Adult Preventative Care

93880

CIMT Scan

$265

Child Preventative Care

99391

Established Patient <1 year

$108

Child Preventative Care

99392

Established Patient, 1-4 years

$115

Child Preventative Care

99393

Established Patient, 5-11 years

$115

Child Preventative Care

99394

Established Patient, 12-17 years

$126

Child Preventative Care

81002

Urinalysis by dip stick, non-automated, without microscopy

$3

Child Preventative Care

92552

Audiometry, screen

$25

Child Preventative Care

99173

Visual acuity, screening

$4

Sick Visit

99213

Established Patient - Routine Office Visit

$80

Sick Visit

99214

Established Patient - Detailed Office Visit

$117

Sick Visit

99215

Established Patient - Complex Office Visit

$157

Sick Visit

71045

Radiologic examination, chest; 1 view

$23