| Level I Debridement & Destruction | $84.00 | $61.00 | $91.09 | 182 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $82.00 | $26.00 | $262.58 | 61 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $172.00 | $78.00 | $362.13 | 170 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $310.00 | $4.00 | $2,264.47 | 2 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $973.00 | $461.00 | $3,430.88 | 69 out of 1060 | Details | 
  | Level Iii Endoscopy Upper Airway | $300.00 | $33.00 | $856.60 | 1 out of 95 | Details | 
  | Level Iii Pulmonary Treatment | $214.00 | $124.00 | $593.80 | 176 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $645.00 | $548.00 | $751.36 | 952 out of 1889 | Details | 
  | Level I Nerve Injections | $383.00 | $215.00 | $1,279.79 | 184 out of 1657 | Details | 
  | Level Ii Nerve Injections | $1,323.00 | $1,087.00 | $1,342.70 | 478 out of 769 | Details | 
  | Level Iii Nerve Injections | $2,541.00 | $2,083.00 | $2,577.32 | 1295 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $2,324.00 | $1,608.00 | $3,631.53 | 290 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $569.00 | $513.00 | $487.04 | 1997 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $741.00 | $602.00 | $1,057.55 | 944 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,217.00 | $851.00 | $1,970.56 | 640 out of 2898 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,079.00 | $1,768.00 | $2,611.02 | 945 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $116.00 | $62.00 | $316.27 | 114 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $3,933.00 | $3,248.00 | $4,574.47 | 1161 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $76.00 | $7.00 | $202.38 | 28 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $99.00 | $8.00 | $278.39 | 22 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $123.00 | $5.00 | $351.90 | 8 out of 1532 | Details | 
  | Level 5 Hospital Clinic Visits | $159.00 | $4.00 | $454.23 | 3 out of 634 | Details |