| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | JOHNSON COUNTY HOSPITAL | 68450 | 8 | 7,386 | $719K |
| 2 | JOHNSON COUNTY HOSPITAL | 68450 | 13 | 5,906 | $173K |
| 3 | JOHNSON COUNTY HOSPITAL | 68450 | 1 | 40 | $3K |
| 4 | FAMILY HEALTH SERVICES, INC. | 68450 | 5 | 148 | $2K |
| 5 | WELLENSIEK, TODD | 68450 | 2 | 24 | $504.00 |