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10/01/2016 - 12/31/2016 Sum of auth_count Row Labels Advanced Practice Registered Nurse 70450 CT BRAIN, HEAD 70480 CT ORBIT,EYE SOCKET, SELLA TURCICA, POSTERIOR FOSSA,EAR ETC. 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST 70540 MRI ORBIT/FACE/NECK W/O DYE 70544 Mr angiography head w/o dye 70547 Mr angiography neck w/o dye 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST 72125 CT CERVICAL SPINE, NECK SPINE NO CONTRAST 72131 CT LUMBAR SPINE, LOW BACK 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72192 CT PELVIS WITHOUT CONTRAST 72196 MRI PELVIS 73200 CT ARM OR UPPER EXTREMITY 73220 MRI UPPER EXTREMITY , ENTIRE EXTREMITY, NOT A JOINT 73221 MRI JOINT OF UPPER EXTREMITY 73700 CT LEG OR LOWER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 73721 MRI JOINT OF LOWER EXTREMITY, HIP OR KNEE OR ANKLE OR FOOT JOINT Column Labels Approval 341 17 1 5 3 1 2 1 39 12 2 2 5 34 5 63 3 2 1 3 16 4 26 4 Grand Disapproval Total 145 486 9 26 1 2 7 3 1 1 1 2 2 2 1 10 49 3 15 2 2 4 1 6 19 53 12 17 39 102 3 1 3 1 1 4 15 31 4 9 35 2 6 74150 CT ABDOMEN WITHOUT CONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 77058 MRI breast,without and/or with contrast material(s);unilateral 78451 Myocardial perfusion imaging, tomographic (SPECT); single study 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY 93307 TTHRC R-T IMG 2D +-M-MODE REC COMPL 93350 ECHO TTHRC R-T 2D -+M-MODE COMPLETE REST&STRS G0297 Low dose CT scan (LDCT) for lung cancer screening S8037 mrcp Allergy & Immunology 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX Ambulatory/Walk-in Clinic 70450 CT BRAIN, HEAD 71250 CT CHEST, THORAX 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST Anesthesiology 70450 CT BRAIN, HEAD 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST 70540 MRI ORBIT/FACE/NECK W/O DYE 70544 Mr angiography head w/o dye 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 72125 CT CERVICAL SPINE, NECK SPINE NO CONTRAST 72128 CT THORACIC SPINE, UPPER BACK NO CONTRAST 72131 CT LUMBAR SPINE, LOW BACK 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 5 75 3 2 2 2 12 1 1 1 1 1 7 6 1 2 1 1 388 3 2 4 1 12 86 17 1 1 1 1 1 100 1 1 1 2 1 1 1 2 29 9 7 87 3 2 3 1 1 1 1 1 8 6 1 1 3 1 1 1 488 1 1 1 2 1 4 3 4 3 12 115 26 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72192 CT PELVIS WITHOUT CONTRAST 72196 MRI PELVIS 73200 CT ARM OR UPPER EXTREMITY 73221 MRI JOINT OF UPPER EXTREMITY 73700 CT LEG OR LOWER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 73721 MRI JOINT OF LOWER EXTREMITY, HIP OR KNEE OR ANKLE OR FOOT JOINT 74150 CT ABDOMEN WITHOUT CONTRAST Cardiac Surgery 70450 CT BRAIN, HEAD 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST 71250 CT CHEST, THORAX 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST 71555 MRA, MRI ANGIOGRAPHY CHEST[NOT MYOCARDIUM] WITH/WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 73206 CT ANGIOGRAPHY UPPER EXTREMITY 73700 CT LEG OR LOWER EXTREMITY 73706 CT ANGIOGRAPHY LOWER EXTREMITY 74150 CT ABDOMEN WITHOUT CONTRAST 74174 CT ANGIOGRAPHY ABDOMEN AND PELVIS W/CONTRAST/NONCONTRAST 74175 CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 75635 CTA AA&BI ILIOFEM LXTR RS&I C-/C+ POST-PXESSING 78451 Myocardial perfusion imaging, tomographic (SPECT); single study 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY 93307 TTHRC R-T IMG 2D +-M-MODE REC COMPL Cardiology 233 1 1 1 11 1 7 6 2 84 1 2 7 25 10 1 1 1 1 1 1 6 1 2 1 16 3 3 1 1787 38 1 5 1 3 4 5 1 1 1 1 1 194 271 2 6 1 12 1 10 10 2 89 1 1 3 8 25 11 1 1 1 1 1 1 6 2 2 1 16 3 3 1 1981 70450 CT BRAIN, HEAD 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST 71550 MRI CHEST 71555 MRA, MRI ANGIOGRAPHY CHEST[NOT MYOCARDIUM] WITH/WITHOUT CONTRAST 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72192 CT PELVIS WITHOUT CONTRAST 72196 MRI PELVIS 73200 CT ARM OR UPPER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 74150 CT ABDOMEN WITHOUT CONTRAST 74174 CT ANGIOGRAPHY ABDOMEN AND PELVIS W/CONTRAST/NONCONTRAST 74175 CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 74185 MRA, MRI ANGIOGRAPHY ABDOMEN WITH/WITHOUT CONTRAST 75557 Cardiac MRI Morph & structure w/o contrast 75571 Corornary Artery Calcium Score, EBCT 75572 CT Heart 75573 CT Heart Congenital Study 75574 CT Angiography Heart coronary arteries, CCTA 75635 CTA AA&BI ILIOFEM LXTR RS&I C-/C+ POST-PXESSING 78451 Myocardial perfusion imaging, tomographic (SPECT); single study 78472 CARDIAC OR HEART BLOOD POOL IMAGING 93307 TTHRC R-T IMG 2D +-M-MODE REC COMPL 7 8 27 3 22 83 1 2 3 4 4 1 1 4 1 1 1 1 3 2 1 1 2 1 10 13 2 1 1 16 2 10 50 64 1145 2 236 1 1 1 2 2 1 12 8 89 47 9 3 12 31 4 23 87 2 1 1 1 3 2 1 1 2 1 10 13 3 1 2 17 4 12 1 62 72 1234 2 283 93312 TEE R-T IMG 2D W/PRB IMG ACQUISJ I&R 93350 ECHO TTHRC R-T 2D -+M-MODE COMPLETE REST&STRS Chiropractic Medicine 70540 MRI ORBIT/FACE/NECK W/O DYE 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 72131 CT LUMBAR SPINE, LOW BACK 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72192 CT PELVIS WITHOUT CONTRAST 72196 MRI PELVIS 73220 MRI UPPER EXTREMITY , ENTIRE EXTREMITY, NOT A JOINT 73221 MRI JOINT OF UPPER EXTREMITY 73700 CT LEG OR LOWER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 73721 MRI JOINT OF LOWER EXTREMITY, HIP OR KNEE OR ANKLE OR FOOT JOINT 74176 CT ABD & PELVIS W/O CONTRAST Colon & Rectal Surgery 71250 CT CHEST, THORAX 72196 MRI PELVIS 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY Dermatology 70450 CT BRAIN, HEAD 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY Doctors and Rehabilitation 70547 Mr angiography neck w/o dye 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 72125 CT CERVICAL SPINE, NECK SPINE NO CONTRAST 6 69 107 1 2 21 4 63 1 2 6 4 2 1 15 3 1 9 1 1 4 1 1 2 303 1 4 1 6 21 1 4 2 10 1 2 1 1 1 82 5 6 75 128 1 2 1 25 6 73 1 2 1 8 1 4 2 1 16 3 1 10 1 1 4 1 1 2 385 1 4 6 72128 CT THORACIC SPINE, UPPER BACK NO CONTRAST 72131 CT LUMBAR SPINE, LOW BACK 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72192 CT PELVIS WITHOUT CONTRAST 72196 MRI PELVIS 73220 MRI UPPER EXTREMITY , ENTIRE EXTREMITY, NOT A JOINT 73221 MRI JOINT OF UPPER EXTREMITY 73700 CT LEG OR LOWER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 73721 MRI JOINT OF LOWER EXTREMITY, HIP OR KNEE OR ANKLE OR FOOT JOINT Emergency Medicine 70450 CT BRAIN, HEAD 70544 Mr angiography head w/o dye 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST 72125 CT CERVICAL SPINE, NECK SPINE NO CONTRAST 72128 CT THORACIC SPINE, UPPER BACK NO CONTRAST 72131 CT LUMBAR SPINE, LOW BACK 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72192 CT PELVIS WITHOUT CONTRAST 72196 MRI PELVIS 73200 CT ARM OR UPPER EXTREMITY 73221 MRI JOINT OF UPPER EXTREMITY 73700 CT LEG OR LOWER EXTREMITY 73706 CT ANGIOGRAPHY LOWER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 1 14 70 15 173 2 1 4 1 12 4 83 5 4 6 1 3 2 27 9 27 1 4 1 3 20 1 1 1 3 1 1 7 2 11 1 1 1 3 2 1 9 1 1 4 1 4 16 97 24 200 1 2 1 8 2 15 4 103 6 1 5 6 1 3 1 1 8 3 15 1 1 1 4 2 1 9 73721 MRI JOINT OF LOWER EXTREMITY, HIP OR KNEE OR ANKLE OR FOOT JOINT 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 78451 Myocardial perfusion imaging, tomographic (SPECT); single study 93307 TTHRC R-T IMG 2D +-M-MODE REC COMPL Endocrinology 70450 CT BRAIN, HEAD 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 74150 CT ABDOMEN WITHOUT CONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 78451 Myocardial perfusion imaging, tomographic (SPECT); single study 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY Gastroenterology 70450 CT BRAIN, HEAD 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72192 CT PELVIS WITHOUT CONTRAST 72196 MRI PELVIS 74150 CT ABDOMEN WITHOUT CONTRAST 74174 CT ANGIOGRAPHY ABDOMEN AND PELVIS W/CONTRAST/NONCONTRAST 74175 CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 1 23 1 1 1 65 1 1 7 34 3 1 10 4 1 1 2 499 3 3 4 12 1 1 1 1 5 8 1 1 2 1 2 1 54 1 2 2 5 54 1 3 280 1 5 1 25 2 24 1 6 1 73 2 1 8 36 4 1 12 5 1 1 2 553 3 3 4 13 1 1 2 2 6 59 2 3 305 74181 MRI ABDOMEN 74185 MRA, MRI ANGIOGRAPHY ABDOMEN WITH/WITHOUT CONTRAST 74261 CT Colonography, diagnostic without contrast 74263 CT Colonography, screening 75557 Cardiac MRI Morph & structure w/o contrast 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY 93307 TTHRC R-T IMG 2D +-M-MODE REC COMPL S8037 mrcp General/Family Practice 70450 CT BRAIN, HEAD 70480 CT ORBIT,EYE SOCKET, SELLA TURCICA, POSTERIOR FOSSA,EAR ETC. 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST 70540 MRI ORBIT/FACE/NECK W/O DYE 70544 Mr angiography head w/o dye 70547 Mr angiography neck w/o dye 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST 71550 MRI CHEST 71555 MRA, MRI ANGIOGRAPHY CHEST[NOT MYOCARDIUM] WITH/WITHOUT CONTRAST 72125 CT CERVICAL SPINE, NECK SPINE NO CONTRAST 72128 CT THORACIC SPINE, UPPER BACK NO CONTRAST 72131 CT LUMBAR SPINE, LOW BACK 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72191 CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST 72192 CT PELVIS WITHOUT CONTRAST 96 4 3 1 2 2 22 6912 338 4 104 107 11 11 13 20 4 702 507 47 16 9 75 580 112 1413 1 36 10 2 1 3 3 1888 146 2 21 10 7 4 12 6 93 82 2 2 1 25 8 22 252 139 463 1 8 106 2 5 6 1 2 2 25 8800 484 6 125 117 18 15 25 26 4 795 589 49 2 1 41 17 97 832 251 1876 2 44 72196 MRI PELVIS 73200 CT ARM OR UPPER EXTREMITY 73206 CT ANGIOGRAPHY UPPER EXTREMITY 73220 MRI UPPER EXTREMITY , ENTIRE EXTREMITY, NOT A JOINT 73221 MRI JOINT OF UPPER EXTREMITY 73700 CT LEG OR LOWER EXTREMITY 73706 CT ANGIOGRAPHY LOWER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 73721 MRI JOINT OF LOWER EXTREMITY, HIP OR KNEE OR ANKLE OR FOOT JOINT 73725 MRA, MRI ANGIOGRAPHY LOWER EXTREMITY WITH/WITHOUT CONTRAST 74150 CT ABDOMEN WITHOUT CONTRAST 74174 CT ANGIOGRAPHY ABDOMEN AND PELVIS W/CONTRAST/NONCONTRAST 74175 CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 74185 MRA, MRI ANGIOGRAPHY ABDOMEN WITH/WITHOUT CONTRAST 75571 Corornary Artery Calcium Score, EBCT 75574 CT Angiography Heart coronary arteries, CCTA 75635 CTA AA&BI ILIOFEM LXTR RS&I C-/C+ POST-PXESSING 76380 CT FOLLOW-UP OR LIMITED STUDY ANY AREA 77058 MRI breast,without and/or with contrast material(s);unilateral 77078 CT bone mineral density study, 1 or more sites; axial skeleton 77084 Magnetic resonance imaging, bone marrow blood supply 78451 Myocardial perfusion imaging, tomographic (SPECT); single study 78813 PET IMAGING WHOLE BODY 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY 93307 TTHRC R-T IMG 2D +-M-MODE REC COMPL 93350 ECHO TTHRC R-T 2D -+M-MODE COMPLETE REST&STRS G0297 Low dose CT scan (LDCT) for lung cancer screening S8032 Low-dose Computed Tomography For Lung Cancer Screening S8037 mrcp 46 27 1 31 387 35 4 598 83 1 156 5 6 1196 41 1 9 24 1 2 56 9 12 39 8 12 3 9 16 7 10 142 14 3 114 26 2 27 5 2 137 5 2 2 3 1 1 7 1 39 2 5 4 4 1 62 34 1 41 529 49 7 712 109 3 183 10 8 1333 46 3 2 3 10 1 31 2 2 95 11 17 43 12 13 3 9 Geriatrics 70450 CT BRAIN, HEAD 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 78608 BRAIN PET [POSITRON EMISSION TOMOGRAPHY] Gynecologic Oncology 70450 CT BRAIN, HEAD 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 74176 CT ABD & PELVIS W/O CONTRAST 78813 PET IMAGING WHOLE BODY 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY Hematologist/Oncologist 70450 CT BRAIN, HEAD 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST 70540 MRI ORBIT/FACE/NECK W/O DYE 70544 Mr angiography head w/o dye 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST 71550 MRI CHEST 72125 CT CERVICAL SPINE, NECK SPINE NO CONTRAST 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72192 CT PELVIS WITHOUT CONTRAST 72196 MRI PELVIS 4 1 1 1 1 33 1 1 1 7 17 3 3 2829 122 2 82 1 19 2 176 756 21 23 41 49 65 7 56 7 3 3 1 2 1 1 186 1 1 8 3 45 1 1 2 2 1 1 11 1 4 4 1 1 35 1 2 1 7 17 3 4 3015 123 3 90 1 19 2 179 801 22 23 1 43 51 66 7 57 73206 CT ANGIOGRAPHY UPPER EXTREMITY 73220 MRI UPPER EXTREMITY , ENTIRE EXTREMITY, NOT A JOINT 73221 MRI JOINT OF UPPER EXTREMITY 73700 CT LEG OR LOWER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 73721 MRI JOINT OF LOWER EXTREMITY, HIP OR KNEE OR ANKLE OR FOOT JOINT 74150 CT ABDOMEN WITHOUT CONTRAST 74174 CT ANGIOGRAPHY ABDOMEN AND PELVIS W/CONTRAST/NONCONTRAST 74175 CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 77058 MRI breast,without and/or with contrast material(s);unilateral 77084 Magnetic resonance imaging, bone marrow blood supply 78451 Myocardial perfusion imaging, tomographic (SPECT); single study 78472 CARDIAC OR HEART BLOOD POOL IMAGING 78813 PET IMAGING WHOLE BODY 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY 93307 TTHRC R-T IMG 2D +-M-MODE REC COMPL G0297 Low dose CT scan (LDCT) for lung cancer screening S8037 mrcp Hospital 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY Industrial Medicine 78472 CARDIAC OR HEART BLOOD POOL IMAGING Infectious Diseases 70450 CT BRAIN, HEAD 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 71250 CT CHEST, THORAX 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 1 38 9 1 15 6 37 1 1 693 41 29 25 1 4 1 51 4 1 1 50 67 385 4 1 3 1 1 1 1 12 1 2 1 1 5 52 1 1 7 2 1 1 38 9 2 19 6 38 1 1 744 45 30 25 1 50 72 437 4 1 3 2 1 1 1 1 19 1 2 3 1 1 72192 CT PELVIS WITHOUT CONTRAST 73700 CT LEG OR LOWER EXTREMITY 74150 CT ABDOMEN WITHOUT CONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 78813 PET IMAGING WHOLE BODY Internal Medicine 70450 CT BRAIN, HEAD 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST 70540 MRI ORBIT/FACE/NECK W/O DYE 70544 Mr angiography head w/o dye 70547 Mr angiography neck w/o dye 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST 71550 MRI CHEST 72125 CT CERVICAL SPINE, NECK SPINE NO CONTRAST 72128 CT THORACIC SPINE, UPPER BACK NO CONTRAST 72131 CT LUMBAR SPINE, LOW BACK 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72192 CT PELVIS WITHOUT CONTRAST 72196 MRI PELVIS 73200 CT ARM OR UPPER EXTREMITY 73206 CT ANGIOGRAPHY UPPER EXTREMITY 73220 MRI UPPER EXTREMITY , ENTIRE EXTREMITY, NOT A JOINT 73221 MRI JOINT OF UPPER EXTREMITY 1 1 2 2 1 1 1372 64 20 24 6 4 5 14 1 145 156 13 1 3 3 4 85 25 201 4 13 2 1 4 58 1 1 1 296 16 2 1 2 2 3 1 16 23 1 3 5 3 3 39 13 62 2 1 1 2 13 1 1 3 3 2 1 1668 80 22 25 8 6 5 17 2 161 179 14 4 8 6 7 124 38 263 6 14 3 1 6 71 73700 CT LEG OR LOWER EXTREMITY 73706 CT ANGIOGRAPHY LOWER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 73721 MRI JOINT OF LOWER EXTREMITY, HIP OR KNEE OR ANKLE OR FOOT JOINT 74150 CT ABDOMEN WITHOUT CONTRAST 74174 CT ANGIOGRAPHY ABDOMEN AND PELVIS W/CONTRAST/NONCONTRAST 74175 CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 75571 Corornary Artery Calcium Score, EBCT 75572 CT Heart 75574 CT Angiography Heart coronary arteries, CCTA 75635 CTA AA&BI ILIOFEM LXTR RS&I C-/C+ POST-PXESSING 77058 MRI breast,without and/or with contrast material(s);unilateral 77084 Magnetic resonance imaging, bone marrow blood supply 78451 Myocardial perfusion imaging, tomographic (SPECT); single study 78472 CARDIAC OR HEART BLOOD POOL IMAGING 78608 BRAIN PET [POSITRON EMISSION TOMOGRAPHY] 78813 PET IMAGING WHOLE BODY 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY 93307 TTHRC R-T IMG 2D +-M-MODE REC COMPL 93350 ECHO TTHRC R-T 2D -+M-MODE COMPLETE REST&STRS G0297 Low dose CT scan (LDCT) for lung cancer screening S8032 Low-dose Computed Tomography For Lung Cancer Screening S8037 mrcp Interventional Radiologists 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70544 Mr angiography head w/o dye Medical Genetics 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST Nephrology 9 1 89 12 42 2 3 233 21 13 1 3 1 38 1 6 1 5 5 3 30 6 1 8 18 7 3 5 5 1 2 1 1 1 1 22 1 20 3 1 2 9 1 102 13 45 3 3 271 21 1 6 1 5 6 3 50 6 1 8 18 10 3 6 5 1 2 1 1 1 1 24 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72196 MRI PELVIS 74150 CT ABDOMEN WITHOUT CONTRAST 74174 CT ANGIOGRAPHY ABDOMEN AND PELVIS W/CONTRAST/NONCONTRAST 74175 CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 74185 MRA, MRI ANGIOGRAPHY ABDOMEN WITH/WITHOUT CONTRAST 75635 CTA AA&BI ILIOFEM LXTR RS&I C-/C+ POST-PXESSING 78451 Myocardial perfusion imaging, tomographic (SPECT); single study Neurological Surgery 70450 CT BRAIN, HEAD 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST 70540 MRI ORBIT/FACE/NECK W/O DYE 70544 Mr angiography head w/o dye 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 72125 CT CERVICAL SPINE, NECK SPINE NO CONTRAST 72128 CT THORACIC SPINE, UPPER BACK NO CONTRAST 72131 CT LUMBAR SPINE, LOW BACK 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72196 MRI PELVIS 73221 MRI JOINT OF UPPER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 73721 MRI JOINT OF LOWER EXTREMITY, HIP OR KNEE OR ANKLE OR FOOT JOINT 1 1 1 1 1 1 12 2 2 1 1 1308 74 1 5 39 12 3 8 211 1 80 11 124 267 75 373 1 11 2 4 142 6 1 1 1 10 12 7 13 31 10 41 4 3 2 1 1 1 1 1 1 12 2 2 1 1 1450 80 2 5 40 13 3 8 221 1 92 18 137 298 85 414 1 15 5 6 74150 CT ABDOMEN WITHOUT CONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 76390 Mr spectroscopy Neurology 70336 MRI TEMPROMANDIBULAR JOINT,TMJ,JAW JOINT 70450 CT BRAIN, HEAD 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST 70540 MRI ORBIT/FACE/NECK W/O DYE 70544 Mr angiography head w/o dye 70547 Mr angiography neck w/o dye 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 70554 Functional MRI Brain 71250 CT CHEST, THORAX 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST 71550 MRI CHEST 72125 CT CERVICAL SPINE, NECK SPINE NO CONTRAST 72128 CT THORACIC SPINE, UPPER BACK NO CONTRAST 72131 CT LUMBAR SPINE, LOW BACK 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72192 CT PELVIS WITHOUT CONTRAST 72196 MRI PELVIS 73220 MRI UPPER EXTREMITY , ENTIRE EXTREMITY, NOT A JOINT 73221 MRI JOINT OF UPPER EXTREMITY 73700 CT LEG OR LOWER EXTREMITY 73706 CT ANGIOGRAPHY LOWER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 1 3 2 1338 26 1 45 32 5 45 12 718 1 4 1 4 5 2 6 237 61 98 2 4 1 7 1 1 4 159 1 6 1 1 12 6 1 12 1 20 1 3 1 1 1 1 43 17 21 1 1 1 1 1 3 2 1497 1 32 2 1 57 38 6 57 13 738 2 7 2 5 5 3 7 280 78 119 3 5 2 7 1 1 5 73721 MRI JOINT OF LOWER EXTREMITY, HIP OR KNEE OR ANKLE OR FOOT JOINT 74176 CT ABD & PELVIS W/O CONTRAST 75635 CTA AA&BI ILIOFEM LXTR RS&I C-/C+ POST-PXESSING 76390 Mr spectroscopy 78608 BRAIN PET [POSITRON EMISSION TOMOGRAPHY] 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY 93307 TTHRC R-T IMG 2D +-M-MODE REC COMPL OB/Gynecology 70450 CT BRAIN, HEAD 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72192 CT PELVIS WITHOUT CONTRAST 72196 MRI PELVIS 73220 MRI UPPER EXTREMITY , ENTIRE EXTREMITY, NOT A JOINT 74150 CT ABDOMEN WITHOUT CONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 77058 MRI breast,without and/or with contrast material(s);unilateral 78813 PET IMAGING WHOLE BODY 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY 93307 TTHRC R-T IMG 2D +-M-MODE REC COMPL Obstetrics & Gynecology 72196 MRI PELVIS 77058 MRI breast,without and/or with contrast material(s);unilateral Occupational Medicine 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 3 3 1 1 4 1 2 196 1 1 7 16 1 1 2 11 22 1 4 80 7 32 5 3 2 2 1 1 4 3 1 1 4 25 2 2 1 2 1 12 2 3 1 1 3 4 1 1 8 1 2 221 3 1 7 18 1 1 3 11 24 1 5 92 9 35 5 3 2 2 1 1 5 4 1 Oncology 70450 CT BRAIN, HEAD 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72196 MRI PELVIS 74150 CT ABDOMEN WITHOUT CONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 76390 Mr spectroscopy 77058 MRI breast,without and/or with contrast material(s);unilateral 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY Ophthalmology 70450 CT BRAIN, HEAD 70480 CT ORBIT,EYE SOCKET, SELLA TURCICA, POSTERIOR FOSSA,EAR ETC. 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST 70540 MRI ORBIT/FACE/NECK W/O DYE 70544 Mr angiography head w/o dye 70547 Mr angiography neck w/o dye 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 74150 CT ABDOMEN WITHOUT CONTRAST Oral/Maxillofacial 70336 MRI TEMPROMANDIBULAR JOINT,TMJ,JAW JOINT 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST Orthopedics 63 1 8 18 2 2 1 1 2 13 2 1 8 4 101 1 6 1 2 2 17 2 1 1 2 2 25 7 1 53 2 1 2 1 1 3258 5 4 4 201 65 1 8 18 2 2 1 1 2 13 2 1 8 6 118 3 7 1 1 2 2 30 11 1 57 2 1 2 1 1 3459 70450 CT BRAIN, HEAD 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST 71550 MRI CHEST 72125 CT CERVICAL SPINE, NECK SPINE NO CONTRAST 72128 CT THORACIC SPINE, UPPER BACK NO CONTRAST 72131 CT LUMBAR SPINE, LOW BACK 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72192 CT PELVIS WITHOUT CONTRAST 72196 MRI PELVIS 73200 CT ARM OR UPPER EXTREMITY 73220 MRI UPPER EXTREMITY , ENTIRE EXTREMITY, NOT A JOINT 73221 MRI JOINT OF UPPER EXTREMITY 73700 CT LEG OR LOWER EXTREMITY 73706 CT ANGIOGRAPHY LOWER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 73721 MRI JOINT OF LOWER EXTREMITY, HIP OR KNEE OR ANKLE OR FOOT JOINT 74150 CT ABDOMEN WITHOUT CONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 77078 CT bone mineral density study, 1 or more sites; axial skeleton 78472 CARDIAC OR HEART BLOOD POOL IMAGING Osteopath 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 1 1 1 1 6 18 3 12 6 47 236 31 358 8 22 81 49 893 122 1 1188 168 1 2 1 1 3 1 1 3 1 1 6 3 12 31 11 45 9 5 15 5 2 49 1 1 1 1 1 1 1 9 19 1 3 18 9 59 267 42 403 8 31 86 49 908 127 3 1237 169 1 2 2 1 1 3 1 1 74181 MRI ABDOMEN Other 70336 MRI TEMPROMANDIBULAR JOINT,TMJ,JAW JOINT 70450 CT BRAIN, HEAD 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72192 CT PELVIS WITHOUT CONTRAST 73221 MRI JOINT OF UPPER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 73721 MRI JOINT OF LOWER EXTREMITY, HIP OR KNEE OR ANKLE OR FOOT JOINT 74150 CT ABDOMEN WITHOUT CONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 77058 MRI breast,without and/or with contrast material(s);unilateral 78451 Myocardial perfusion imaging, tomographic (SPECT); single study 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY Otolaryngology 0042T Ct perfusion w/contrast, cbf 70450 CT BRAIN, HEAD 70480 CT ORBIT,EYE SOCKET, SELLA TURCICA, POSTERIOR FOSSA,EAR ETC. 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST 70540 MRI ORBIT/FACE/NECK W/O DYE 1 52 7 1 8 1 1 2 7 1 2 4 1 3 3 2 7 1 1 699 1 4 67 340 106 1 1 8 14 1 2 1 1 1 1 1 1 3 1 1 23 1 2 15 1 2 1 66 8 1 10 1 1 2 8 1 2 5 1 4 4 1 3 10 1 1 1 1 722 2 4 69 355 107 1 3 8 70544 Mr angiography head w/o dye 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 72125 CT CERVICAL SPINE, NECK SPINE NO CONTRAST 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 73220 MRI UPPER EXTREMITY , ENTIRE EXTREMITY, NOT A JOINT 73221 MRI JOINT OF UPPER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 73725 MRA, MRI ANGIOGRAPHY LOWER EXTREMITY WITH/WITHOUT CONTRAST 74150 CT ABDOMEN WITHOUT CONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 78071 Parathyroid SPECT Imaging 78813 PET IMAGING WHOLE BODY 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY Pediatric Hematology 71250 CT CHEST, THORAX Pediatric Oncology 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 73721 MRI JOINT OF LOWER EXTREMITY, HIP OR KNEE OR ANKLE OR FOOT JOINT Pediatrics 70450 CT BRAIN, HEAD 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70540 MRI ORBIT/FACE/NECK W/O DYE 70544 Mr angiography head w/o dye 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 71550 MRI CHEST 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 2 128 20 2 2 1 1 1 1 1 2 1 3 6 1 1 3 1 2 159 14 3 6 3 2 45 12 1 4 1 15 2 12 1 2 3 2 128 20 2 2 1 1 1 1 1 2 1 3 8 1 1 3 1 2 171 15 3 6 3 2 45 12 1 6 1 18 72196 MRI PELVIS 73220 MRI UPPER EXTREMITY , ENTIRE EXTREMITY, NOT A JOINT 73221 MRI JOINT OF UPPER EXTREMITY 73700 CT LEG OR LOWER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 73721 MRI JOINT OF LOWER EXTREMITY, HIP OR KNEE OR ANKLE OR FOOT JOINT 74150 CT ABDOMEN WITHOUT CONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 78451 Myocardial perfusion imaging, tomographic (SPECT); single study 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY Physical Medicine 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT Plastic Surgery 70450 CT BRAIN, HEAD 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70540 MRI ORBIT/FACE/NECK W/O DYE 72125 CT CERVICAL SPINE, NECK SPINE NO CONTRAST 72128 CT THORACIC SPINE, UPPER BACK NO CONTRAST 72131 CT LUMBAR SPINE, LOW BACK 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 73220 MRI UPPER EXTREMITY , ENTIRE EXTREMITY, NOT A JOINT 73221 MRI JOINT OF UPPER EXTREMITY 73700 CT LEG OR LOWER EXTREMITY 74150 CT ABDOMEN WITHOUT CONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 77058 MRI breast,without and/or with contrast material(s);unilateral Podiatry 2 1 8 1 12 3 3 22 2 9 2 1 4 2 18 1 4 1 1 1 1 2 1 1 1 1 1 2 1 2 3 1 1 1 1 155 1 18 2 1 8 1 14 3 3 22 1 1 3 10 2 1 5 2 20 1 4 1 1 1 1 1 2 3 1 1 1 2 173 73700 CT LEG OR LOWER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT Psychiatry 70450 CT BRAIN, HEAD 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST Pulmonary Medicine 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 74150 CT ABDOMEN WITHOUT CONTRAST 74174 CT ANGIOGRAPHY ABDOMEN AND PELVIS W/CONTRAST/NONCONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 78451 Myocardial perfusion imaging, tomographic (SPECT); single study 78813 PET IMAGING WHOLE BODY 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY 93307 TTHRC R-T IMG 2D +-M-MODE REC COMPL G0297 Low dose CT scan (LDCT) for lung cancer screening S8032 Low-dose Computed Tomography For Lung Cancer Screening Radiation Oncology 70450 CT BRAIN, HEAD 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70540 MRI ORBIT/FACE/NECK W/O DYE 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 5 150 9 7 2 389 6 5 313 10 2 16 8 4 1 1 1 1 21 16 1 1 1 4 2 1 8 22 7 2 7 127 2 1 16 3 37 19 1 1 2 10 1 1 7 166 17 11 3 1 1 1 410 6 5 329 10 1 1 1 4 2 1 9 23 9 2 7 137 2 1 16 3 38 20 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72196 MRI PELVIS 73221 MRI JOINT OF UPPER EXTREMITY 74150 CT ABDOMEN WITHOUT CONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 78813 PET IMAGING WHOLE BODY 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY Radiology 70450 CT BRAIN, HEAD 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST 70544 Mr angiography head w/o dye 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 70554 Functional MRI Brain 71250 CT CHEST, THORAX 72192 CT PELVIS WITHOUT CONTRAST 72196 MRI PELVIS 73221 MRI JOINT OF UPPER EXTREMITY 74150 CT ABDOMEN WITHOUT CONTRAST 74174 CT ANGIOGRAPHY ABDOMEN AND PELVIS W/CONTRAST/NONCONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 75635 CTA AA&BI ILIOFEM LXTR RS&I C-/C+ POST-PXESSING 78813 PET IMAGING WHOLE BODY 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY G0297 Low dose CT scan (LDCT) for lung cancer screening Rehabilitations 72131 CT LUMBAR SPINE, LOW BACK 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 1 2 3 4 1 1 9 1 27 29 1 1 1 1 1 4 3 1 3 2 1 3 1 2 3 1 2 4 3 1 1 1 5 1 1 3 1 1 2 1 1 2 3 4 4 1 1 10 1 31 32 1 1 3 2 1 3 1 2 1 4 1 2 4 3 1 1 1 7 1 2 4 Rheumatology 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 72131 CT LUMBAR SPINE, LOW BACK 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72192 CT PELVIS WITHOUT CONTRAST 72196 MRI PELVIS 72198 MRA , MRI PELVIS ANGIOGRAPHY WITH/WITHOUT CONTRAST 73220 MRI UPPER EXTREMITY , ENTIRE EXTREMITY, NOT A JOINT 73221 MRI JOINT OF UPPER EXTREMITY 73700 CT LEG OR LOWER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 73721 MRI JOINT OF LOWER EXTREMITY, HIP OR KNEE OR ANKLE OR FOOT JOINT 74150 CT ABDOMEN WITHOUT CONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 93307 TTHRC R-T IMG 2D +-M-MODE REC COMPL Sports Medicine 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72196 MRI PELVIS 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT Surgery 70450 CT BRAIN, HEAD 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST 190 1 1 9 12 1 17 3 34 3 14 30 20 2 27 10 1 3 2 16 1 10 1 4 511 4 1 11 1 2 23 1 5 1 1 5 8 2 1 1 49 1 1 1 213 1 1 9 12 1 18 3 39 3 15 1 35 28 2 29 10 1 3 2 17 1 11 1 4 560 5 2 11 1 3 70540 MRI ORBIT/FACE/NECK W/O DYE 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST 72128 CT THORACIC SPINE, UPPER BACK NO CONTRAST 72131 CT LUMBAR SPINE, LOW BACK 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72192 CT PELVIS WITHOUT CONTRAST 72196 MRI PELVIS 73200 CT ARM OR UPPER EXTREMITY 73206 CT ANGIOGRAPHY UPPER EXTREMITY 73220 MRI UPPER EXTREMITY , ENTIRE EXTREMITY, NOT A JOINT 73221 MRI JOINT OF UPPER EXTREMITY 73700 CT LEG OR LOWER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 73721 MRI JOINT OF LOWER EXTREMITY, HIP OR KNEE OR ANKLE OR FOOT JOINT 74150 CT ABDOMEN WITHOUT CONTRAST 74174 CT ANGIOGRAPHY ABDOMEN AND PELVIS W/CONTRAST/NONCONTRAST 74175 CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 74185 MRA, MRI ANGIOGRAPHY ABDOMEN WITH/WITHOUT CONTRAST 75635 CTA AA&BI ILIOFEM LXTR RS&I C-/C+ POST-PXESSING 77058 MRI breast,without and/or with contrast material(s);unilateral 78813 PET IMAGING WHOLE BODY 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY S8037 mrcp Surgical Oncology 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 1 7 28 1 1 1 6 2 7 17 7 9 1 18 31 2 15 2 15 2 240 12 1 4 43 5 13 1 45 1 5 1 3 7 1 2 3 1 1 1 1 16 2 1 1 4 1 7 33 1 1 1 7 5 14 18 7 9 1 20 34 2 16 3 16 2 1 256 12 1 4 45 6 13 2 49 1 71250 CT CHEST, THORAX 72196 MRI PELVIS 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 73721 MRI JOINT OF LOWER EXTREMITY, HIP OR KNEE OR ANKLE OR FOOT JOINT 74150 CT ABDOMEN WITHOUT CONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 77058 MRI breast,without and/or with contrast material(s);unilateral 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY Thoracic Surgery 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 73200 CT ARM OR UPPER EXTREMITY 74174 CT ANGIOGRAPHY ABDOMEN AND PELVIS W/CONTRAST/NONCONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 75571 Corornary Artery Calcium Score, EBCT 75635 CTA AA&BI ILIOFEM LXTR RS&I C-/C+ POST-PXESSING 78451 Myocardial perfusion imaging, tomographic (SPECT); single study 78459 Myocardial imaging, PET 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY 93307 TTHRC R-T IMG 2D +-M-MODE REC COMPL Unknown 70336 MRI TEMPROMANDIBULAR JOINT,TMJ,JAW JOINT 70450 CT BRAIN, HEAD 70480 CT ORBIT,EYE SOCKET, SELLA TURCICA, POSTERIOR FOSSA,EAR ETC. 70486 CT SINUS, FACE,JAW,MANDIBLE,MAXILLOFACIAL NO CONTRAST 17 2 1 1 1 2 2 11 3 5 3 54 1 4 1 13 5 1 2 2 1 1 6 6 1 5 1 1 5 2 650 1 20 3 24 124 7 1 4 18 3 1 2 2 11 3 5 3 56 1 4 1 13 5 2 2 1 6 6 1 5 1 1 5 2 774 1 27 4 28 70490 CT NECK SOFT TISSUES,LARNYX,THYROID ETC. NO CONTRAST 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST 70540 MRI ORBIT/FACE/NECK W/O DYE 70544 Mr angiography head w/o dye 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST 71550 MRI CHEST 72125 CT CERVICAL SPINE, NECK SPINE NO CONTRAST 72128 CT THORACIC SPINE, UPPER BACK NO CONTRAST 72131 CT LUMBAR SPINE, LOW BACK 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72146 MRI THORACIC SPINE CHEST SPINE UPPER BACK WITHOUT CONTRAST 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72192 CT PELVIS WITHOUT CONTRAST 72196 MRI PELVIS 73220 MRI UPPER EXTREMITY , ENTIRE EXTREMITY, NOT A JOINT 73221 MRI JOINT OF UPPER EXTREMITY 73700 CT LEG OR LOWER EXTREMITY 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 73721 MRI JOINT OF LOWER EXTREMITY, HIP OR KNEE OR ANKLE OR FOOT JOINT 74150 CT ABDOMEN WITHOUT CONTRAST 74174 CT ANGIOGRAPHY ABDOMEN AND PELVIS W/CONTRAST/NONCONTRAST 74175 CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 75635 CTA AA&BI ILIOFEM LXTR RS&I C-/C+ POST-PXESSING 77058 MRI breast,without and/or with contrast material(s);unilateral 78451 Myocardial perfusion imaging, tomographic (SPECT); single study 78813 PET IMAGING WHOLE BODY 16 1 3 3 3 54 61 8 2 3 7 40 7 90 6 2 1 44 9 64 5 22 96 6 2 3 9 3 2 1 2 1 5 7 3 2 2 14 6 24 2 5 3 6 7 2 1 1 6 1 4 1 18 1 4 5 4 59 68 8 2 6 2 9 54 13 114 8 2 1 49 12 70 12 24 1 1 102 7 2 3 13 4 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY 93307 TTHRC R-T IMG 2D +-M-MODE REC COMPL 93312 TEE R-T IMG 2D W/PRB IMG ACQUISJ I&R 93350 ECHO TTHRC R-T 2D -+M-MODE COMPLETE REST&STRS G0297 Low dose CT scan (LDCT) for lung cancer screening S8032 Low-dose Computed Tomography For Lung Cancer Screening Urology 70551 MRI HEAD, BRAIN, BRAINSTEM WITHOUT CONTRAST 71250 CT CHEST, THORAX 72131 CT LUMBAR SPINE, LOW BACK 72148 MRI LUMBAR SPINE OR LOW BACK WITHOUT CONTRAST 72192 CT PELVIS WITHOUT CONTRAST 72196 MRI PELVIS 74150 CT ABDOMEN WITHOUT CONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 74181 MRI ABDOMEN 78813 PET IMAGING WHOLE BODY 78816 PET IMAGING FOR CT ATTENUATION WHOLE BODY Vascular Surgery 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST 71250 CT CHEST, THORAX 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST 72141 MRI CERVICAL SPINE OR NECK SPINE WITHOUT CONTRAST 72191 CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST 73220 MRI UPPER EXTREMITY , ENTIRE EXTREMITY, NOT A JOINT 73720 MRI LEG OR LOWER EXTREMITY , OTHER THAN JOINT 74174 CT ANGIOGRAPHY ABDOMEN AND PELVIS W/CONTRAST/NONCONTRAST 74175 CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST 74176 CT ABD & PELVIS W/O CONTRAST 75635 CTA AA&BI ILIOFEM LXTR RS&I C-/C+ POST-PXESSING 5 12 3 9 1 2 824 3 27 1 1 8 62 32 660 25 1 4 52 2 6 2 9 1 2 1 2 6 7 5 7 2 2 32 1 4 21 1 1 4 1 7 14 3 9 1 2 856 3 28 1 1 8 66 32 681 26 2 8 53 2 6 2 9 1 2 1 2 6 7 5 7 78451 Myocardial perfusion imaging, tomographic (SPECT); single study 93307 TTHRC R-T IMG 2D +-M-MODE REC COMPL Grand Total 2 25146 1 3918 2 1 29064 spec_name Advanced Practice Registered Nurse Advanced Practice Registered Nurse Advanced Practice Registered Nurse Advanced Practice Registered Nurse Advanced Practice Registered Nurse outcome Approval Approval Approval Approval Approval diag_proc reason_for_denial indication_offered auth_count 70450 CT BRAIN, HEAD < Enter answer here - or Type In Unknown If No Info Given. >; This is a request for a brain/head CT.; There is not headache not improved by pain medications.; "There are no recent neurological symptoms or deficits such as one-sided weakness, vision defects, speech impairments or sudden onset of severe dizziness."; This study is being requested for a headache. 1 70450 CT BRAIN, HEAD < Enter answer here - or Type In Unknown If No Info Given. >; This is a request for a brain/head CT.; Thi study is being requested for None of the above.; This procedure is being requested for Syncope/Fainting; It is unknown why an MRI is not being considered 1 70450 CT BRAIN, HEAD < Enter answer here - or Type In Unknown If No Info Given. >; This is a request for a brain/head CT.; Thi study is being requested for None of the above.; Thi