| OR95220000... | 7 | | Q999: Other Medical Services | $0.00 | 2004 | 3424083 |
| OR95220000... | 9 | | Q999: Other Medical Services | $8,432.72 | 2004 | 3476160 |
| OR95220000... | 6 | | Q999: Other Medical Services | $0.00 | 2004 | 3511820 |
| OR95220000... | 10 | | Q999: Other Medical Services | $0.00 | 2004 | 3866369 |
| OR95220000... | 8 | | Q999: Other Medical Services | $51,000.00 | 2004 | 4382274 |
| OR95220000... | 11 | | Q999: Other Medical Services | $0.00 | 2005 | 5889134 |
| OR95220000... | 12 | | Q999: Other Medical Services | $0.00 | 2005 | 8062603 |
| INLHBP0800... | 0 | | Q301: Laboratory Testing Services | $6,670.00 | 2008 | 16505787 |
| INLHRP0803... | 1 | | Q403: Evaluation And Screening | ($63.00) | 2008 | 19449184 |
| INLHRP0803... | 0 | | Q403: Evaluation And Screening | $5,670.00 | 2008 | 19614691 |
| AG04P5C090... | AG04M3D090... | 0 | | Q403: Evaluation And Screening | $8,000.00 | 2009 | 20878511 |
| AG04P5C090... | AG04P5D090... | 0 | | Q403: Evaluation And Screening | $4,500.00 | 2009 | 20940503 |
| AG04P5C090... | AG04P5D090... | 0 | | Q403: Evaluation And Screening | $11,500.00 | 2009 | 21084531 |
| AG04P5C090... | AG04P5D090... | 0 | | Q403: Evaluation And Screening | $12,000.00 | 2009 | 21132187 |
| AG04M3P098... | 0 | | Q526: Medical/Psych Consultation Svcs | $3,936.00 | 2009 | 21210977 |
