| Blood Test - Basic Metabolic Panel | $44 | 0% | $44 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $23 | 0% | $23 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $152 | 0% | $152 |
| Office Visit - Basic | $109 | 0% | $109 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $326 | 0% | $326 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $355 | 0% | $355 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $264 | 0% | $264 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $288 | 0% | $288 |
| Office Visit - Established Patient, High Complexity | $360 | 0% | $360 |
| Office Visit - Established Patient, Low Complexity | $187 | 0% | $187 |
| Office Visit - Established Patient, Moderate Complexity | $269 | 0% | $269 |
| Strep Test (Streptococcus, group A) | $28 | 0% | $28 |
| Urine Test - Pregnancy | $16 | 0% | $16 |
| Urine Test - Urinalysis, Manual Test | $5 | 0% | $5 |
| Vaccine - Pneumococcal Conjugate for Injection into Muscle | $296 | 0% | $296 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $83 | 0% | $83 |
