| Level I Debridement & Destruction | $172.00 | $156.00 | $91.09 | 262 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $216.00 | $155.00 | $262.58 | 779 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $242.00 | $130.00 | $362.13 | 445 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $493.00 | $127.00 | $2,264.47 | 57 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,365.00 | $734.00 | $3,430.88 | 163 out of 1060 | Details | 
  | Level Iii Pulmonary Treatment | $628.00 | $520.00 | $593.80 | 1627 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $498.00 | $381.00 | $751.36 | 606 out of 1889 | Details | 
  | Level I Nerve Injections | $393.00 | $197.00 | $1,279.79 | 192 out of 1657 | Details | 
  | Level Ii Nerve Injections | $821.00 | $530.00 | $1,342.70 | 235 out of 769 | Details | 
  | Level Iii Nerve Injections | $2,014.00 | $1,463.00 | $2,577.32 | 970 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $2,729.00 | $1,872.00 | $3,631.53 | 545 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $475.00 | $407.00 | $487.04 | 1615 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $914.00 | $746.00 | $1,057.55 | 1461 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,935.00 | $1,494.00 | $1,970.56 | 1733 out of 2898 | Details | 
  | Level Ii Pulmonary Tests | $486.00 | $421.00 | $316.27 | 1965 out of 2248 | Details | 
  | Level Iii Pulmonary Tests | $656.00 | $429.00 | $1,016.89 | 95 out of 304 | Details | 
  | Level Ii Cardiac Imaging | $6,755.00 | $5,927.00 | $4,574.47 | 2228 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $106.00 | $24.00 | $202.38 | 297 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $143.00 | $34.00 | $278.39 | 256 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $177.00 | $36.00 | $351.90 | 184 out of 1532 | Details | 
  | Level 5 Hospital Clinic Visits | $205.00 | $20.00 | $454.23 | 70 out of 634 | Details | 
  | Level I Electronic Analysis Of Devices | $431.00 | $393.00 | $182.68 | 536 out of 569 | Details | 
  | Level Ii Electronic Analysis Of Devices | $904.00 | $782.00 | $705.38 | 368 out of 457 | Details | 
  | Level Ii Eye Tests & Treatments | $247.00 | $174.00 | $250.69 | 125 out of 185 | Details |