| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $24 | 0% | $24 |
| Lab Test - Detection test for Influenza Virus | $32 | 0% | $32 |
| Office Visit - Basic | $123 | 0% | $123 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $380 | 0% | $380 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $415 | 0% | $415 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $324 | 0% | $324 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $366 | 0% | $366 |
| Office Visit - Established Patient, Low Complexity | $201 | 0% | $201 |
| Office Visit - Established Patient, Moderate Complexity | $294 | 0% | $294 |
| Office Visit - New Patient, Low Complexity | $295 | 0% | $295 |
| Strep Test (Streptococcus, group A) | $32 | 0% | $32 |
| Urine Test - Pregnancy | $32 | 0% | $32 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $79 | 0% | $79 |
