| Electrocardiogram (ECG or EKG), with Report and Interpretation | $468 | N/A | $468 |
| Office Visit - Basic | $72 | N/A | $72 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $278 | N/A | $278 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $326 | N/A | $326 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $221 | N/A | $221 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $242 | N/A | $242 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $242 | N/A | $242 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $263 | N/A | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $221 | N/A | $221 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $200 | N/A | $200 |
| Office Visit - Established Patient, High Complexity | $243 | N/A | $243 |
| Office Visit - Established Patient, Low Complexity | $183 | N/A | $183 |
| Office Visit - Established Patient, Moderate Complexity | $181 | N/A | $181 |
| Office Visit - New Patient, Low Complexity | $263 | N/A | $263 |
| Office Visit - New Patient, Minor | $186 | N/A | $186 |
| Office Visit - New Patient, Moderate Complexity | $279 | N/A | $279 |
| Vaccine - Influenza for Injection into Muscle | $58 | N/A | $58 |
