| Bacterial Culture - Aerobic Isolates | $64 | 0% | $64 |
| Bacterial Culture - Swab | $71 | 0% | $71 |
| Blood Test - Basic Metabolic Panel | $109 | 0% | $109 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $45 | 0% | $45 |
| Blood Test - Cholesterol Test, Lipid Panel | $173 | 0% | $173 |
| Blood Test - Clotting Time | $20 | 0% | $20 |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $89 | 0% | $89 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $107 | 0% | $107 |
| Blood Test - Comprehensive Metabolic Panel | $137 | 0% | $137 |
| Blood Test - Ferritin (Blood Protein) Level | $83 | 0% | $83 |
| Blood Test - Hepatic (Liver) Function Panel | $43 | 0% | $43 |
| Blood Test - Iron Level | $57 | 0% | $57 |
| Blood Test - Lipase (fat enzyme) Level | $89 | 0% | $89 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $112 | 0% | $112 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $109 | 0% | $109 |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $117 | 0% | $117 |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $75 | 0% | $75 |
| Blood Test - Vitamin D-3 Level | $287 | 0% | $287 |
| Destruction of Lesion (outpatient) | $407 | 0% | $407 |
| Detection test for Human Papillomavirus (HPV) | $249 | 0% | $249 |
| Electrocardiogram (ECG or EKG) | $852 | 0% | $852 |
| Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) | $147 | 0% | $147 |
| Lab Test - Detection test for Hepatitis B Surface Antigen | $134 | 0% | $134 |
| Lab Test - Detection test for HIV-1 and HIV-2 | $176 | 0% | $176 |
| Lab Test - Detection test for Influenza Virus | $51 | 0% | $51 |
| Laryngoscopy - Diagnostic | $604 | 0% | $604 |
| Mammogram (outpatient) | $857 | 0% | $857 |
| Nasal Endoscopy - Diagnostic | $704 | 0% | $704 |
| Office Visit - Basic | $129 | 0% | $129 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old | $364 | 0% | $364 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $397 | 0% | $397 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $389 | 0% | $389 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $449 | 0% | $449 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $364 | 0% | $364 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old | $336 | 0% | $336 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $297 | 0% | $297 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $296 | 0% | $296 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $305 | 0% | $305 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $326 | 0% | $326 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $290 | 0% | $290 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $313 | 0% | $313 |
| Office Visit - Established Patient, High Complexity | $407 | 0% | $407 |
| Office Visit - Established Patient, Low Complexity | $210 | 0% | $210 |
| Office Visit - Established Patient, Moderate Complexity | $305 | 0% | $305 |
| Office Visit - New Patient, Low Complexity | $303 | 0% | $303 |
| Office Visit - New Patient, Minor | $213 | 0% | $213 |
| Office Visit - New Patient, Moderate Complexity | $372 | 0% | $372 |
| Psychiatric Diagnostic Evaluation | $205 | 0% | $205 |
| Psychotherapy - 30 Minutes | $169 | 0% | $169 |
| Psychotherapy - 45 Minutes | $84 | 0% | $84 |
| Psychotherapy - 60 Minutes | $137 | 0% | $137 |
| Psychotherapy - Group Session | $42 | 0% | $42 |
| Strep Test (Streptococcus, group A) | $51 | 0% | $51 |
| Urine Test - Automated with Microscope Examination | $43 | 0% | $43 |
| Urine Test - Automated without Microscope | $8 | 0% | $8 |
| Urine Test - Bacterial Culture, Quantitative Colony Count | $64 | 0% | $64 |
| Urine Test - Chlamydia | $129 | 0% | $129 |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $129 | 0% | $129 |
| Urine Test - Microalbumin (Protein) Level | $72 | 0% | $72 |
| Urine Test - Pregnancy | $27 | 0% | $27 |
| Urine Test - Urinalysis, Manual Test | $24 | 0% | $24 |
| Vaccine - Pneumococcal Conjugate for Injection into Muscle | $433 | 0% | $433 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $91 | 0% | $91 |
