| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $36 | 0% | $36 | 
Medium |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $98 | 0% | $98 |
Medium |
| Blood Test - Complete Blood Cell Count and Automated WBC | $37 | 0% | $37 |
Medium |
| Destruction of Lesion (outpatient) | $385 | 0% | $385 |
Medium |
| Office Visit - Basic | $98 | 0% | $98 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old | $313 | 0% | $313 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $284 | 0% | $284 |
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 | $357 | 0% | $357 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $313 | 0% | $313 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old | $254 | 0% | $254 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $197 | 0% | $197 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $216 | 0% | $216 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $221 | 0% | $221 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $230 | 0% | $230 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $227 | 0% | $227 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $232 | 0% | $232 |
Medium |
| Office Visit - Established Patient, High Complexity | $322 | 0% | $322 |
Medium |
| Office Visit - Established Patient, Low Complexity | $163 | 0% | $163 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $238 | 0% | $238 |
Medium |
| Office Visit - New Patient, Low Complexity | $240 | 0% | $240 |
Medium |
| Office Visit - New Patient, Minor | $155 | 0% | $155 |
Medium |
| Strep Test (Streptococcus, group A) | $24 | 0% | $24 |
Medium |
| Urine Test - Automated with Microscope Examination | $47 | 0% | $47 |
Medium |
| Urine Test - Pregnancy | $15 | 0% | $15 |
Medium |
