| Blood Test - Basic Metabolic Panel | $44 | 0% | $44 | 
Medium |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $37 | 0% | $37 |
Medium |
| Blood Test - Cholesterol Test, Lipid Panel | $103 | 0% | $103 |
Medium |
| Blood Test - Complete Blood Cell Count and Automated WBC | $33 | 0% | $33 |
Medium |
| Blood Test - Comprehensive Metabolic Panel | $48 | 0% | $48 |
Medium |
| Blood Test - General Health Panel | $190 | 0% | $190 |
Medium |
| Blood Test - Prostate Specific Antigen (PSA) Level | $112 | 0% | $112 |
Medium |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $109 | 0% | $109 |
Medium |
| Blood Test - Vitamin D-3 Level | $287 | 0% | $287 |
Medium |
| Office Visit - Basic | $89 | 0% | $89 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $294 | 0% | $294 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $266 | 0% | $266 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $236 | 0% | $236 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $315 | 0% | $315 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $284 | 0% | $284 |
Medium |
| Office Visit - Established Patient, High Complexity | $278 | 0% | $278 |
Medium |
| Office Visit - Established Patient, Low Complexity | $158 | 0% | $158 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $252 | 0% | $252 |
Medium |
| Office Visit - New Patient, Low Complexity | $192 | 0% | $192 |
Medium |
| Strep Test (Streptococcus, group A) | $63 | 0% | $63 |
Medium |
| Urine Test - Pregnancy | $21 | 0% | $21 |
Medium |
| X-Ray - Foot (outpatient) | $336 | 0% | $336 | 
High |
