| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | MIDWEST COUNTRY CLINIC LLC | 68714 | 6 | 8,292 | $781K |
| 2 | GREATER SANDHILLS FAMILY HEALTHCARE, PC | 68714 | 2 | 2,368 | $205K |
| 3 | ROCK COUNTY HOSPITAL | 68714 | 2 | 1,253 | $147K |
| 4 | ROCK COUNTY HOSPITAL | 68714 | 7 | 1,189 | $36K |
| 5 | LURZ, WILLIAM | 68714 | 1 | 12 | $120.00 |