| 99212 | Visit Minimal | $135.00 | $81.00 | Included |
| 99213 | Visit Routine | $185.00 | $145.00 | Included |
| 99214 | Visit Detailed | $245.00 | $197.00 | Included |
| 99215 | Visit Comprehensive | $285.00 | $265.00 | Included |
| 69210 | Ear Lavage | $145.00 | $105.00 | Included |
| 11750 | Ingrown Nail Removal | $145.00 | $105.00 | Included |
| 81000 | Urinalysis | $25.00 | $15.00 | Included |
| 71046 | Chest Xray | $155.00 | $104.00 | Included |
| 72100 | Lumbar Xray | $155.00 | $104.00 | Included |
| 73100 | Wrist Xray | $105.00 | $90.00 | Included |
| 73110 | Wrist Xray 3 View | $135.00 | $105.00 | Included |
| 73600 | Ankle Xray | $135.00 | $105.00 | Included |
