| Level Ii Debridement & Destruction | $148.00 | $89.00 | $262.58 | 375 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $172.00 | $74.00 | $362.13 | 172 out of 1534 | Details | 
  | Level Ii Excision/ Biopsy | $1,203.00 | $784.00 | $3,430.88 | 128 out of 1060 | Details | 
  | Level Iii Pulmonary Treatment | $315.00 | $228.00 | $593.80 | 565 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $385.00 | $283.00 | $751.36 | 326 out of 1889 | Details | 
  | Level I Nerve Injections | $620.00 | $444.00 | $1,279.79 | 443 out of 1657 | Details | 
  | Level Ii Nerve Injections | $414.00 | $182.00 | $1,342.70 | 33 out of 769 | Details | 
  | Level Iii Nerve Injections | $1,240.00 | $738.00 | $2,577.32 | 319 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $2,926.00 | $2,180.00 | $3,631.53 | 689 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $343.00 | $283.00 | $487.04 | 820 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $549.00 | $403.00 | $1,057.55 | 347 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $977.00 | $594.00 | $1,970.56 | 318 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $688.00 | $149.00 | $3,033.90 | 2 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,434.00 | $2,050.00 | $2,611.02 | 1417 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $148.00 | $91.00 | $316.27 | 268 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $2,291.00 | $1,578.00 | $4,574.47 | 208 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $154.00 | $83.00 | $202.38 | 821 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $167.00 | $72.00 | $278.39 | 412 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $230.00 | $107.00 | $351.90 | 406 out of 1532 | Details | 
  | Level 5 Hospital Clinic Visits | $268.00 | $106.00 | $454.23 | 170 out of 634 | Details | 
  | Level Ii Electronic Analysis Of Devices | $1,131.00 | $1,037.00 | $705.38 | 401 out of 457 | Details |