| Level Ii Debridement & Destruction | $213.00 | $161.00 | $262.58 | 766 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $286.00 | $196.00 | $362.13 | 654 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $1,025.00 | $705.00 | $2,264.47 | 188 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,072.00 | $537.00 | $3,430.88 | 95 out of 1060 | Details | 
  | Level Iii Pulmonary Treatment | $271.00 | $181.00 | $593.80 | 382 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $354.00 | $257.00 | $751.36 | 260 out of 1889 | Details | 
  | Level I Nerve Injections | $505.00 | $339.00 | $1,279.79 | 316 out of 1657 | Details | 
  | Level Iii Nerve Injections | $1,213.00 | $747.00 | $2,577.32 | 291 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $1,331.00 | $628.00 | $3,631.53 | 23 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $262.00 | $205.00 | $487.04 | 378 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $653.00 | $514.00 | $1,057.55 | 642 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,715.00 | $1,348.00 | $1,970.56 | 1448 out of 2898 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $1,800.00 | $1,488.00 | $2,611.02 | 603 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $149.00 | $95.00 | $316.27 | 275 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $2,522.00 | $1,828.00 | $4,574.47 | 312 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $175.00 | $107.00 | $202.38 | 1050 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $237.00 | $148.00 | $278.39 | 896 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $302.00 | $185.00 | $351.90 | 716 out of 1532 | Details | 
  | Level I Electronic Analysis Of Devices | $118.00 | $86.00 | $182.68 | 235 out of 569 | Details | 
  | Level Ii Electronic Analysis Of Devices | $650.00 | $549.00 | $705.38 | 302 out of 457 | Details |