| 68R70041 | WCO0020030... | 0 | | Q999: Other Medical Services | $4,842.00 | 2003 | 2293152 |
| 68R70041 | WCO0020030... | 0 | | Q999: Other Medical Services | $2,349.00 | 2003 | 2351371 |
| 68R70041 | WCO0020030... | 0 | | Q999: Other Medical Services | $195.00 | 2003 | 2357440 |
| 68R70041 | WCO0020030... | 0 | | Q999: Other Medical Services | $3,588.00 | 2003 | 2390778 |
| 68R70041 | WCO0020030... | 0 | | Q999: Other Medical Services | $1,991.00 | 2003 | 2437152 |
| 68R70041 | WCO0020030... | 0 | | Q999: Other Medical Services | $443.00 | 2003 | 2456975 |
| 68R70041 | WCO0020030... | 0 | | Q999: Other Medical Services | $5,080.00 | 2003 | 2485314 |
| 68R70041 | WCO0020030... | 1 | | Q999: Other Medical Services | $0.00 | 2004 | 3331002 |
| 68R70041 | WCO0020030... | 1 | | Q999: Other Medical Services | $233.00 | 2004 | 3358850 |
| 68R70041 | WCO0020030... | 2 | | Q999: Other Medical Services | ($578.00) | 2004 | 3465951 |
| 68R70041 | WCO0020030... | 1 | | Q999: Other Medical Services | ($580.00) | 2004 | 3557806 |
| 68R70041 | WCO0020030... | 1 | | Q999: Other Medical Services | $0.00 | 2004 | 3662419 |
| 68R70041 | WCO0020030... | 1 | | Q999: Other Medical Services | $0.00 | 2004 | 3774303 |
| 68R70041 | WCO0020030... | 1 | | Q999: Other Medical Services | $0.00 | 2004 | 3850266 |
| 68R70041 | WCO0020030... | 1 | | Q999: Other Medical Services | ($1,243.00) | 2004 | 3893462 |
| 68R70041 | WCO0020030... | 1 | | Q999: Other Medical Services | $0.00 | 2004 | 3988086 |
| 68R70041 | WCO0020020... | 1 | | Q999: Other Medical Services | ($51.00) | 2004 | 5043778 |
| 68R70041 | WCO0020030... | 1 | | Q999: Other Medical Services | ($240.00) | 2004 | 5090789 |
