| Office Visit - Basic | $89 | 0% | $89 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $289 | 0% | $289 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $289 | 0% | $289 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $236 | 0% | $236 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $263 | 0% | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $263 | 0% | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $263 | 0% | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $236 | 0% | $236 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $210 | 0% | $210 |
| Office Visit - Established Patient, High Complexity | $305 | 0% | $305 |
| Office Visit - Established Patient, Low Complexity | $147 | 0% | $147 |
| Office Visit - Established Patient, Moderate Complexity | $226 | 0% | $226 |
| Office Visit - New Patient, Low Complexity | $221 | 0% | $221 |
| Office Visit - New Patient, Minor | $152 | 0% | $152 |
| Office Visit - New Patient, Moderate Complexity | $336 | 0% | $336 |
| Psychiatric Diagnostic Evaluation | $152 | 0% | $152 |
| Psychotherapy - 45 Minutes | $126 | 0% | $126 |
| Psychotherapy - 60 Minutes | $158 | 0% | $158 |
| Psychotherapy - Family Session | $142 | 0% | $142 |
