| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $37 | N/A | $37 |
| Blood Test - Cholesterol Test, Lipid Panel | $47 | N/A | $47 |
| Blood Test - Clotting Time | $11 | N/A | $11 |
| Blood Test - Comprehensive Metabolic Panel | $158 | N/A | $158 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $148 | N/A | $148 |
| Destruction of Lesion (outpatient) | $362 | N/A | $362 |
| Lab Test - Creatinine Level | $21 | N/A | $21 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $37 | N/A | $37 |
| Office Visit - Basic | $68 | N/A | $68 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $263 | N/A | $263 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $236 | N/A | $236 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $184 | N/A | $184 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $200 | N/A | $200 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $210 | N/A | $210 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $226 | N/A | $226 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $184 | N/A | $184 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $184 | N/A | $184 |
| Office Visit - Established Patient, High Complexity | $221 | N/A | $221 |
| Office Visit - Established Patient, Low Complexity | $126 | N/A | $126 |
| Office Visit - Established Patient, Moderate Complexity | $179 | N/A | $179 |
| Office Visit - New Patient, Low Complexity | $158 | N/A | $158 |
| Office Visit - New Patient, Moderate Complexity | $289 | N/A | $289 |
| Urine Test - Pregnancy | $24 | N/A | $24 |
| Urine Test - Urinalysis, Manual Test | $11 | N/A | $11 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $58 | N/A | $58 |
