| Bacterial Culture - Aerobic Isolates | $54 | N/A | $54 |
| Blood Test - Basic Metabolic Panel | $102 | N/A | $102 |
| Blood Test - Cholesterol Test, Lipid Panel | $154 | N/A | $154 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $48 | N/A | $48 |
| Blood Test - Comprehensive Metabolic Panel | $92 | N/A | $92 |
| Blood Test - Vitamin D-3 Level | $240 | N/A | $240 |
| Office Visit - Basic | $74 | N/A | $74 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $268 | N/A | $268 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $189 | N/A | $189 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $205 | N/A | $205 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $215 | N/A | $215 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $226 | N/A | $226 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $189 | N/A | $189 |
| Office Visit - Established Patient, High Complexity | $221 | N/A | $221 |
| Office Visit - Established Patient, Low Complexity | $116 | N/A | $116 |
| Office Visit - Established Patient, Moderate Complexity | $168 | N/A | $168 |
| Office Visit - New Patient, Moderate Complexity | $252 | N/A | $252 |
