| Bacterial Culture - Aerobic Isolates | $54 | 0% | $54 |
| Bacterial Culture - Swab | $177 | 0% | $177 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $55 | 0% | $55 |
| Blood Test - Cholesterol Test, Lipid Panel | $152 | 0% | $152 |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $40 | 0% | $40 |
| Blood Test - Comprehensive Metabolic Panel | $145 | 0% | $145 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $194 | 0% | $194 |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $131 | 0% | $131 |
| Blood Test - Vitamin D-3 Level | $227 | 0% | $227 |
| Detection test for Human Papillomavirus (HPV) | $316 | 0% | $316 |
| Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) | $55 | 0% | $55 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $227 | 0% | $227 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $264 | 0% | $264 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $204 | 0% | $204 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $217 | 0% | $217 |
| Office Visit - Established Patient, High Complexity | $259 | 0% | $259 |
| Office Visit - Established Patient, Low Complexity | $135 | 0% | $135 |
| Office Visit - Established Patient, Moderate Complexity | $198 | 0% | $198 |
| Office Visit - New Patient, Low Complexity | $186 | 0% | $186 |
| Pap Test | $127 | 0% | $127 |
| Strep Test (Streptococcus, group A) | $51 | 0% | $51 |
| Urine Test - Automated with Microscope Examination | $45 | 0% | $45 |
| Urine Test - Automated without Microscope | $30 | 0% | $30 |
| Urine Test - Urinalysis, Manual Test | $20 | 0% | $20 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $79 | 0% | $79 |
