| Blood Test - Lead Level | $48 | N/A | $48 |
| Developmental Screening | $58 | N/A | $58 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $543 | N/A | $543 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $77 | N/A | $77 |
| Office Visit - Basic | $165 | N/A | $165 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $352 | N/A | $352 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $444 | N/A | $444 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old | $281 | N/A | $281 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $273 | N/A | $273 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $320 | N/A | $320 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $320 | N/A | $320 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $362 | N/A | $362 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $273 | N/A | $273 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $240 | N/A | $240 |
| Office Visit - Established Patient, Low Complexity | $225 | N/A | $225 |
| Office Visit - Established Patient, Moderate Complexity | $332 | N/A | $332 |
| Office Visit - New Patient, Low Complexity | $318 | N/A | $318 |
| Office Visit - New Patient, Minor | $263 | N/A | $263 |
| Office Visit - New Patient, Moderate Complexity | $539 | N/A | $539 |
| Psychiatric Diagnostic Evaluation | $189 | 
Near Average
State Average: 1 | $189 |
| Psychotherapy - 30 Minutes | $88 |
Near Average
State Average: 1 | $88 |
| Psychotherapy - 45 Minutes | $137 | 
Above Average
State Average: 4 | $137 |
| Psychotherapy - 60 Minutes | $137 |
Above Average
State Average: 5 | $137 |
| Psychotherapy - Family Session | $131 | 
Below Average
State Average: 3 | $131 |
| Psychotherapy - Group Session | $113 |
Above Average
State Average: 5 | $113 |
| Urine Test - Automated without Microscope | $30 | N/A | $30 |
| Urine Test - Pregnancy | $32 | N/A | $32 |
| Vaccine - Influenza for Injection into Muscle | $67 | N/A | $67 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $83 | N/A | $83 |
