| Level Ii Debridement & Destruction | $93.00 | $35.00 | $262.58 | 104 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $140.00 | $42.00 | $362.13 | 84 out of 1534 | Details | 
  | Level Ii Excision/ Biopsy | $2,299.00 | $1,714.00 | $3,430.88 | 409 out of 1060 | Details | 
  | Level I Nerve Injections | $449.00 | $269.00 | $1,279.79 | 258 out of 1657 | Details | 
  | Level Iii Nerve Injections | $1,240.00 | $722.00 | $2,577.32 | 318 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $3,011.00 | $2,248.00 | $3,631.53 | 748 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $259.00 | $198.00 | $487.04 | 357 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $267.00 | $116.00 | $1,057.55 | 11 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,673.00 | $1,277.00 | $1,970.56 | 1390 out of 2898 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $1,939.00 | $1,601.00 | $2,611.02 | 759 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $143.00 | $83.00 | $316.27 | 234 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $2,574.00 | $1,822.00 | $4,574.47 | 329 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $79.00 | $4.00 | $202.38 | 46 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $129.00 | $31.00 | $278.39 | 183 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $184.00 | $56.00 | $351.90 | 219 out of 1532 | Details | 
  | Level 5 Hospital Clinic Visits | $210.00 | $41.00 | $454.23 | 79 out of 634 | Details | 
  | Level Ii Electronic Analysis Of Devices | $238.00 | $127.00 | $705.38 | 55 out of 457 | Details |