| Blood Test - Basic Metabolic Panel | $44 | 0% | $44 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $69 | 0% | $69 |
| Blood Test - Cholesterol Test, Lipid Panel | $103 | 0% | $103 |
| 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 - Hepatitis C Antibody Level | $112 | 0% | $112 |
| Blood Test - Vitamin D-3 Level | $287 | 0% | $287 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $289 | 0% | $289 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $263 | 0% | $263 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $289 | 0% | $289 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $289 | 0% | $289 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $263 | 0% | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $263 | 0% | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $263 | 0% | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $263 | 0% | $263 |
| Office Visit - Established Patient, High Complexity | $263 | 0% | $263 |
| Office Visit - Established Patient, Low Complexity | $131 | 0% | $131 |
| Office Visit - Established Patient, Moderate Complexity | $184 | 0% | $184 |
| Office Visit - New Patient, Low Complexity | $184 | 0% | $184 |
| Office Visit - New Patient, Moderate Complexity | $263 | 0% | $263 |
| Urine Test - Chlamydia | $129 | 0% | $129 |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $129 | 0% | $129 |
| Urine Test - Urinalysis, Manual Test | $11 | 0% | $11 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $68 | 0% | $68 |
