| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | MARIANO PRIME LIMITED LIABILITY | DEDEDO | 1,418 | $13K |
| 2 | WIL-MAR CORPORATION | SINAJANA | 915 | $10K |
| 3 | PAYLESS MARKETS INC | TAMUNING | 670 | $9K |
| 4 | RAN-CARE INC | AGAT | 746 | $8K |
| 5 | RAN-CARE INC | MANGILAO | 500 | $7K |
| 6 | MARIANO PRIME LIMITED LIABILITY | TAMUNING | 504 | $5K |
| 7 | PRIME CARE INC | TAMUNING | 371 | $4K |
| 8 | PAYLESS MARKETS INC | CHALAN PAGO | 27 | $248.76 |