| Blood Test - Basic Metabolic Panel | $44 | 0% | $44 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $37 | 0% | $37 |
| Blood Test - Cholesterol Test, Lipid Panel | $103 | 0% | $103 |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $33 | 0% | $33 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $33 | 0% | $33 |
| Blood Test - Comprehensive Metabolic Panel | $48 | 0% | $48 |
| Blood Test - General Health Panel | $190 | 0% | $190 |
| Blood Test - Hepatic (Liver) Function Panel | $43 | 0% | $43 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $112 | 0% | $112 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $109 | 0% | $109 |
| Lab Test - Detection test for Influenza Virus | $47 | 0% | $47 |
| Office Visit - Basic | $89 | 0% | $89 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $294 | 0% | $294 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $341 | 0% | $341 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $236 | 0% | $236 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $315 | 0% | $315 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $284 | 0% | $284 |
| Office Visit - Established Patient, High Complexity | $278 | 0% | $278 |
| Office Visit - Established Patient, Low Complexity | $168 | 0% | $168 |
| Office Visit - Established Patient, Moderate Complexity | $273 | 0% | $273 |
| Office Visit - New Patient, Low Complexity | $192 | 0% | $192 |
| Strep Test (Streptococcus, group A) | $26 | 0% | $26 |
| Urine Test - Bacterial Culture, Quantitative Colony Count | $76 | 0% | $76 |
| Urine Test - Pregnancy | $32 | 0% | $32 |
| Urine Test - Urinalysis, Manual Test | $5 | 0% | $5 |
| Vaccine - Pneumococcal Conjugate for Injection into Muscle | $263 | 0% | $263 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $68 | 0% | $68 |
| X-Ray - Foot (outpatient) | $336 | 0% | $336 |
