| V603P3223 | V603DC5023... | 0 | | Q526: Medical/Psych Consultation Svcs | $3,640.00 | 2004 | 4052976 |
| V603P3223 | V603DC4064... | 0 | | Q526: Medical/Psych Consultation Svcs | $5,540.00 | 2004 | 4404193 |
| V603P3223 | V603DC4064... | 0 | | Q526: Medical/Psych Consultation Svcs | $11,100.00 | 2004 | 4697651 |
| V249P0769 | 2 | | Q999: Other Medical Services | $3,190.00 | 2004 | 5191930 |
| V603P3223 | 0 | | Q526: Medical/Psych Consultation Svcs | $0.00 | 2004 | 5215970 |
| V249P0769 | 0 | | Q999: Other Medical Services | $51,825.00 | 2005 | 8053234 |
| V249P0769 | V603DC6072... | 0 | | AN51: Mental Health (Basic) | $3,470.00 | 2006 | 9832228 |
| V249P0769 | V603DC6072... | 0 | | AN51: Mental Health (Basic) | $6,930.00 | 2006 | 9867198 |
| V249P0769 | V603DC6081... | 0 | | Q999: Other Medical Services | $8,750.00 | 2006 | 9952667 |
| V249P0769 | 3 | | Q999: Other Medical Services | $3,740.00 | 2006 | 11909155 |
| V249P0769 | 1 | | Q999: Other Medical Services | $17,275.00 | 2006 | 11929522 |
| V249P0769 | V603DC6081... | 0 | | Q999: Other Medical Services | $14,050.00 | 2007 | 14497907 |
| V249P0769 | V603DC7076... | 0 | | Q999: Other Medical Services | $21,495.00 | 2007 | 14611702 |
| V249P0769 | V603DC7076... | 0 | | Q999: Other Medical Services | $5,150.00 | 2007 | 14716339 |
