| Arthrocentesis (outpatient) | $463 | 0% | $463 | 
High |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $28 | 0% | $28 | 
Medium |
| Blood Test - Clotting Time | $19 | 0% | $19 |
Medium |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $93 | 0% | $93 |
Medium |
| Destruction of Lesion (outpatient) | $404 | 0% | $404 |
Medium |
| Office Visit - Basic | $124 | 0% | $124 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old | $231 | 0% | $231 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $242 | 0% | $242 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $361 | 0% | $361 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $432 | 0% | $432 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $231 | 0% | $231 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old | $221 | 0% | $221 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $210 | 0% | $210 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $221 | 0% | $221 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $247 | 0% | $247 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $257 | 0% | $257 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $215 | 0% | $215 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $189 | 0% | $189 |
Medium |
| Office Visit - Established Patient, High Complexity | $292 | 0% | $292 |
Medium |
| Office Visit - Established Patient, Low Complexity | $158 | 0% | $158 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $231 | 0% | $231 |
Medium |
| Office Visit - New Patient, Low Complexity | $245 | 0% | $245 |
Medium |
| Office Visit - New Patient, Minor | $194 | 0% | $194 |
Medium |
| Strep Test (Streptococcus, group A) | $44 | 0% | $44 |
Medium |
| Urine Test - Automated without Microscope | $8 | 0% | $8 |
Medium |
| Urine Test - Pregnancy | $21 | 0% | $21 |
Medium |
