| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $69 | N/A | $69 |
| Blood Test - Cholesterol Test, Lipid Panel | $103 | N/A | $103 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $33 | N/A | $33 |
| Blood Test - Comprehensive Metabolic Panel | $48 | N/A | $48 |
| Blood Test - General Health Panel | $190 | N/A | $190 |
| Blood Test - Hepatitis C Antibody Level | $112 | N/A | $112 |
| Blood Test - Vitamin D-3 Level | $287 | N/A | $287 |
| Lab Test - Creatinine Level | $64 | N/A | $64 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $289 | N/A | $289 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $263 | N/A | $263 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $289 | N/A | $289 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $289 | N/A | $289 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $263 | N/A | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $263 | N/A | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $263 | N/A | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $263 | N/A | $263 |
| Office Visit - Established Patient, High Complexity | $263 | N/A | $263 |
| Office Visit - Established Patient, Low Complexity | $131 | N/A | $131 |
| Office Visit - Established Patient, Moderate Complexity | $184 | N/A | $184 |
| Office Visit - New Patient, Low Complexity | $184 | N/A | $184 |
| Office Visit - New Patient, Moderate Complexity | $263 | N/A | $263 |
| Pap Test, manual screening | $84 | N/A | $84 |
| Urine Test - Microalbumin (Protein) Level | $72 | N/A | $72 |
| Urine Test - Pregnancy | $26 | N/A | $26 |
| Urine Test - Urinalysis, Manual Test | $11 | N/A | $11 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $68 | N/A | $68 |
