| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $210 | 0% | $210 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $221 | 0% | $221 |
| Office Visit - Established Patient, High Complexity | $242 | 0% | $242 |
| Office Visit - Established Patient, Low Complexity | $126 | 0% | $126 |
| Office Visit - Established Patient, Moderate Complexity | $179 | 0% | $179 |
| Office Visit - New Patient, Moderate Complexity | $273 | 0% | $273 |
| Physical Therapy - Application of Blood Vessel Compression or Decompression Device | $53 | 0% | $53 |
| Physical Therapy - Application of Mechanical Traction | $53 | 0% | $53 |
| Physical Therapy - Electrical Stimulation Therapy | $53 | 0% | $53 |
| Physical Therapy - High Complexity Evaluation | $210 | 0% | $210 |
| Physical Therapy - Low Complexity Evaluation | $210 | 0% | $210 |
| Physical Therapy - Manual Therapy | $74 | 0% | $74 |
| Physical Therapy - Moderate Complexity Evaluation | $210 | 0% | $210 |
| Physical Therapy - Neuromuscular Reeducation | $89 | 0% | $89 |
| Physical Therapy - Self-care or Home Management Training | $79 | 0% | $79 |
| Physical Therapy - Therapeutic Activities | $79 | 0% | $79 |
| Physical Therapy - Therapeutic Exercises | $91 | 0% | $91 |
| Strep Test (Streptococcus, group A) | $26 | 0% | $26 |
