| Level I Debridement & Destruction | $33.00 | $17.00 | $91.09 | 65 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $126.00 | $71.00 | $262.58 | 249 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $202.00 | $101.00 | $362.13 | 267 out of 1534 | Details | 
  | Level Ii Excision/ Biopsy | $2,211.00 | $1,606.00 | $3,430.88 | 392 out of 1060 | Details | 
  | Level Iii Pulmonary Treatment | $675.00 | $570.00 | $593.80 | 1702 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $774.00 | $661.00 | $751.36 | 1215 out of 1889 | Details | 
  | Level I Nerve Injections | $427.00 | $232.00 | $1,279.79 | 227 out of 1657 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $2,709.00 | $1,894.00 | $3,631.53 | 524 out of 1967 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $876.00 | $718.00 | $1,057.55 | 1374 out of 2998 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $3,128.00 | $2,487.00 | $2,611.02 | 2178 out of 2855 | Details | 
  | Level Ii Cardiac Imaging | $3,956.00 | $3,150.00 | $4,574.47 | 1175 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $113.00 | $32.00 | $202.38 | 378 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $196.00 | $89.00 | $278.39 | 630 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $214.00 | $76.00 | $351.90 | 338 out of 1532 | Details | 
  | Level 5 Hospital Clinic Visits | $327.00 | $146.00 | $454.23 | 257 out of 634 | Details | 
  | Level I Electronic Analysis Of Devices | $71.00 | $33.00 | $182.68 | 86 out of 569 | Details |