| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | POLARIS RENEWAL SERVICES, INC. | 15456 | 2 | 19,582 | $1.85M |
| 2 | TRACY, SCOTT | 15456 | 1 | 10,213 | $977K |
| 3 | TRESSLER, DUSTIN | 15456 | 3 | 1,764 | $106K |
| 4 | GANSE APOTHECARY LLC | 15456 | 6 | 817 | $80K |
| 5 | YOUR CHOICE OPTICAL, INC. | 15456 | 2 | 133 | $8K |
| 6 | WESCLARE CORPORATION | 15456 | 2 | 33 | $606.52 |