| 105133-3 | MRA Lower extremity vessels - left W contrast IV | RAD |
| 105134-1 | MRA Lower extremity vessels - right W contrast IV | RAD |
| 105135-8 | MRA Lower extremity vessels - bilateral WO and W contrast IV | RAD |
| 105136-6 | MRA Lumbar spine vessels | RAD |
| 105137-4 | MRA Pelvis veins W contrast IV | RAD |
| 105138-2 | MRA Thoracic and abdominal aorta W contrast IV | RAD |
| 105139-0 | MRA Unspecified body region | RAD |
| 10514-8 | Synaptophysin Ag (Tissue, qualitative, immune stain) | PATH |
| 105140-8 | MRA Abdominal veins W contrast IV | RAD |
| 105141-6 | MRA Abdominal veins WO contrast IV | RAD |
| 105142-4 | MRA Aortic arch W contrast IV | RAD |
| 105143-2 | MRA Cervical spine vessels | RAD |
| 105144-0 | MRA Head vessels and Neck vessels W contrast IV | RAD |
| 105145-7 | MRA Head vessels and Neck vessels WO and W contrast IV | RAD |
| 105146-5 | MRA Head vessels and Neck vessels WO contrast IV | RAD |
| 105147-3 | MRA Upper extremity vessels - left W contrast IV | RAD |
| 105148-1 | MRA Upper extremity vessels - right W contrast IV | RAD |
| 105149-9 | MRA Upper extremity vessels - left WO contrast IV | RAD |
| 10515-5 | Thyroglobulin Ag (Tissue, qualitative, immune stain) | PATH |
| 105150-7 | MRA Upper extremity vessels - right WO contrast IV | RAD |
| 105151-5 | MRA Upper extremity vessels - bilateral WO contrast IV | RAD |
| 105152-3 | MRA Upper extremity vessels - bilateral WO and W contrast IV | RAD |
| 105153-1 | MRA Upper extremity vessels - bilateral W contrast IV | RAD |
| 105154-9 | MRA Upper extremity vessels - bilateral | RAD |
| 105155-6 | MRA Lower extremity veins - bilateral | RAD |
| 105156-4 | MR Orbit - bilateral | RAD |
| 105157-2 | MR Small bowel W contrast PO and W contrast IV | RAD |
| 105158-0 | MR Lumbosacral plexus WO contrast IV | RAD |
| 105159-8 | MR Lumbosacral plexus W contrast IV | RAD |
| 10516-3 | Thyrotropin Ag (Tissue, qualitative, immune stain) | PATH |
| 105160-6 | MR Lumbosacral plexus WO and W contrast IV | RAD |
| 105161-4 | MR Upper extremity joint - bilateral WO contrast IV | RAD |
| 105162-2 | MR Upper extremity joint - bilateral WO and W contrast IV | RAD |
| 105163-0 | MR Brain during surgery W contrast IV | RAD |
| 105164-8 | MR Brain during surgery W and WO contrast IV | RAD |
| 105165-5 | MR Guidance for biopsy of Breast | RAD |
| 105166-3 | Functional MR Brain WO contrast | RAD |
| 105167-1 | MR Heart cine for function WO contrast | RAD |
| 105168-9 | MR Heart cine for function WO and W contrast IV | RAD |
| 105169-7 | MR Heart cine for function W contrast IV | RAD |
| 10517-1 | Trypsin Ag (Tissue, qualitative, immune stain) | PATH |
| 105170-5 | MRA Heart WO contrast IV | RAD |
| 105171-3 | MRA Heart W contrast IV | RAD |
| 105172-1 | MRA Heart WO and W contrast IV | RAD |
| 105173-9 | MR Heart cine for blood flow velocity mapping WO contrast IV | RAD |
| 105174-7 | MR Heart cine for blood flow velocity mapping WO and W contrast IV | RAD |
| 105175-4 | Functional assessment standardized items (FASI) - v1.1 during assessment period | PANEL.SURVEY.CMS |
| 105176-2 | Living Arrangements FASI | PANEL.SURVEY.CMS |
| 105177-0 | I have indicated all the devices needed during assessment period (qualitative) | SURVEY.CMS |
| 105178-8 | Invasive trophoblast Ag (Tissue, qualitative, immune stain) | CHEM |