| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $37 | N/A | $37 |
| Blood Test - Cholesterol Test, Lipid Panel | $37 | N/A | $37 |
| Blood Test - Clotting Time | $11 | N/A | $11 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $698 | N/A | $698 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $37 | N/A | $37 |
| Office Visit - Basic | $105 | N/A | $105 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $315 | N/A | $315 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $311 | N/A | $311 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $289 | N/A | $289 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $315 | N/A | $315 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $368 | N/A | $368 |
| Office Visit - Established Patient, High Complexity | $368 | N/A | $368 |
| Office Visit - Established Patient, Low Complexity | $210 | N/A | $210 |
| Office Visit - Established Patient, Moderate Complexity | $289 | N/A | $289 |
| Office Visit - New Patient, Low Complexity | $228 | N/A | $228 |
| Office Visit - New Patient, Minor | $184 | N/A | $184 |
| Urine Test - Pregnancy | $26 | N/A | $26 |
| Urine Test - Urinalysis, Manual Test | $11 | N/A | $11 |
| Vaccine - Influenza for Injection into Muscle | $39 | N/A | $39 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $79 | N/A | $79 |
