| Lab Test - Detection for Strep (Streptococcus, group A) | $79 | N/A | $79 |
| Office Visit - Basic | $95 | N/A | $95 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $278 | N/A | $278 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $221 | N/A | $221 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $210 | N/A | $210 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $210 | N/A | $210 |
| 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 | $194 | N/A | $194 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $168 | N/A | $168 |
| Office Visit - Established Patient, Low Complexity | $147 | N/A | $147 |
| Office Visit - Established Patient, Moderate Complexity | $215 | N/A | $215 |
| Office Visit - New Patient, Low Complexity | $215 | N/A | $215 |
| Office Visit - New Patient, Minor | $152 | N/A | $152 |
| Urine Test - Pregnancy | $21 | N/A | $21 |
| Urine Test - Urinalysis, Manual Test | $21 | N/A | $21 |
