| QC06 | | | | Q522: Radiology Services | $10,023.00 | 2004 | 3371325 |
| 0004 | 1 | | | Q522: Radiology Services | $5,956.00 | 2004 | 3419742 |
| 0005 | 2 | | | Q522: Radiology Services | $6,394.00 | 2004 | 3557655 |
| QC07 | | | | Q522: Radiology Services | $10,023.00 | 2004 | 3774173 |
| QC08 | | | | Q522: Radiology Services | $15,123.00 | 2004 | 3947464 |
| QC04 | | | | Q522: Radiology Services | $10,023.00 | 2004 | 4155311 |
| QC01 | | | | Q522: Radiology Services | $10,023.00 | 2004 | 4397546 |
| QC02 | | | | Q522: Radiology Services | $10,023.00 | 2004 | 4565778 |
| QC09 | | | | Q522: Radiology Services | $15,123.00 | 2004 | 4760376 |
| QC10 | | | | Q522: Radiology Services | $15,123.00 | 2004 | 4919773 |
| 0287 | | | | Q522: Radiology Services | $0.00 | 2004 | 4986927 |
| QC05 | | | | Q522: Radiology Services | $10,023.00 | 2004 | 5131198 |
| 0002 | P00001 | | | Q522: Radiology Services | ($1,348.00) | 2004 | 5131204 |
| 0013 | 1 | | | Q522: Radiology Services | ($1,210.00) | 2005 | 6859468 |
| 0013 | | | | Q522: Radiology Services | $6,776.00 | 2005 | 6956919 |
| QC18 | | | | Q522: Radiology Services | $5,450.00 | 2005 | 7039093 |
| QC20 | | | | Q522: Radiology Services | $6,776.00 | 2005 | 7112916 |
| 0015 | | | | Q522: Radiology Services | $6,776.00 | 2005 | 7170650 |
| QC16 | | | | Q522: Radiology Services | $9,554.00 | 2005 | 7194890 |
| QC17 | | | | Q522: Radiology Services | $2,760.00 | 2005 | 7322152 |
| 0014 | | | | Q522: Radiology Services | $6,776.00 | 2005 | 7338853 |
| 0014 | 1 | | | Q522: Radiology Services | ($2,751.00) | 2005 | 7414819 |
| 0011 | 1 | | | Q522: Radiology Services | ($1,037.00) | 2005 | 7505901 |
| 0014 | 2 | | | Q522: Radiology Services | ($1,388.00) | 2005 | 7556376 |
| 0011 | | | | Q522: Radiology Services | $6,776.00 | 2005 | 7634618 |
| 0023 | 1 | | | Q522: Radiology Services | $79.00 | 2006 | 8939518 |
| 0024 | 1 | | | Q522: Radiology Services | ($215.00) | 2006 | 9207758 |
| 0025 | 1 | | | Q522: Radiology Services | $89.00 | 2006 | 9487182 |
| 0025 | | | | Q522: Radiology Services | $2,652.00 | 2006 | 10512420 |
| 0026 | | | | Q522: Radiology Services | $3,367.00 | 2006 | 10615867 |
| 0024 | | | | Q522: Radiology Services | $668.00 | 2006 | 10697415 |
| 0023 | | | | Q522: Radiology Services | $668.00 | 2006 | 10786031 |