| Level I Debridement & Destruction | $59.00 | $44.00 | $91.09 | 138 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $100.00 | $44.00 | $262.58 | 133 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $168.00 | $71.00 | $362.13 | 158 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $508.00 | $186.00 | $2,264.47 | 61 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $889.00 | $317.00 | $3,430.88 | 55 out of 1060 | Details | 
  | Level Iii Pulmonary Treatment | $253.00 | $158.00 | $593.80 | 314 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $238.00 | $134.00 | $751.36 | 65 out of 1889 | Details | 
  | Level I Nerve Injections | $265.00 | $90.00 | $1,279.79 | 73 out of 1657 | Details | 
  | Level Iii Nerve Injections | $999.00 | $505.00 | $2,577.32 | 143 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $2,566.00 | $1,806.00 | $3,631.53 | 432 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $385.00 | $325.00 | $487.04 | 1090 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $616.00 | $467.00 | $1,057.55 | 535 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $760.00 | $370.00 | $1,970.56 | 123 out of 2898 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $1,452.00 | $1,017.00 | $2,611.02 | 259 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $227.00 | $169.00 | $316.27 | 845 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $2,041.00 | $1,302.00 | $4,574.47 | 124 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $74.00 | $1.00 | $202.38 | 15 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $98.00 | $1.00 | $278.39 | 18 out of 1834 | Details | 
  | Level I Electronic Analysis Of Devices | $68.00 | $34.00 | $182.68 | 65 out of 569 | Details |