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Highest amounts paid to firms lobbying on Medicare in 2003
| Client | Lobbying firm | Total |
| 1. | Pharmaceutical Research And Manufacturers Of America (Phrma) | Alexander Strategy Group | $720,000 |
| 2. | Alliance For Quality Nursing Home Care | Barbour Griffith & Rogers, Inc. | $700,000 |
| 3. | Biotechnology Industry Organization | Hogan & Hartson, L.L.P. | $680,000 |
| 4. | Hoffmann-La Roche, Inc. | Patton Boggs, Llp | $660,000 |
| 5. | Pennsylvania, Commonwealth Of | Peyser Associates, Inc. | $650,000 |
| 6. | Umass Memorial Health Care, Inc. | Cassidy & Associates, Inc. | $560,000 |
| 7. | Puerto Rico Federal Affairs Administration | Winston & Strawn, Llp | $480,000 |
| 8. | Council On Radionuclides And Radiopharmaceuticals | Alpine Group, Inc. | $460,000 |
| 9. | Sanofi-Synthelabo Inc. | Patton Boggs Llp | $450,000 |
| 10. | Pharmaceutical Research And Manufacturers Of America (Phrma) | Hc Associates, Inc. | $440,000 |
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Energy lobbying
Medicare lobbying
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