| Level I Debridement & Destruction | $49.00 | $35.00 | $91.09 | 113 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $62.00 | $10.00 | $262.58 | 7 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $151.00 | $56.00 | $362.13 | 115 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $476.00 | $186.00 | $2,264.47 | 48 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,888.00 | $1,392.00 | $3,430.88 | 302 out of 1060 | Details | 
  | Level Iii Pulmonary Treatment | $220.00 | $129.00 | $593.80 | 198 out of 2304 | Details | 
  | Level I Nerve Injections | $250.00 | $83.00 | $1,279.79 | 58 out of 1657 | Details | 
  | Level Ii Nerve Injections | $388.00 | $142.00 | $1,342.70 | 22 out of 769 | Details | 
  | Level Iii Nerve Injections | $781.00 | $309.00 | $2,577.32 | 62 out of 2002 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $226.00 | $169.00 | $487.04 | 227 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $511.00 | $370.00 | $1,057.55 | 264 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $988.00 | $620.00 | $1,970.56 | 329 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $1,583.00 | $1,066.00 | $3,033.90 | 150 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,031.00 | $1,710.00 | $2,611.02 | 878 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $151.00 | $96.00 | $316.27 | 288 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $1,314.00 | $629.00 | $4,574.47 | 12 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $88.00 | $19.00 | $202.38 | 118 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $120.00 | $28.00 | $278.39 | 123 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $136.00 | $18.00 | $351.90 | 42 out of 1532 | Details | 
  | Level Ii Eye Tests & Treatments | $146.00 | $85.00 | $250.69 | 59 out of 185 | Details |