| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | CITY & COUNTY OF SAN FRANCISCO | SAN FRANCISCO, CA | 12 | $232.69 |
| 2 | NORTON HOSPITALS INC | LOUISVILLE, KY | 12 | $174.09 |
| 3 | CHOICES WOMEN'S MEDICAL CENTER, INC. | JAMAICA, NY | 28 | $19.60 |
| 4 | BETH ISRAEL MEDICAL CENTER | BROOKLYN, NY | 29 | $0.00 |