| Blood Test - Basic Metabolic Panel | $28 | 0% | $28 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $33 | 0% | $33 |
| Blood Test - Cholesterol Test, Lipid Panel | $60 | 0% | $60 |
| Blood Test - Clotting Time | $13 | 0% | $13 |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $22 | 0% | $22 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $26 | 0% | $26 |
| Blood Test - Comprehensive Metabolic Panel | $64 | 0% | $64 |
| Blood Test - Ferritin (Blood Protein) Level | $45 | 0% | $45 |
| Blood Test - Folic Acid Level | $49 | 0% | $49 |
| Blood Test - General Health Panel | $104 | 0% | $104 |
| Blood Test - Hepatic (Liver) Function Panel | $35 | 0% | $35 |
| Blood Test - Iron Level | $22 | 0% | $22 |
| Blood Test - LDL Cholesterol Level | $32 | 0% | $32 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $61 | 0% | $61 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $56 | 0% | $56 |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $29 | 0% | $29 |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $49 | 0% | $49 |
| Blood Test - Vitamin D-3 Level | $99 | 0% | $99 |
| Lab Test - Detection test for Influenza Virus | $40 | 0% | $40 |
| Office Visit - Basic | $109 | 0% | $109 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $318 | 0% | $318 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $370 | 0% | $370 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $292 | 0% | $292 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $312 | 0% | $312 |
| Office Visit - Established Patient, High Complexity | $361 | 0% | $361 |
| Office Visit - Established Patient, Low Complexity | $171 | 0% | $171 |
| Office Visit - Established Patient, Moderate Complexity | $268 | 0% | $268 |
| Office Visit - New Patient, Low Complexity | $270 | 0% | $270 |
| Strep Test (Streptococcus, group A) | $40 | 0% | $40 |
| Urine Test - Automated with Microscope Examination | $11 | 0% | $11 |
| Urine Test - Automated without Microscope | $7 | 0% | $7 |
| Urine Test - Chlamydia | $117 | 0% | $117 |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $117 | 0% | $117 |
| Urine Test - Microalbumin (Protein) Level | $19 | 0% | $19 |
| Urine Test - Urinalysis, Manual Test | $8 | 0% | $8 |
| Vaccine - Pneumococcal Conjugate for Injection into Muscle | $396 | 0% | $396 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $78 | 0% | $78 |
