| Level I Debridement & Destruction | $223.00 | $203.00 | $91.09 | 275 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $479.00 | $413.00 | $262.58 | 1366 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $725.00 | $616.00 | $362.13 | 1451 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $1,481.00 | $1,128.00 | $2,264.47 | 252 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,883.00 | $1,308.00 | $3,430.88 | 301 out of 1060 | Details | 
  | Level Iii Pulmonary Treatment | $277.00 | $170.00 | $593.80 | 402 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $491.00 | $379.00 | $751.36 | 593 out of 1889 | Details | 
  | Level I Nerve Injections | $1,430.00 | $1,231.00 | $1,279.79 | 1166 out of 1657 | Details | 
  | Level Ii Nerve Injections | $1,942.00 | $1,648.00 | $1,342.70 | 636 out of 769 | Details | 
  | Level Iii Nerve Injections | $2,716.00 | $2,145.00 | $2,577.32 | 1395 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $2,240.00 | $1,388.00 | $3,631.53 | 243 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $294.00 | $226.00 | $487.04 | 541 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $886.00 | $719.00 | $1,057.55 | 1405 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,713.00 | $1,274.00 | $1,970.56 | 1444 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $2,465.00 | $1,848.00 | $3,033.90 | 510 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,146.00 | $1,771.00 | $2,611.02 | 1032 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $230.00 | $165.00 | $316.27 | 865 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $1,856.00 | $1,024.00 | $4,574.47 | 79 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $130.00 | $48.00 | $202.38 | 553 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $175.00 | $65.00 | $278.39 | 464 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $210.00 | $69.00 | $351.90 | 318 out of 1532 | Details | 
  | Level I Electronic Analysis Of Devices | $125.00 | $86.00 | $182.68 | 253 out of 569 | Details | 
  | Level Ii Electronic Analysis Of Devices | $9,106.00 | $8,984.00 | $705.38 | 457 out of 457 | Details |