| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | PLANNED PARENTHOOD OF WISCONSIN | 53115 | 20 | 15,627 | $743K |
| 2 | DELAVAN DARIEN SCHOOL | 53115 | 7 | 70,624 | $651K |
| 3 | SHOPTIKAL LLC | 53115 | 5 | 3,911 | $122K |
| 4 | MORALEZ, KELLY | 53115 | 2 | 4,355 | $101K |
| 5 | HELLER, CLARK | 53115 | 2 | 3,061 | $65K |
| 6 | WALGREEN CO | 53115 | 16 | 2,509 | $49K |
| 7 | WAL-MART STORES EAST, LP | 53115 | 6 | 616 | $12K |
| 8 | POPLAR, CLIFFORD | 53115 | 2 | 355 | $5K |
| 9 | SHOPKO STORES OPERATING CO LLC | 53115 | 1 | 29 | $279.81 |
| 10 | WAL-MART STORES EAST LP | 53115 | 2 | 46 | $0.00 |