| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
728 |
282 |
$51K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
1,234 |
727 |
$6K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
3,111 |
1,166 |
$5K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
1,994 |
1,223 |
$4K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
127 |
76 |
$3K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
751 |
448 |
$3K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
759 |
426 |
$193.91 |