| 103257-2 | XR Shoulder - bilateral GE 3 Views | RAD |
| 103258-0 | XR Pelvis and Hip - right Single view | RAD |
| 103259-8 | XR Shoulder - left GE 3 Views | RAD |
| 10326-7 | Breath rate device Vendor serial number | RESP.ATOM |
| 103260-6 | XR Spine Lumbar and Sacrum Views W right bending and W left bending | RAD |
| 103261-4 | XR Shoulder - bilateral GE 2 Views | RAD |
| 103262-2 | XR Calcaneus - right GE 2 Views | RAD |
| 103263-0 | XR Spine Lumbar and Sacrum 2 or 3 Views W right bending and W left bending | RAD |
| 103264-8 | XR Calcaneus - left GE 2 Views | RAD |
| 103265-5 | XR Pelvis and Hip - bilateral GE 5 Views | RAD |
| 103266-3 | XR Pelvis and Hip - bilateral 3 or 4 Views | RAD |
| 103267-1 | XR Hip - bilateral 3 or 4 Views | RAD |
| 103268-9 | XR Spine thoracolumbar junction GE 2 Views | RAD |
| 103269-7 | XR Thoracic spine GE 4 Views | RAD |
| 10327-5 | Eosinophils/Leukocytes in Sputum (manual count) | HEM/BC |
| 103270-5 | XR Pelvis and Hip - left Single view | RAD |
| 103271-3 | XR Hip 2 or 3 Views | RAD |
| 103272-1 | XR Pelvis and Hip - right GE 2 Views | RAD |
| 103273-9 | XR Abdomen Greater than 2 views and upright and lateral-decubitus | RAD |
| 103274-7 | XR Pelvis and Hip - bilateral View AP and Views 3 or 4 | RAD |
| 103275-4 | Portable XR Chest 2 Views | RAD |
| 103276-2 | XR Thumb - right GE 2 Views | RAD |
| 103277-0 | XR Ribs - left and Chest 2 Views and PA | RAD |
| 103278-8 | XR Thumb - left GE 2 Views | RAD |
| 103279-6 | XR Pelvis and Hip - bilateral GE 2 Views | RAD |
| 10328-3 | Lymphocytes/Leukocytes (CSF, manual count) | HEM/BC |
| 103280-4 | XR Ribs - right and Chest 2 Views and PA | RAD |
| 103281-2 | Portable XR Chest and Abdomen Views | RAD |
| 103282-0 | XR Abdomen View AP and oblique and cone | RAD |
| 103283-8 | XR Wrist - right 3 or 4 Views | RAD |
| 103284-6 | Portable XR Abdomen 2 Views | RAD |
| 103285-3 | XR Wrist - right Greater than 3 views scaphoid | RAD |
| 103286-1 | XR Pelvis and Hip - left GE 4 Views | RAD |
| 103287-9 | XR Wrist - left 3 or 4 Views | RAD |
| 103288-7 | XR Finger fifth - right GE 2 Views | RAD |
| 103289-5 | Portable XR Hip - right Single view | RAD |
| 10329-1 | Monocytes/Leukocytes (CSF, manual count) | HEM/BC |
| 103290-3 | XR Finger third - right GE 2 Views | RAD |
| 103291-1 | XR Finger second - left GE 2 Views | RAD |
| 103292-9 | XR Ribs - left and Chest 2 Views and Single view | RAD |
| 103293-7 | XR Finger second - right GE 2 Views | RAD |
| 103294-5 | XR Chest and Abdomen View and View 2 | RAD |
| 103295-2 | XR Knee - bilateral Single view W standing | RAD |
| 103296-0 | XR Finger third - left GE 2 Views | RAD |
| 103297-8 | XR Cervical spine GE 3 Views | RAD |
| 103298-6 | XR Pelvis and Hip - right GE 4 Views | RAD |
| 103299-4 | XR Ribs - right and Chest 2 Views and Single view | RAD |
| 1033-0 | Fy sup(b) Ag on Red Blood Cells (qualitative) | BLDBK |
| 10330-9 | Monocytes/Leukocytes (Body Fluid, manual count) | HEM/BC |
| 103300-0 | XR Pelvis and Hip - left GE 2 Views | RAD |