| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | MOUNT HOREB AREA SCHOOL DISTRICT | 53572 | 6 | 56,810 | $914K |
| 2 | TRUDELL, BRENDA | 53572 | 4 | 6,713 | $121K |
| 3 | VIKE-STEINICH, KRISTIN | 53572 | 2 | 2,350 | $35K |
| 4 | UPLAND HILLS HEALTH, INC | 53572 | 5 | 969 | $27K |
| 5 | BOHL, MARK | 53572 | 1 | 920 | $14K |
| 6 | SCHMITT, BRENDA | 53572 | 4 | 337 | $13K |
| 7 | MOUNT HOREB FAMILY PHARMACY LLC | 53572 | 10 | 616 | $10K |
| 8 | DALLMAN, JESSICA | 53572 | 1 | 42 | $7K |
| 9 | RYAN, JOSEPH | 53572 | 2 | 450 | $7K |
| 10 | WALGREEN CO | 53572 | 5 | 220 | $3K |
| 11 | MOUNT HOREB AREA FIRE DISTRICT | 53572 | 1 | 14 | $2K |
| 12 | KISH, PETER | 53572 | 1 | 27 | $219.24 |
| 13 | KISH CHIROPRACTIC, INC. | 53572 | 1 | 109 | $0.00 |
| 14 | VIKE-STEINICH FAMILY CHIROPRACTIC, LLC | 53572 | 1 | 26 | $0.00 |