| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | JACKSONVILLE HOSPITAL LLC | 75763 | 10 | 4,459 | $677K |
| 2 | WESTWOOD ISD | 75763 | 6 | 29,654 | $669K |
| 3 | FRANKSTON ISD | 75763 | 4 | 14,445 | $306K |
| 4 | ELKHART ISD | 75763 | 4 | 14,236 | $229K |
| 5 | TRINITY FAMILY ENRICHMENT SERVICES LLC | 75763 | 3 | 814 | $35K |
| 6 | HALBERDENT | 75763 | 11 | 1,550 | $17K |
| 7 | HALBERSTADT, KYLE | 75763 | 7 | 343 | $4K |
| 8 | CAYUGA ISD | 75763 | 1 | 442 | $2K |
| 9 | SLOCUM ISD | 75763 | 1 | 40 | $150.83 |