| Level I Debridement & Destruction | $19.00 | $5.00 | $91.09 | 17 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $77.00 | $24.00 | $262.58 | 44 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $200.00 | $109.00 | $362.13 | 255 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $654.00 | $361.00 | $2,264.47 | 102 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $968.00 | $460.00 | $3,430.88 | 67 out of 1060 | Details | 
  | Level Iii Pulmonary Treatment | $355.00 | $280.00 | $593.80 | 732 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $429.00 | $340.00 | $751.36 | 432 out of 1889 | Details | 
  | Level Ii Nerve Injections | $619.00 | $375.00 | $1,342.70 | 130 out of 769 | Details | 
  | Level Iii Nerve Injections | $1,390.00 | $988.00 | $2,577.32 | 438 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $2,757.00 | $2,054.00 | $3,631.53 | 567 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $323.00 | $267.00 | $487.04 | 685 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $839.00 | $700.00 | $1,057.55 | 1252 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,977.00 | $1,614.00 | $1,970.56 | 1797 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $1,801.00 | $1,287.00 | $3,033.90 | 223 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,425.00 | $2,107.00 | $2,611.02 | 1404 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $197.00 | $143.00 | $316.27 | 622 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $3,166.00 | $2,477.00 | $4,574.47 | 676 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $71.00 | $2.00 | $202.38 | 8 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $180.00 | $89.00 | $278.39 | 508 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $308.00 | $191.00 | $351.90 | 745 out of 1532 | Details | 
  | Level 5 Hospital Clinic Visits | $356.00 | $202.00 | $454.23 | 297 out of 634 | Details | 
  | Level Ii Electronic Analysis Of Devices | $573.00 | $474.00 | $705.38 | 262 out of 457 | Details |