| Level I Debridement & Destruction | $67.00 | $53.00 | $91.09 | 157 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $141.00 | $91.00 | $262.58 | 334 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $238.00 | $146.00 | $362.13 | 422 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $790.00 | $480.00 | $2,264.47 | 135 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,456.00 | $911.00 | $3,430.88 | 185 out of 1060 | Details | 
  | Level Iii Pulmonary Treatment | $506.00 | $412.00 | $593.80 | 1309 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $590.00 | $489.00 | $751.36 | 817 out of 1889 | Details | 
  | Level Iv Nerve Injections | $2,605.00 | $1,751.00 | $3,675.68 | 48 out of 131 | Details | 
  | Level I Nerve Injections | $521.00 | $345.00 | $1,279.79 | 337 out of 1657 | Details | 
  | Level Ii Nerve Injections | $733.00 | $480.00 | $1,342.70 | 190 out of 769 | Details | 
  | Level Iii Nerve Injections | $1,880.00 | $1,377.00 | $2,577.32 | 873 out of 2002 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $375.00 | $315.00 | $487.04 | 1018 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $845.00 | $697.00 | $1,057.55 | 1279 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $2,383.00 | $1,996.00 | $1,970.56 | 2188 out of 2898 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,075.00 | $1,725.00 | $2,611.02 | 942 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $325.00 | $267.00 | $316.27 | 1471 out of 2248 | Details | 
  | Level Iii Pulmonary Tests | $1,432.00 | $1,245.00 | $1,016.89 | 260 out of 304 | Details | 
  | Level Ii Cardiac Imaging | $5,162.00 | $4,432.00 | $4,574.47 | 1805 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $136.00 | $63.00 | $202.38 | 626 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $176.00 | $80.00 | $278.39 | 476 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $225.00 | $101.00 | $351.90 | 383 out of 1532 | Details | 
  | Level I Electronic Analysis Of Devices | $173.00 | $139.00 | $182.68 | 369 out of 569 | Details | 
  | Level Ii Electronic Analysis Of Devices | $347.00 | $241.00 | $705.38 | 130 out of 457 | Details | 
  | Level Ii Eye Tests & Treatments | $352.00 | $288.00 | $250.69 | 161 out of 185 | Details |