| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | SOUTHWEST TELLER COUNTY EMERGENCY MEDICAL SERVICES | 80813 | 2 | 1,320 | $107K |
| 2 | POUDRE VALLEY MEDICAL GROUP, LLC | 80813 | 3 | 805 | $39K |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO | 80813 | 3 | 182 | $11K |
| 4 | PREMIER RURAL FAMILY MEDICAL & DENTAL CARE, LLC | 80813 | 1 | 13 | $879.47 |
| 5 | JMJ III | 80813 | 1 | 15 | $497.10 |
| 6 | DIVERSUS HEALTH INC | 80813 | 1 | 73 | $269.30 |
| 7 | SAYLOR, JILL | 80813 | 2 | 39 | $0.00 |