| Blood Test - Clotting Time | $26 | 0% | $26 | 
Medium |
| Destruction of Lesion (outpatient) | $353 | 0% | $353 |
Medium |
| Office Visit - Basic | $86 | 0% | $86 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $278 | 0% | $278 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $349 | 0% | $349 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $254 | 0% | $254 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $317 | 0% | $317 |
Medium |
| Office Visit - Established Patient, High Complexity | $377 | 0% | $377 |
Medium |
| Office Visit - Established Patient, Low Complexity | $174 | 0% | $174 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $267 | 0% | $267 |
Medium |
| Office Visit - New Patient, Low Complexity | $251 | 0% | $251 |
Medium |
| Office Visit - New Patient, Minor | $165 | 0% | $165 |
Medium |
| Urine Test - Automated without Microscope | $11 | 0% | $11 |
Medium |
