| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | ST. JOSEPH'S MEDICAL CENTER | 56474 | 14 | 12,397 | $567K |
| 2 | CASS & CROW WINGS COS IND SCHOOL DIST 2174 | 56474 | 1 | 22,396 | $541K |
| 3 | PINE RIVER EYE CENTER, INC. | 56474 | 9 | 15,074 | $395K |
| 4 | HEALTHFIRST CHIROPRACTIC INC | 56474 | 2 | 9,567 | $194K |
| 5 | PINE RIVER DENTAL ARTS, P.C. | 56474 | 6 | 2,000 | $42K |
| 6 | GUSTAFSON, STACY | 56474 | 1 | 127 | $12K |