| Office Visit - Basic | $135 | 0% | $135 | 
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $282 | 0% | $282 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $282 | 0% | $282 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $330 | 0% | $330 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old | $238 | 0% | $238 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $225 | 0% | $225 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $245 | 0% | $245 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $246 | 0% | $246 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $269 | 0% | $269 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $226 | 0% | $226 |
Medium |
| Office Visit - Established Patient, High Complexity | $343 | 0% | $343 |
Medium |
| Office Visit - Established Patient, Low Complexity | $169 | 0% | $169 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $216 | 0% | $216 |
Medium |
| Office Visit - New Patient, Low Complexity | $209 | 0% | $209 |
Medium |
| Office Visit - New Patient, Minor | $159 | 0% | $159 |
Medium |
| Strep Test (Streptococcus, group A) | $28 | 0% | $28 |
Medium |
| Urine Test - Automated without Microscope | $11 | 0% | $11 |
Medium |
| Urine Test - Pregnancy | $22 | 0% | $22 |
Medium |
