| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | MEDICINE LODGE MEMORIAL HOSPITAL | 67104 | 2 | 4,090 | $533K |
| 2 | BARBER COUNTY NORTH USD 254 | 67104 | 1 | 1,336 | $30K |
| 3 | COUNTY OF BARBER | 67104 | 3 | 597 | $13K |
| 4 | MEDICINE LODGE MEMORIAL HOSPITAL | 67104 | 5 | 320 | $2K |
| 5 | AREA RADIOLOGICAL CONSULTANTS PA | 67104 | 2 | 422 | $928.56 |
| 6 | FREEMAN PHARMACY LLC | 67104 | 3 | 129 | $697.85 |