| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $32 | 0% | $32 |
| Blood Test - Cholesterol Test, Lipid Panel | $156 | 0% | $156 |
| Blood Test - Clotting Time | $42 | 0% | $42 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $118 | 0% | $118 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $383 | 0% | $383 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $332 | 0% | $332 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $361 | 0% | $361 |
| Office Visit - Established Patient, High Complexity | $470 | 0% | $470 |
| Office Visit - Established Patient, Low Complexity | $235 | 0% | $235 |
| Office Visit - Established Patient, Moderate Complexity | $351 | 0% | $351 |
| Office Visit - New Patient, Low Complexity | $350 | 0% | $350 |
| Urine Test - Urinalysis, Manual Test | $21 | 0% | $21 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $105 | 0% | $105 |
