Patient # Monthly Claims 1 $1,254.17 2 $889.25 3 $1,347.12 4 $1,345.00 5 $1,455.25 6 $995.50 7 $1,350.00 8 $1,500.00 9 $1,190.90 10 $3,525.00 11 $750.00 12 $750.00 13 $1,250.00 14 $1,150.25 15 $1,150.00 16 $1,254.17 17 $1,150.00 18 $1,150.25 19 $1,190.90 20 $850.00 21 $1,250.00 22 $1,150.25 23 $1,150.25 24 $1,150.25 25 $1,150.25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 $750.00 $850.00 $1,190.90 $1,254.17 $1,190.90 $1,254.17 $1,250.00 $1,250.00 $1,250.00 $1,190.90 $1,254.17 $1,150.25 $750.00 $1,150.25 $1,250.00 $600.00 $550.00 $850.00 $750.00 $750.00