| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | SAN JUAN COUNTY HOSPITAL | 84535 | 6 | 9,982 | $704K |
| 2 | SAN JUAN COUNTY HOSPITAL | 84535 | 20 | 6,818 | $519K |
| 3 | SAN JUAN COUNTY | 84535 | 4 | 3,070 | $509K |
| 4 | SAN JUAN PUBLIC HEALTH | 84535 | 1 | 56 | $13K |
| 5 | SAN JUAN COUNTY HOSPITAL | 84535 | 2 | 149 | $8K |