| Level I Debridement & Destruction | $20.00 | $4.00 | $91.09 | 19 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $73.00 | $17.00 | $262.58 | 36 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $121.00 | $21.00 | $362.13 | 34 out of 1534 | Details | 
  | Level Iii Pulmonary Treatment | $298.00 | $196.00 | $593.80 | 491 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $564.00 | $453.00 | $751.36 | 760 out of 1889 | Details | 
  | Level I Nerve Injections | $263.00 | $74.00 | $1,279.79 | 72 out of 1657 | Details | 
  | Level Ii Nerve Injections | $512.00 | $233.00 | $1,342.70 | 74 out of 769 | Details | 
  | Level Iii Nerve Injections | $1,891.00 | $1,361.00 | $2,577.32 | 887 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $2,840.00 | $2,030.00 | $3,631.53 | 637 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $466.00 | $401.00 | $487.04 | 1570 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $791.00 | $632.00 | $1,057.55 | 1102 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,751.00 | $1,336.00 | $1,970.56 | 1498 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $2,172.00 | $1,585.00 | $3,033.90 | 386 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,393.00 | $2,017.00 | $2,611.02 | 1363 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $152.00 | $90.00 | $316.27 | 295 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $3,158.00 | $2,374.00 | $4,574.47 | 670 out of 2564 | Details | 
  | Level 1 Hospital Clinic Visits | $221.00 | $166.00 | $1,170.55 | 1 out of 44 | Details | 
  | Level I Electronic Analysis Of Devices | $205.00 | $169.00 | $182.68 | 412 out of 569 | Details |