | $103 | 0% | $103 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $33 | 0% | $33 |
| Blood Test - Comprehensive Metabolic Panel | $48 | 0% | $48 |
| Blood Test - Hepatitis C Antibody Level | $112 | 0% | $112 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $96 | 0% | $96 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $401 | 0% | $401 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $194 | 0% | $194 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $221 | 0% | $221 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $236 | 0% | $236 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $394 | 0% | $394 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $205 | 0% | $205 |
| Office Visit - Established Patient, Low Complexity | $219 | 0% | $219 |
| Office Visit - Established Patient, Moderate Complexity | $319 | 0% | $319 |
| Urine Test - Urinalysis, Manual Test | $11 | 0% | $11 |
