| Level I Debridement & Destruction | $59.00 | $44.00 | $91.09 | 137 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $125.00 | $68.00 | $262.58 | 237 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $214.00 | $119.00 | $362.13 | 324 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $683.00 | $353.00 | $2,264.47 | 114 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $714.00 | $148.00 | $3,430.88 | 24 out of 1060 | Details | 
  | Level Iii Pulmonary Treatment | $246.00 | $150.00 | $593.80 | 291 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $697.00 | $592.00 | $751.36 | 1062 out of 1889 | Details | 
  | Level I Nerve Injections | $239.00 | $61.00 | $1,279.79 | 50 out of 1657 | Details | 
  | Level Iii Nerve Injections | $1,092.00 | $578.00 | $2,577.32 | 198 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $3,730.00 | $2,967.00 | $3,631.53 | 1237 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $388.00 | $327.00 | $487.04 | 1110 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $823.00 | $673.00 | $1,057.55 | 1211 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $2,018.00 | $1,623.00 | $1,970.56 | 1844 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $1,690.00 | $1,152.00 | $3,033.90 | 178 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,397.00 | $2,061.00 | $2,611.02 | 1369 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $125.00 | $66.00 | $316.27 | 144 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $2,652.00 | $1,905.00 | $4,574.47 | 377 out of 2564 | Details | 
  | Level 3 Hospital Clinic Visits | $102.00 | $4.00 | $278.39 | 40 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $185.00 | $59.00 | $351.90 | 222 out of 1532 | Details | 
  | Level 5 Hospital Clinic Visits | $194.00 | $28.00 | $454.23 | 50 out of 634 | Details | 
  | Level Ii Electronic Analysis Of Devices | $381.00 | $272.00 | $705.38 | 146 out of 457 | Details | 
  | Level Ii Eye Tests & Treatments | $110.00 | $44.00 | $250.69 | 31 out of 185 | Details |