| Level I Debridement & Destruction | $116.00 | $91.00 | $91.09 | 223 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $361.00 | $305.00 | $262.58 | 1225 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $441.00 | $346.00 | $362.13 | 1189 out of 1534 | Details | 
  | Level Ii Excision/ Biopsy | $1,738.00 | $1,191.00 | $3,430.88 | 264 out of 1060 | Details | 
  | Level Iii Pulmonary Treatment | $392.00 | $296.00 | $593.80 | 880 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $534.00 | $431.00 | $751.36 | 696 out of 1889 | Details | 
  | Level Iv Nerve Injections | $1,842.00 | $1,008.00 | $3,675.68 | 20 out of 131 | Details | 
  | Level I Nerve Injections | $1,111.00 | $944.00 | $1,279.79 | 947 out of 1657 | Details | 
  | Level Ii Nerve Injections | $677.00 | $427.00 | $1,342.70 | 160 out of 769 | Details | 
  | Level Iii Nerve Injections | $1,751.00 | $1,247.00 | $2,577.32 | 763 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $2,594.00 | $1,872.00 | $3,631.53 | 447 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $274.00 | $237.00 | $487.04 | 430 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $797.00 | $649.00 | $1,057.55 | 1129 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,606.00 | $1,221.00 | $1,970.56 | 1296 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $1,228.00 | $682.00 | $3,033.90 | 66 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,042.00 | $1,707.00 | $2,611.02 | 891 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $133.00 | $76.00 | $316.27 | 182 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $3,471.00 | $2,741.00 | $4,574.47 | 881 out of 2564 | Details | 
  | Level 1 Hospital Clinic Visits | $894.00 | $843.00 | $1,170.55 | 26 out of 44 | Details | 
  | Level 2 Hospital Clinic Visits | $137.00 | $65.00 | $202.38 | 627 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $156.00 | $60.00 | $278.39 | 338 out of 1834 | Details | 
  | Level I Electronic Analysis Of Devices | $108.00 | $74.00 | $182.68 | 208 out of 569 | Details | 
  | Level Ii Electronic Analysis Of Devices | $942.00 | $835.00 | $705.38 | 375 out of 457 | Details |