| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | OTTUMWA | 6,398 | $26K |
| 2 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | INDIANOLA | 2,138 | $12K |
| 3 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | DAVENPORT | 24 | $21.32 |
| 4 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | WEST UNION | 276 | $12.52 |