| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | ALLENSTOWN SCHOOL DISTRICT | 03275 | 5 | 35,237 | $369K |
| 2 | PEMBROKE SCHOOL DISTRICT | 03275 | 4 | 27,233 | $288K |
| 3 | DEERFIELD SCHOOL DISTRICT | 03275 | 4 | 15,411 | $187K |
| 4 | EPSOM SCHOOL DISTRICT | 03275 | 4 | 12,562 | $133K |
| 5 | TOWN OF PEMBROKE | 03275 | 2 | 1,965 | $87K |
| 6 | GREAT BROOK EMERGENCY MEDICAL SERVICES LLC | 03275 | 2 | 1,364 | $25K |
| 7 | PEMBROKE WELLNESS CENTER PLLC | 03275 | 1 | 16 | $734.27 |