| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
5,713 |
4,771 |
$111K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
4,191 |
3,795 |
$93K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
409 |
354 |
$27K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
3,754 |
3,299 |
$12K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
6,127 |
5,520 |
$11K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
9,207 |
4,970 |
$8K |