| Office Visit - Basic | $72 | 0% | $72 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $278 | 0% | $278 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $326 | 0% | $326 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $221 | 0% | $221 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $242 | 0% | $242 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $242 | 0% | $242 |
| 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 | $221 | 0% | $221 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $200 | 0% | $200 |
| Office Visit - Established Patient, High Complexity | $243 | 0% | $243 |
| Office Visit - Established Patient, Low Complexity | $183 | 0% | $183 |
| Office Visit - Established Patient, Moderate Complexity | $181 | 0% | $181 |
| Office Visit - New Patient, Low Complexity | $267 | 0% | $267 |
| Office Visit - New Patient, Minor | $185 | 0% | $185 |
| Office Visit - New Patient, Moderate Complexity | $279 | 0% | $279 |
