| Level I Debridement & Destruction | $54.00 | $40.00 | $91.09 | 126 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $115.00 | $62.00 | $262.58 | 191 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $206.00 | $108.00 | $362.13 | 283 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $663.00 | $323.00 | $2,264.47 | 106 out of 445 | Details | 
  | Level Iii Pulmonary Treatment | $186.00 | $90.00 | $593.80 | 112 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $199.00 | $96.00 | $751.36 | 24 out of 1889 | Details | 
  | Level I Nerve Injections | $458.00 | $289.00 | $1,279.79 | 268 out of 1657 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $1,644.00 | $888.00 | $3,631.53 | 68 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $273.00 | $213.00 | $487.04 | 426 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $270.00 | $122.00 | $1,057.55 | 13 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $968.00 | $578.00 | $1,970.56 | 303 out of 2898 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $1,860.00 | $1,528.00 | $2,611.02 | 668 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $110.00 | $52.00 | $316.27 | 89 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $3,084.00 | $2,369.00 | $4,574.47 | 631 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $89.00 | $16.00 | $202.38 | 128 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $137.00 | $40.00 | $278.39 | 220 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $140.00 | $16.00 | $351.90 | 53 out of 1532 | Details | 
  | Level Ii Electronic Analysis Of Devices | $239.00 | $131.00 | $705.38 | 56 out of 457 | Details | 
  | Level Ii Eye Tests & Treatments | $132.00 | $67.00 | $250.69 | 49 out of 185 | Details |