| 103857-9 | RFA Vertebral vessels Right Views W contrast IA | RAD |
| 103858-7 | XR and RF Chest GE 2 Views and Views | RAD |
| 103859-5 | CT Abdomen and Pelvis W contrast PO and W contrast IV | RAD |
| 10386-1 | Albumin given | BLDBK |
| 103860-3 | CT Abdomen W contrast PO | RAD |
| 103861-1 | CT Abdomen W contrast PO and W contrast IV | RAD |
| 103862-9 | CT Facial bones WO and W contrast IV | RAD |
| 103863-7 | CT Kidney and Ureter and Urinary bladder W contrast IV | RAD |
| 103864-5 | CT Sella turcica and Orbit W contrast IV | RAD |
| 103865-2 | CT Shoulder - bilateral WO and W contrast IV | RAD |
| 103866-0 | CT Lower leg - bilateral W contrast IV | RAD |
| 103867-8 | CT Lower leg - bilateral WO and W contrast IV | RAD |
| 103868-6 | CT Sella turcica and Orbit WO contrast | RAD |
| 103869-4 | CT Sella turcica and Orbit WO and W contrast IV | RAD |
| 10387-9 | Autologous erythrocytes given | BLDBK |
| 103870-2 | CT Sella turcica and Orbit - bilateral | RAD |
| 103871-0 | CT Sella turcica and Orbit - bilateral WO contrast | RAD |
| 103872-8 | CT Sella turcica and Orbit - bilateral W contrast IV | RAD |
| 103873-6 | CT Sella turcica and Orbit - bilateral WO and W contrast IV | RAD |
| 103874-4 | CT Chest and Abdomen | RAD |
| 103875-1 | CT Pelvis W contrast PO | RAD |
| 103876-9 | CT Pelvis W contrast PO and W contrast IV | RAD |
| 103877-7 | CT Forearm - bilateral W contrast IV | RAD |
| 103878-5 | CT Forearm - bilateral WO contrast | RAD |
| 103879-3 | CT Forearm - bilateral WO and W contrast IV | RAD |
| 10388-7 | Autologous whole blood given | BLDBK |
| 103880-1 | CT Ankle - bilateral WO and W contrast IV | RAD |
| 103881-9 | CT Mastoid WO contrast | RAD |
| 103882-7 | CT Mastoid WO and W contrast IV | RAD |
| 103883-5 | CT Foot - bilateral WO and W contrast IV | RAD |
| 103884-3 | CT Wrist - bilateral WO and W contrast IV | RAD |
| 103885-0 | MG Breast - left Screening for implant | RAD |
| 103886-8 | MG Breast - right Screening for implant | RAD |
| 103887-6 | MG Breast duct - bilateral Single view W contrast intra duct | RAD |
| 103888-4 | MG Guidance for needle localization of Breast | RAD |
| 103889-2 | MG stereo Guidance for localization of Breast - bilateral | RAD |
| 10389-5 | Blood product.other | BLDBK |
| 103890-0 | MG stereo Guidance for localization of Breast - left | RAD |
| 103891-8 | MG stereo Guidance for localization of Breast - right | RAD |
| 103892-6 | DBT Breast screening | RAD |
| 103893-4 | MG Breast Screening for implant | RAD |
| 103894-2 | MG Breast Diagnostic for implant | RAD |
| 103895-9 | US for transplanted kidney left | RAD |
| 103896-7 | US for transplanted kidney right | RAD |
| 103897-5 | US for transplanted kidney bilateral | RAD |
| 103898-3 | US.doppler for transplanted kidney left | RAD |
| 103899-1 | US.doppler for transplanted kidney right | RAD |
| 1039-7 | G Ag on Red Blood Cells from Blood product unit (qualitative) | BLDBK |
| 10390-3 | Blood product special preparation | BLDBK |
| 103900-7 | US.doppler for transplanted kidney bilateral | RAD |