| Office Visit - Basic | $121 | N/A | $121 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $272 | N/A | $272 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $300 | N/A | $300 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $231 | N/A | $231 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $247 | N/A | $247 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $257 | N/A | $257 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $278 | N/A | $278 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $236 | N/A | $236 |
| Office Visit - Established Patient, High Complexity | $263 | N/A | $263 |
| Office Visit - Established Patient, Low Complexity | $142 | N/A | $142 |
| Office Visit - Established Patient, Moderate Complexity | $200 | N/A | $200 |
| Office Visit - New Patient, Low Complexity | $185 | N/A | $185 |
| Office Visit - New Patient, Moderate Complexity | $272 | N/A | $272 |
