| Level I Debridement & Destruction | $21.00 | $6.00 | $91.09 | 22 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $94.00 | $36.00 | $262.58 | 109 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $317.00 | $215.00 | $362.13 | 811 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $369.00 | $36.00 | $2,264.47 | 15 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $739.00 | $158.00 | $3,430.88 | 28 out of 1060 | Details | 
  | Level Iii Pulmonary Treatment | $307.00 | $209.00 | $593.80 | 527 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $468.00 | $363.00 | $751.36 | 517 out of 1889 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $2,399.00 | $1,628.00 | $3,631.53 | 319 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $313.00 | $251.00 | $487.04 | 620 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $607.00 | $455.00 | $1,057.55 | 508 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $950.00 | $552.00 | $1,970.56 | 281 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $1,625.00 | $1,067.00 | $3,033.90 | 161 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $1,566.00 | $1,211.00 | $2,611.02 | 359 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $113.00 | $54.00 | $316.27 | 100 out of 2248 | Details | 
  | Level Iii Pulmonary Tests | $351.00 | $160.00 | $1,016.89 | 16 out of 304 | Details | 
  | Level Ii Cardiac Imaging | $3,388.00 | $2,633.00 | $4,574.47 | 827 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $76.00 | $2.00 | $202.38 | 26 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $99.00 | $0.00 | $278.39 | 20 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $129.00 | $1.00 | $351.90 | 17 out of 1532 | Details |