| Level I Debridement & Destruction | $27.00 | $11.00 | $91.09 | 41 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $105.00 | $48.00 | $262.58 | 150 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $147.00 | $45.00 | $362.13 | 96 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $366.00 | $28.00 | $2,264.47 | 11 out of 445 | Details | 
  | Level Iii Pulmonary Treatment | $285.00 | $180.00 | $593.80 | 434 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $954.00 | $841.00 | $751.36 | 1468 out of 1889 | Details | 
  | Level I Nerve Injections | $199.00 | $13.00 | $1,279.79 | 11 out of 1657 | Details | 
  | Level Iii Nerve Injections | $1,390.00 | $835.00 | $2,577.32 | 439 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $4,116.00 | $3,286.00 | $3,631.53 | 1416 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $321.00 | $255.00 | $487.04 | 669 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $811.00 | $649.00 | $1,057.55 | 1177 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $2,172.00 | $1,744.00 | $1,970.56 | 2016 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $1,682.00 | $1,091.00 | $3,033.90 | 176 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,843.00 | $2,473.00 | $2,611.02 | 1897 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $173.00 | $110.00 | $316.27 | 432 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $3,939.00 | $3,136.00 | $4,574.47 | 1165 out of 2564 | Details | 
  | Level 4 Hospital Clinic Visits | $139.00 | $3.00 | $351.90 | 52 out of 1532 | Details | 
  | Level 5 Hospital Clinic Visits | $192.00 | $12.00 | $454.23 | 44 out of 634 | Details | 
  | Level I Electronic Analysis Of Devices | $184.00 | $147.00 | $182.68 | 388 out of 569 | Details | 
  | Level Ii Eye Tests & Treatments | $145.00 | $76.00 | $250.69 | 57 out of 185 | Details |