| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | SOUTHERN DOMINION HEALTH SYSTEM, INC. | 23974 | 45 | 26,384 | $829K |
| 2 | SOUTHERN DOMINION HEALTH SYSTEM, INC. | 23974 | 42 | 31,157 | $810K |
| 3 | VICTORIA FIRE AND RESCUE COMPANY, INCORPORATED | 23974 | 3 | 5,143 | $246K |
| 4 | SOUTHERN DOMINION HEALTH SYSTEM, INC. | 23974 | 12 | 1,594 | $37K |
| 5 | HURST, MICHAEL | 23974 | 11 | 638 | $17K |
| 6 | YORK, LISA | 23974 | 1 | 279 | $13K |
| 7 | POLLARD, ASHLEY | 23974 | 5 | 570 | $10K |
| 8 | HOLLAND, JOHN | 23974 | 2 | 167 | $7K |
| 9 | INGE, MARGARET | 23974 | 1 | 142 | $6K |
| 10 | SOUTHERN DOMINION HEALTH SYSTEM, INC. | 23974 | 1 | 74 | $4K |