| SS00046004... | 1 | | Q526: Medical/Psych Consultation Svcs | $0.00 | 2004 | 5178414 |
| SS00046004... | SS26043077... | 0 | | Q999: Other Medical Services | $10,482.00 | 2005 | 7269221 |
| SS00046004... | SS26053010... | 0 | | Q999: Other Medical Services | $6,988.00 | 2005 | 7343053 |
| SS00046004... | SS26053068... | 0 | | Q999: Other Medical Services | $3,564.00 | 2005 | 7427609 |
| SS00046004... | SS26053069... | 0 | | Q999: Other Medical Services | $6,988.00 | 2005 | 7498672 |
| SS00046004... | SS26053025... | 0 | | Q999: Other Medical Services | $3,494.00 | 2005 | 7583563 |
| SS00046004... | SS26053041... | 0 | | Q999: Other Medical Services | $3,564.00 | 2005 | 7634744 |
| SS00046004... | SS26053051... | 0 | | Q999: Other Medical Services | $24,948.00 | 2005 | 7703885 |
| SS00046004... | 3 | | Q526: Medical/Psych Consultation Svcs | $7,128.00 | 2005 | 7980929 |
| SS00046004... | SS26063006... | 0 | | Q999: Other Medical Services | $3,564.00 | 2006 | 10715236 |
| SS00046004... | SS26063012... | 0 | | Q999: Other Medical Services | $3,564.00 | 2006 | 10807969 |
| SS00046004... | SS26063015... | 0 | | Q999: Other Medical Services | $4,989.60 | 2006 | 10883713 |
| SS00046004... | 4 | | Q526: Medical/Psych Consultation Svcs | $7,271.00 | 2006 | 11965763 |